{"meta":{"humanUrl":"https://ru.bookimed.com/clinics/country=spain/city=pamplona/procedure=zamena-plechevogo-sustava/","canonicalUrl":"https://ru.bookimed.com/clinics/country=spain/city=pamplona/procedure=zamena-plechevogo-sustava/","jsonUrl":"https://ru.bookimed.com/clinics/country=spain/city=pamplona/procedure=zamena-plechevogo-sustava/data.json","title":"Замена плечевого сустава в в Памплоне 2026: цены, клиники и отзывы","description":"Замена плечевого сустава в в Памплоне стоит от $22,700. Сравните 1 клинику: цены, врачи и отзывы пациентов. 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Имея опыт лечения более 700 000 пациентов, их ортопедическая команда специализируется на замене плечевого сустава. Доктор Микель Сан Хулиан Арангурен — специалист по ортопедической хирургии и травматологии, обладающий обширным опытом проведения данной процедуры.</p><doctor id=\"946\"></doctor>","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":339,"alias":"universitetskaa-klinika-navarry","name":"Университетская клиника Наварры","short_description":"<p>Университетская клиника Наварры — лучшая частная больница Испании 2018 года по версии Организации мониторинга медицинской репутации <a href=\"http://www.merco.info/es/actualidad/monitor-de-reputacion-sanitaria-2018-hospitales-y-servicios-hospitalarios\">MERCO</a>.</p>\n\n<p>Наварра — ведущий центр лечения саркомы. 74% пациентов клиники излечиваются от саркомы кости, в 90% случаях удается сохранить конечность.</p>\n\n<p><strong>Профильные направления госпиталя</strong> — онкология, онкогематология, пересадка органов, нейрохирургия, кардиохирургия.</p>\n\n<p>Клиника первая в стране получила <strong>американский сертификат JCI</strong> за высокое качество медицинских услуг.</p>\n\n<p>С момента основания в клинике Наварры прошли лечение <strong>более 700 000 пациентов из 70 стран мира</strong>.</p>\n","images":[{"base_url":"clinic/5c618b62dfba4","title":"Современное здание больницы Clinica Universidad de Navarra в Памплоне, Испания"},{"base_url":"clinic/5c618b62c6ade","title":"Современный холл рецепции в Clinica Universidad de Navarra с лестницей и арт-стеной"},{"base_url":"clinic/5c618b62d5bbe","title":"Современная зона ожидания в Clinica Universidad de Navarra с местами для сидения"},{"base_url":"clinic/5c618b62ef71f","title":"Современная операционная в Clinica Universidad de Navarra с роботизированным оборудованием"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Памплона","id":366,"alias":"pamplona"},"address":"Av. de Pío XII, 36, 31008 Pamplona, Navarra, Spain"},"rating":{"rating":4.7,"google":3.8,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":7,"doctors_number":440,"year_foundation":1962},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Аккредитация Международной объединенной комиссии JCI","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"Сертификат Европейского общества медицинской онкологии ESMO","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5e5e5c99ba5be.jpeg","name":"Лучшие клиники мира 2020 по версии журнала Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Лучшие клиники мира 2021 по версии журнала Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"Лучшие умные больницы мира 2021 по версии журнала Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"Лучшие клиники мира 2022 по версии журнала Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Лучшие умные больницы мира 2023 по версии журнала Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":147},"doctors":{"doctors":[{"doctor":{"id":946,"alias":"mikel-san-huan-aranguren","name":"Микель Сан Хуан Арангурен","clinic_id":339,"photo":"doctor/5acf60e5b761d","first_year_working":0,"created_at":"2017-06-27T15:03:54.000+00:00","short_description":"<p>Доктор является специалистом в области ортопедической хирургии и травматологии, с обширным опытом лечения травм и заболеваний опорно-двигательного аппарата. Клинический фокус включает замену суставов, спортивные травмы и сложное лечение переломов. Доктор внес значительный вклад в развитие хирургических техник и участвовал во множестве исследовательских проектов, направленных на улучшение результатов лечения пациентов. Аккредитован ведущими медицинскими советами, доктор признан за выдающиеся достижения в области ортопедической помощи и опубликовал множество рецензируемых статей в престижных медицинских журналах.&lt;\\/p&gt;</p>","statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":339,"alias":"universitetskaa-klinika-navarry","name":"Университетская клиника Наварры","short_description":"<p>Университетская клиника Наварры — лучшая частная больница Испании 2018 года по версии Организации мониторинга медицинской репутации <a href=\"http://www.merco.info/es/actualidad/monitor-de-reputacion-sanitaria-2018-hospitales-y-servicios-hospitalarios\">MERCO</a>.</p>\n\n<p>Наварра — ведущий центр лечения саркомы. 74% пациентов клиники излечиваются от саркомы кости, в 90% случаях удается сохранить конечность.</p>\n\n<p><strong>Профильные направления госпиталя</strong> — онкология, онкогематология, пересадка органов, нейрохирургия, кардиохирургия.</p>\n\n<p>Клиника первая в стране получила <strong>американский сертификат JCI</strong> за высокое качество медицинских услуг.</p>\n\n<p>С момента основания в клинике Наварры прошли лечение <strong>более 700 000 пациентов из 70 стран мира</strong>.</p>\n","images":[{"base_url":"clinic/5c618b62dfba4","title":"Современное здание больницы Clinica Universidad de Navarra в Памплоне, Испания"},{"base_url":"clinic/5c618b62c6ade","title":"Современный холл рецепции в Clinica Universidad de Navarra с лестницей и арт-стеной"},{"base_url":"clinic/5c618b62d5bbe","title":"Современная зона ожидания в Clinica Universidad de Navarra с местами для сидения"},{"base_url":"clinic/5c618b62ef71f","title":"Современная операционная в Clinica Universidad de Navarra с роботизированным оборудованием"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Памплона","id":366,"alias":"pamplona"},"address":"Av. de Pío XII, 36, 31008 Pamplona, Navarra, Spain"},"rating":{"rating":4.7,"google":3.8,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":7,"doctors_number":440,"year_foundation":1962},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Аккредитация Международной объединенной комиссии JCI","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"Сертификат Европейского общества медицинской онкологии ESMO","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5e5e5c99ba5be.jpeg","name":"Лучшие клиники мира 2020 по версии журнала Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Лучшие клиники мира 2021 по версии журнала Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"Лучшие умные больницы мира 2021 по версии журнала Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"Лучшие клиники мира 2022 по версии журнала Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Лучшие умные больницы мира 2023 по версии журнала Newsweek","country_code":"US"}]}}],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":7110,"user":{"id":172274,"name":"Майя ","country_code":"BY"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":3}],"text":{"ru":"Очень комфортная клиника.\r\nКрасивая территория, удобное расположение.\r\nПриятный средний медицинский персонал.\r\nВсе доброжелательны и приветливы.\r\nПервое знакомство с доктором scype консультация, длительная с подробным обсуждением нашей ситуации.\r\nЗатем полное сопровождение в оформлении документов и виз.\r\nПомощь кураторов во всем с четкими подробными инструкциями. Подбор жилья на время обследования, помощь 24/7.\r\nПо приезду личное знакомство с доктором Касаньяс, подробное обсуждение предстоящей операции.\r\nМаксимальная поддержка переводчика. Отдельное спасибо Ольге, очень интеллектуальная и тактичная. Была с ребенком всё время до того, пока не уснул( наркоз).\r\nВсе, чтобы мой мальчик не боялся и не нервничал.\r\nУ нас было сложное лечение, длительная операция.  Аутотрансплантация по типу Sacai, с остеосинтезем.Почти 8 часов.\r\nЧеткие и слаженные действия всего персонала, добрые, все делали ,чтобы их пациенту было комфортно, и не больно.\r\nМне все рассказывали о ребенке максимально подробно. И я была со своим сыном во время нахождения в клинике всегда. Обход врача каждый день.\r\nДаже в выходные доктор приезжал осмотреть своего пациента.\r\nНаблюдение, контроль, обследование всё было сделано качественно.\r\nОгромное спасибо всем.","en":"Nice staff"},"order":{"illness":{"id":104,"name":{"ru":"Травмы костей и суставов","en":"Injuries of bones and joints"}}},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-12-04T13:45:32.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ru":"Да","en":"Yes"}},{"id":6792,"user":{"id":176267,"name":"Robert ","country_code":"KZ","country_name":{"ru":"Казахстан","en":"Kazakhstan"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":5},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":5},{"name":"relative_price","value":0}],"text":{"ru":"Skype консультация прошла хорошо. На протяжении часа получил ответы на все вопросы, они конечно отличаются от тех, которые получаем дома, но проф. Ферран Монсеррат позитивный, в целом хорошее настроение после консультации. \nОрганизовали все хорошо, перед консультацией нам позвонили, помогли настроить Скайп.","en":"Skype consultation went well. Within an hour I received answers to all questions, they certainly differ from those that we receive at home, but prof. Ferrand Montserrat is positive, generally in a good mood after consultation. They organized everything well, before the consultation they called us and helped set up Skype."},"order":{"diagnostic":{"id":125,"name":{"ru":"Консультация ортопеда-травматолога","en":"Consultation with an orthopedist (traumatologist)"}}},"doctor_info":{"id":637,"name":"Ферран Монсеррат","alias":"ferran-monserrat"},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-02-28T14:04:46.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"В течение часа я получил ответы на все вопросы.","en":"Within an hour I received answers to all questions."}}},{"id":6671,"user":{"id":171481,"name":"Лидия ","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"Остались довольны организацией визита - оперативно, информационное сопровождение вовремя подготовки и перед консультацией; и результатами консультации- попали именно к тому Доктору, у которого хотели получить консультацию. Благодарим представителя Bookimed","en":"We were satisfied with the organization of the visit - promptly, information support during the preparation and before the consultation; and the results of the consultation, they got to the Doctor from whom they wanted to get a consultation. Thanks to the representative of Bookimed"},"order":{"operation":{"id":671,"name":{"ru":"Замена тазобедренного сустава","en":"Hip replacement"}},"illness":{"id":170,"name":{"ru":"Коксартроз","en":"Coxarthrosis"}}},"doctor_info":{"id":1699,"name":"Рафаэль Гонсалес-Адрио Вагнер","alias":"rafael-gonsales-adrio-vagner"},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-02-10T07:28:16.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"Они попали к Доктору, у которого хотели получить консультацию.","en":"They got to the Doctor from whom they wanted to get a consultation."}}},{"id":15107,"user":{"id":601401,"name":"Ol'ga Dann ","country_code":"GB","country_name":{"ru":"Великобритания","en":"United Kingdom"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":9},{"name":"manager","value":5}],"text":{"ru":"Я в восторге от предоставленного клиникой переводчика. Не было никаких проблем в общении с доктором. Консультация по поводу операции длилась около получаса и доктор  очень подробно и понятно объяснил мне, что делать и как решить мою проблему.","en":"I am delighted with the interpreter provided by the clinic. There were no problems in communicating with the doctor. The consultation about the surgery lasted about half an hour and the doctor explained to me in a very detailed and clear way what to do and how to solve my problem."},"order":{"operation":{"id":478,"name":{"ru":"Операция при вальгусной деформации","en":"Surgical treatment of valgus deformity"}},"illness":{"id":121,"name":{"ru":"Вальгусная деформация","en":"Valgus Deformity"}}},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-04-27T15:09:14.106+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ru":"Как только я зарегестрировалась на Bookined, cо мной сразу же связались консультанты, сразу же скинули ссылки на клиники в интересующих меня странах ( я выбрала 3 страны). А потом организовали консультации в докторами этих клиник. И все это быстро, четко и без больших усилий с моей стороны..  Теперь у меня есть выбор и я думаю, скоро приму решение.","en":"As soon as I registered on Bookined, I was immediately contacted by the consultants, they immediately sent me links to clinics in the countries I was interested in (I chose 3 countries). And then they organised consultations with the doctors of these clinics. And all of this quickly, clearly and without much effort on my part...  Now I have a choice and I think I will make a decision soon."},"summary":{"positive":{"ru":"Доктор очень подробно и понятно объяснил мне, что делать и как решить мою проблему.","en":"The doctor explained to me in a very detailed and clear way what to do and how to solve my problem."}}},{"id":5350,"user":{"id":92670,"name":"Наталия ","country_code":"UA","country_name":{"ru":"Украина","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":3}],"text":{"ru":"Добрый день! Впечатления от клиники Сан Жоан были восторгом, масштаб клиники меня поразил !! Консультация врача длилась более часа, доктор смог ответить на все заданные вопросы нам!!!!!  Спасибо Вам за консультацию!!!","en":"Good afternoon! Impressions from the clinic of San Joan were a delight, the scale of the clinic amazed me !! The doctor’s consultation lasted more than an hour, the doctor was able to answer all the questions asked to us !!!!! Thank you for the consultation !!!"},"order":{},"clinic_info":{"id":272,"name":"Детский госпиталь Сан Жоан де Деу (Hospital Sant Joan de Déu Barcelona)","alias":"detskij-gospital-sant-joan-de-deu","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-09-26T09:21:19.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"images":[{"full_url":"review/5d9ff9cd5631f_b.jpeg","preview_url":"review/5d9ff9cd5631f_s.jpeg"}],"comment_about_bookimed":{"ru":"Да","en":"Yes"},"summary":{"positive":{"ru":"Спасибо за консультацию!!!","en":"Thank you for the consultation!!!"}}},{"id":6171,"user":{"id":158733,"name":"Михаил ","country_code":"UA","country_name":{"ru":"Украина","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":4},{"name":"coordination","value":0},{"name":"doctor","value":5},{"name":"manager","value":0},{"name":"personal","value":5},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"Очень понравился сам врач, Рамон Кугат. 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active range of motion and daily activities resume.","restrictions":["Avoid heavy lifting","Avoid forceful overhead movements"]},{"phase":"Strengthening (months 3-6)","description":"Progressive strengthening and return to light recreational activity.","restrictions":["Avoid heavy repetitive or impact loading"]},{"phase":"Final recovery (6-12 months)","description":"Continued gains in strength and function.","restrictions":["Long-term avoidance of heavy overhead lifting as advised"]}],"rehabilitation_days":{"min":90,"max":180,"unit":"days","qualifier":"Ordinary functional recovery with supervised physiotherapy and home exercises until daily activities are comfortable; strength continues improving later."},"result_longevity":"Many implants function well for 10-20 years or more, but longevity depends on implant type, patient activity, bone quality and indication.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Revision surgery within about 10 years of primary replacement; lower in first 2 years."},"scars":"A single scar about 10-15 cm, usually along the front of the shoulder (deltopectoral approach); fades over many months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for a primary one-sided shoulder replacement."},"stages":[{"code":"surgery","label":"Shoulder replacement operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}}],"qualifier":"Single-stage primary replacement of one shoulder."},"success":{"metric":"Patients with significant pain relief and improved function","value":90,"unit":"percent of patients","horizon":"2 years after surgery","population":"Adults with end-stage glenohumeral arthritis undergoing primary shoulder replacement","evidence_status":"limited"},"techniques":[{"name":"Anatomic total shoulder arthroplasty","suits_whom":"Arthritis with intact rotator cuff and adequate glenoid bone","recovery":"Sling about 4-6 weeks, progressive rehab over 3-6 months"},{"name":"Reverse total shoulder arthroplasty","suits_whom":"Cuff tear arthropathy, deficient rotator cuff, complex fractures, older patients","recovery":"Similar timeline; sling about 4-6 weeks, with specific motion precautions"},{"name":"Hemiarthroplasty","suits_whom":"Selected fractures or avascular necrosis with intact glenoid","recovery":"Similar to total replacement; rehab may be slower if tuberosities need healing"}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operative time for a primary shoulder replacement, excluding anesthesia and recovery."},"initial_assessment_documents":["Shoulder X-rays","Shoulder MRI or CT scan report","Orthopedic clinic notes on shoulder","List of blood thinners","Previous shoulder surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; 1-2 nights in hospital, then about 10-14 days in country until wound check. Later reviews at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably 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