{"key":"op_1549_ES","page":{"url":"https://ru.bookimed.com/clinics/country=spain/procedure=terapiya-gemorroya/","procedure":{"id":1549,"slug":"terapiya-gemorroya","name":"Терапия геморроя","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"therapy","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"proctology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Испания"},"currency":"USD","data_date":"2026-10-19"},"pages":{"clinics_url":"https://ru.bookimed.com/clinics/country=spain/procedure=terapiya-gemorroya/","cost_url":"https://ru.bookimed.com/clinics/country=spain/procedure=terapiya-gemorroya/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":6100,"to":{"status":"missing","reason":"not_collected"},"avg":{"value":4548,"method":"median","source":"offers"},"us":{"from":3500,"to":7500},"uk":{"from":2800,"to":5000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Мадрид","from":6100},{"city":"Барселона","from":2900},{"city":"Аликанте","from":1500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"source":"offers","items":[{"tier":"standard","min":4548,"max":4548,"median":4548,"count":1}]},"comparison":[{"country_iso":"UA","from":800,"to":1500},{"country_iso":"FR","from":1500,"to":3200},{"country_iso":"GB","from":2800,"to":5000},{"country_iso":"US","from":3500,"to":7500},{"country_iso":"IL","from":2800,"to":4500},{"country_iso":"TR","from":3600,"to":{"status":"missing","reason":"not_collected"}},{"country_iso":"MX","from":1500,"to":3000},{"country_iso":"DE","from":1600,"to":3800},{"country_iso":"CA","from":1800,"to":4200},{"country_iso":"AE","from":2200,"to":4300},{"country_iso":"TH","from":1500,"to":3200},{"country_iso":"PL","from":1300,"to":1600},{"country_iso":"KR","from":2200,"to":3200},{"country_iso":"CZ","from":700,"to":1700},{"country_iso":"AT","from":1800,"to":3500},{"country_iso":"IT","from":1600,"to":3600},{"country_iso":"CN","from":1400,"to":3400},{"country_iso":"AU","from":3200,"to":5500},{"country_iso":"IN","from":1100,"to":2200},{"country_iso":"MY","from":1100,"to":2400},{"country_iso":"VN","from":1100,"to":1900},{"country_iso":"BR","from":1800,"to":3400}],"base_country":"US","base_is_fallback":false},"savings":{"pct":-74,"variant":"<15%"},"package":{"included":["24-hr nurse services","3 meals per day by nutritionist","Consultation with a surgeon","Consultation with an anesthesiologist","VIP Room"],"excluded":["Transfer is not included"],"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":10,"items":[{"id":7532,"name":"Digestive Surgery and Gastroenterology Specialist Centro PAD","city":"Madrid","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["ISO 45001 (Occupational Health and Safety Management)","World's Best Smart Hospitals 2023 by Newsweek"],"rank":1,"has_procedure":true,"why_ranked":"Offers Da Vinci robotic surgery for complex hemorrhoid cases and laser surgery. Surgeons have a Master in Coloproctology and ESCP membership.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":[{"id":"6a93e3fe255b9c3efe047c04","price":4548,"nights":1,"included":["3 meals per day by nutritionist","24-hr nurse services","Consultation with an anesthesiologist","Consultation with a surgeon","VIP Room"],"excluded":["Transfer is not included"],"other_services":"Your surgeon is always Dr. Carlos Garcia Vasquez: he personally performs every surgery, and the surgeon who assesses you is the surgeon who operates on you. Comprehensive Hemorrhoidectomy Care Package with laser (HeLP / LHP / FiLaC Technique) This specialized, minimally invasive proctology program provides advanced treatment for symptomatic grade II–IV internal hemorrhoids utilizing diode laser energy. Designed as a sphincter-preserving, tissue-sparing procedure, this technique shrinks and obliterates hemorrhoidal cushions from within—delivering immediate vascular dearterialization, minimal postoperative pain, preservation of natural anatomy, and an accelerated return to daily life. What the Package Includes Pre-Surgical Evaluation & Specialized Assessment: Comprehensive consultation, proctological examination, and high-resolution anoscopy with a specialized proctologist/colorectal surgeon. Hemorrhoidal grading, anatomical mapping, and procedural planning. Pre-anesthesia clearance (local anesthesia with monitored conscious sedation or short general anesthesia). Dedicated patient orientation and preoperative bowel preparation guidance. Laser Hemorrhoidal Ablation Procedure: Intra-Hemorrhoidal Laser Coagulation / Dearterialization: Precise submucosal insertion of a dedicated radial laser fiber directly into the hemorrhoidal nodes to achieve targeted photocoagulation and shrinkage without open mucosal excisions or sphincter injury. Full surgeon, assistant, dedicated anesthesiologist, and specialized nursing team fees. Day-surgery operating suite fees, dedicated diode laser generator use, and sterile single-use specialized radial optical fibers. Immediate Postoperative Care & Follow-Up: Post-anesthesia care unit (PACU) monitoring and short recovery in a private day-hospital room. Discharge on the same day with personalized pain-control guidelines, stool-softening regimen, and local hygiene instructions. Direct surgeon clearance prior to discharge along with a comprehensive medical discharge report. Postoperative surgical follow-up visits within the first 30 days (including wound review, healing assessment, and functional evaluation). Exclusions Preoperative diagnostic workup outside the surgical pathway (e.g., complete diagnostic colonoscopy or specialized pelvic imaging). Additional surgical management for unrelated, complex anal pathologies requiring extensive open intervention (e.g., high complex transsphincteric anal fistulas or extensive anal cancer resections). Long-term outpatient gastroenterological management or extended hospitalization due to unrelated preexisting systemic conditions."}]},{"id":78,"name":"Centro Médico Teknon","city":"Barcelona","rating":4.7,"reviews_count":497,"accreditations":["Joint Commission International","European Foundation for Quality Management","THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","Patient choice in Neurology","Patient choice in Neurosurgery","Patient choice for Epilepsy treatment","World's Best Hospitals 2021 by Newsweek"],"rank":2,"has_procedure":true,"why_ranked":"Offers expert care with 900+ procedures performed by Dr. Centeno, a specialist in anorectal disorders. Uses modern diagnostic tools and minimally invasive techniques for personalized treatment.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":278,"name":"Quironsalud Madrid","city":"Madrid","rating":3.8,"reviews_count":6,"accreditations":["World's Best Hospitals 2021 by Newsweek"],"rank":3,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":6225,"name":"Hospital Ruber Internacional","city":"Madrid","rating":5,"reviews_count":3,"accreditations":["Joint Commission International","International Organization for Standardization"],"rank":4,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":279,"name":"Hospital Quiron Barcelona","city":"Barcelona","rating":4.4,"reviews_count":6,"accreditations":["Joint Commission International"],"rank":5,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":339,"name":"Clinica Universidad de Navarra (Navarra Hospital)","city":"Pamplona","rating":4.7,"reviews_count":7,"accreditations":["Joint Commission International","European Society for Medical Oncology","World's Best Hospitals 2020 by Newsweek","World's Best Hospitals 2021 by Newsweek","World's Best Smart Hospitals 2021 by Newsweek","World's Best Hospitals 2022 by Newsweek","World's Best Smart Hospitals 2023 by Newsweek"],"rank":6,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":422,"name":"Hospital HM Nou Delfos","city":"Barcelona","rating":4.6,"reviews_count":5,"accreditations":["European Foundation for Quality Management","Certification according to DIN EN ISO 9001 by TÜV NORD CERT"],"rank":7,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":588,"name":"IMED - 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Comprehensive Perianal Aesthetics & Skin Tag Resection Care Package This specialized outpatient surgical program provides precise aesthetic and functional refinement of the anal and perianal region. Designed to address symptomatic or cosmetically concerning anal skin tags (sentinel tags / hypertrophied papillae), irregular tissue folds, and perianal asymmetry, this single combined procedure restores smooth perianal contour, improves hygiene, and resolves chronic local irritation with minimal recovery time. What the Package Includes Pre-Surgical Evaluation & Specialized Assessment: In-depth clinical consultation, digital examination, and high-resolution anoscopy with a specialized proctologist/colorectal surgeon. Pre-anesthesia assessment (local anesthesia with monitored intravenous sedation or short general anesthesia). Personalized aesthetic evaluation, procedural planning, and preoperative hygiene instructions. Surgical Procedure (Aesthetic Perianal Regularization & Tag Resection): Complete, single-session resection of perianal skin tags, fibrotic folds, and redundant anal verge tissue. Delicate perianal contouring and cosmetic mucosal/skin realignment using precision micro-electrosurgery or advanced radiofrequency/laser dissection to ensure smooth margins, minimal scarring, and optimal hemostasis. Full surgeon, assistant, dedicated anesthesiologist, and specialized nursing team fees. Day-surgery operating room access, advanced energy systems, and sterile single-use surgical supplies. Immediate Postoperative Recovery & Follow-Up: Post-anesthesia care unit (PACU) recovery and short outpatient monitoring in a private day-hospital room. Specialized immediate post-care instructions, sitz-bath protocols, and multimodal pain management. Direct surgeon evaluation and discharge clearance on the same day. Full medical report, prescribed post-care medications, and dedicated surgical follow-up within the first 30 days (including wound healing monitoring and aesthetic outcome review). Exclusions Concomitant complex colorectal pathology discovered intraoperatively (e.g., high transsphincteric anal fistulas, complex abscess drainage, or extensive multi-column hemorrhoidectomy). Preoperative specialist consultations or imaging (e.g., endoanal ultrasound or pelvic MRI) prior to surgical clearance. Long-term cosmetic dermatology treatments, depigmentation therapies, or late scar revision treatments beyond standard post-surgical wound healing.","is_package":true}],"packages":[{"id":"6a93e3fe255b9c3efe047c04","clinic_id":7532,"clinic_listed":true,"price":4548,"nights":1,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["3 meals per day by nutritionist","24-hr nurse services","Consultation with an anesthesiologist","Consultation with a surgeon","VIP Room"],"excluded":["Transfer is not included"],"other_services":"Your surgeon is always Dr. Carlos Garcia Vasquez: he personally performs every surgery, and the surgeon who assesses you is the surgeon who operates on you. Comprehensive Hemorrhoidectomy Care Package with laser (HeLP / LHP / FiLaC Technique) This specialized, minimally invasive proctology program provides advanced treatment for symptomatic grade II–IV internal hemorrhoids utilizing diode laser energy. Designed as a sphincter-preserving, tissue-sparing procedure, this technique shrinks and obliterates hemorrhoidal cushions from within—delivering immediate vascular dearterialization, minimal postoperative pain, preservation of natural anatomy, and an accelerated return to daily life. What the Package Includes Pre-Surgical Evaluation & Specialized Assessment: Comprehensive consultation, proctological examination, and high-resolution anoscopy with a specialized proctologist/colorectal surgeon. Hemorrhoidal grading, anatomical mapping, and procedural planning. Pre-anesthesia clearance (local anesthesia with monitored conscious sedation or short general anesthesia). Dedicated patient orientation and preoperative bowel preparation guidance. Laser Hemorrhoidal Ablation Procedure: Intra-Hemorrhoidal Laser Coagulation / Dearterialization: Precise submucosal insertion of a dedicated radial laser fiber directly into the hemorrhoidal nodes to achieve targeted photocoagulation and shrinkage without open mucosal excisions or sphincter injury. Full surgeon, assistant, dedicated anesthesiologist, and specialized nursing team fees. Day-surgery operating suite fees, dedicated diode laser generator use, and sterile single-use specialized radial optical fibers. Immediate Postoperative Care & Follow-Up: Post-anesthesia care unit (PACU) monitoring and short recovery in a private day-hospital room. Discharge on the same day with personalized pain-control guidelines, stool-softening regimen, and local hygiene instructions. Direct surgeon clearance prior to discharge along with a comprehensive medical discharge report. Postoperative surgical follow-up visits within the first 30 days (including wound review, healing assessment, and functional evaluation). Exclusions Preoperative diagnostic workup outside the surgical pathway (e.g., complete diagnostic colonoscopy or specialized pelvic imaging). Additional surgical management for unrelated, complex anal pathologies requiring extensive open intervention (e.g., high complex transsphincteric anal fistulas or extensive anal cancer resections). Long-term outpatient gastroenterological management or extended hospitalization due to unrelated preexisting systemic conditions.","is_package":true}],"related_packages":[{"id":"6a93d97e255b9c3efe047c02","clinic_id":7532,"clinic_listed":true,"price":3328,"nights":0,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["3 meals per day by nutritionist","24-hr nurse services","Consultation with an anesthesiologist","Consultation with a surgeon"],"excluded":["Accommodation is not included","Transfer is not included"],"other_services":"Your surgeon is always Dr. Carlos Garcia Vasquez: he personally performs every surgery, and the surgeon who assesses you is the surgeon who operates on you. Comprehensive Perianal Aesthetics & Skin Tag Resection Care Package This specialized outpatient surgical program provides precise aesthetic and functional refinement of the anal and perianal region. Designed to address symptomatic or cosmetically concerning anal skin tags (sentinel tags / hypertrophied papillae), irregular tissue folds, and perianal asymmetry, this single combined procedure restores smooth perianal contour, improves hygiene, and resolves chronic local irritation with minimal recovery time. What the Package Includes Pre-Surgical Evaluation & Specialized Assessment: In-depth clinical consultation, digital examination, and high-resolution anoscopy with a specialized proctologist/colorectal surgeon. Pre-anesthesia assessment (local anesthesia with monitored intravenous sedation or short general anesthesia). Personalized aesthetic evaluation, procedural planning, and preoperative hygiene instructions. Surgical Procedure (Aesthetic Perianal Regularization & Tag Resection): Complete, single-session resection of perianal skin tags, fibrotic folds, and redundant anal verge tissue. Delicate perianal contouring and cosmetic mucosal/skin realignment using precision micro-electrosurgery or advanced radiofrequency/laser dissection to ensure smooth margins, minimal scarring, and optimal hemostasis. Full surgeon, assistant, dedicated anesthesiologist, and specialized nursing team fees. Day-surgery operating room access, advanced energy systems, and sterile single-use surgical supplies. Immediate Postoperative Recovery & Follow-Up: Post-anesthesia care unit (PACU) recovery and short outpatient monitoring in a private day-hospital room. Specialized immediate post-care instructions, sitz-bath protocols, and multimodal pain management. Direct surgeon evaluation and discharge clearance on the same day. Full medical report, prescribed post-care medications, and dedicated surgical follow-up within the first 30 days (including wound healing monitoring and aesthetic outcome review). Exclusions Concomitant complex colorectal pathology discovered intraoperatively (e.g., high transsphincteric anal fistulas, complex abscess drainage, or extensive multi-column hemorrhoidectomy). Preoperative specialist consultations or imaging (e.g., endoanal ultrasound or pelvic MRI) prior to surgical clearance. Long-term cosmetic dermatology treatments, depigmentation therapies, or late scar revision treatments beyond standard post-surgical wound healing.","is_package":true,"operation_id":1717,"operation_name":"Perianal Skin Tag Removal"}],"other_packages":{"status":"missing","reason":"not_classified"}},"medical":{"indications":["Symptomatic hemorrhoids: bleeding, prolapse, pain, itching or discomfort","Persistent grade I–III internal hemorrhoids despite conservative care","High-grade, prolapsing, thrombosed or treatment-resistant hemorrhoids"],"contraindications":["Suspected anorectal cancer or unevaluated rectal bleeding","Active anorectal infection or abscess","Uncontrolled bleeding disorder or anticoagulation (relative; needs specialist planning)","Severe immunosuppression or anorectal inflammatory bowel disease (relative)"],"operation_hours":{"min":0.1,"max":0.5,"unit":"hours","qualifier":"Procedure takes about 5-15 minutes plus assessment and brief observation."},"anesthesia":["none"],"sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"Usually one to three banding sessions, often one to two hemorrhoids each."},"stages":[{"code":"first_banding","label":"First banding session","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial treatment."}},{"code":"repeat_banding","label":"Repeat banding if symptoms persist","after":{"min":28,"max":42,"unit":"days","qualifier":"Interval of about 4-6 weeks between sessions."}}],"qualifier":"Sessions depend on hemorrhoid grade, number of columns and symptom response."},"hospital_nights":{"value":1,"source":"offers","parsed_details":{"min":0,"max":0,"unit":"nights","qualifier":"Office procedure; patient leaves within about an hour."}},"treatment_conditions":["outpatient"],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Time to ordinary comfort and function; depends on band count and individual pain tolerance."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Short flights usually fine next day; delayed bleeding can occur around day 5-10."},"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"Most return next day; longer if pain or desk-sitting discomfort persists."},"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity next day; strenuous exercise and heavy lifting after several days if comfortable."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After the last banding session; depends on number of hemorrhoids and sessions needed."},"result_longevity":"Symptom relief often lasts years, but recurrence occurs in a notable minority. 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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":"C5","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}}],"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 is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding non-stop","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"you are bleeding non-stop there is a lot of blood or you see large blood clots you are in severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"A lot of blood or large blood clots","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"you are bleeding non-stop there is a lot of blood or you see large blood clots you are in severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Pus or drainage from the operation site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Redness or swelling at the operation site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Prolonged or severe pain","urgency":"contact_clinic","general":true,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site 5. Prolonged or severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"Most return next day; longer if pain or desk-sitting discomfort persists."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any complication after banding, mainly pain and minor bleeding; serious ones such as sepsis under 1%."},"contraindications":["Suspected anorectal cancer or unevaluated rectal bleeding","Active anorectal infection or abscess","Uncontrolled bleeding disorder or anticoagulation (relative; needs specialist planning)","Severe immunosuppression or anorectal inflammatory bowel disease (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Office procedure; patient leaves within about an hour."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity next day; strenuous exercise and heavy lifting after several days if comfortable."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After the last banding session; depends on number of hemorrhoids and sessions needed."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Short flights usually fine next day; delayed bleeding can occur around day 5-10."},"follow_up_visits":[{"purpose":"assessment","after":{"min":28,"max":42,"unit":"days","qualifier":"Review symptom response and decide on a further banding session."},"requirement":"routine"},{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"Only for significant pain, bleeding or urinary difficulty after banding."},"requirement":"conditional"}],"indications":["Symptomatic hemorrhoids: bleeding, prolapse, pain, itching or discomfort","Persistent grade I–III internal hemorrhoids despite conservative care","High-grade, prolapsing, thrombosed or treatment-resistant hemorrhoids"],"main_risks":["Pain or anal discomfort after procedural treatment","Bleeding","Urinary retention (more with surgery)","Thrombosis or recurrence of hemorrhoids","Infection or abscess (uncommon)","Anal stenosis or continence disturbance (uncommon, mainly after surgery)"],"pain":"Mild to moderate pressure or aching for 1-3 days, usually managed with paracetamol and warm baths. Severe pain is uncommon and needs prompt review.","preparation":["Colonoscopy or sigmoidoscopy beforehand if indicated","Review blood thinners with the specialist","Fiber and fluids to avoid constipation","Enema or empty bowel as advised","Eat normally; no fasting usually required","Avoid NSAIDs and aspirin unless advised"],"recovery_timeline":[{"phase":"Day 0-3","description":"Rectal fullness or mild aching; small amount of spotting possible.","restrictions":["Avoid straining","Avoid NSAIDs and aspirin","Avoid heavy lifting"]},{"phase":"Day 4-10","description":"Bands and treated tissue slough off; light bleeding can occur around day 5-10.","restrictions":["Keep stools soft","Avoid long-distance travel if bleeding concerns"]},{"phase":"Weeks 2-6","description":"Ulcer heals and symptoms improve; reassess for further banding.","restrictions":["Continue fiber and hydration","Avoid prolonged toilet sitting"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Time to ordinary comfort and function; depends on band count and individual pain tolerance."},"result_longevity":"Symptom relief often lasts years, but recurrence occurs in a notable minority. Diet, stool regulation and avoiding straining help maintain results.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat banding or surgery for recurrent symptoms within about 2-5 years; surgery needed in under 10%."},"scars":"No external incisions or visible scars. The banded internal tissue forms a small healing ulcer that resolves within weeks.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"Usually one to three banding sessions, often one to two hemorrhoids each."},"stages":[{"code":"first_banding","label":"First banding session","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial treatment."}},{"code":"repeat_banding","label":"Repeat banding if symptoms persist","after":{"min":28,"max":42,"unit":"days","qualifier":"Interval of about 4-6 weeks between sessions."}}],"qualifier":"Sessions depend on hemorrhoid grade, number of columns and symptom response."},"success":{"metric":"Symptom improvement after rubber band ligation","value":80,"unit":"percent of patients","horizon":"1-3 months after last session","population":"Adults with symptomatic grade I-III internal hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Rubber band ligation","suits_whom":"Persistent grade I–III internal hemorrhoids","recovery":"Office procedure; most patients resume usual activities quickly, with mild discomfort possible."},{"name":"Sclerotherapy","suits_whom":"Lower-grade bleeding internal hemorrhoids","recovery":"Office procedure with short recovery."},{"name":"Conventional hemorrhoidectomy","suits_whom":"High-grade, prolapsing, thrombosed or refractory hemorrhoids","recovery":"Longer recovery with more postoperative pain than office methods."},{"name":"Stapled hemorrhoidectomy","suits_whom":"Circumferential prolapsing internal hemorrhoids, grade III–IV","recovery":"Less postoperative pain than conventional excision; usually back to activity within two weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.1,"max":0.5,"unit":"hours","qualifier":"Procedure takes about 5-15 minutes plus assessment and brief observation."},"initial_assessment_documents":["Colonoscopy or sigmoidoscopy report","Previous proctology or colorectal surgeon report","Photos of external prolapse or swelling (if available)","Recent complete blood count","List of blood thinners"],"travel_trips":{"min":1,"max":3,"one_trip_possible":true,"qualifier":"One trip if one session suffices; repeat banding needs return trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask your doctor which treatment is best for your case before deciding","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"Talk to your doctor about the best treatment for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","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":"C3","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":"C4","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":"C5","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}}],"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 is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding non-stop","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"you are bleeding non-stop there is a lot of blood or you see large blood clots you are in severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"A lot of blood or large blood clots","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"you are bleeding non-stop there is a lot of blood or you see large blood clots you are in severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Pus or drainage from the operation site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Redness or swelling at the operation site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Prolonged or severe pain","urgency":"contact_clinic","general":true,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site 5. Prolonged or severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want relief from itch and discomfort without a procedure","name":"Hemorrhoid creams and ointments","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"Ointments, creams, and suppositories - various preparations and brands are commonly used.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want a treatment that is not usually painful","name":"Hemorrhoidal artery ligation","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"This procedure is not usually painful and is gaining in popularity as a treatment option","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"rubber-band-ligation","name":"Rubber band ligation","how_it_works":{"text":"A band is placed around hemorrhoids to make them drop off","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"a band is placed around your piles to make them drop off","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"You can usually go back to your usual activities right after hemorrhoid banding.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"sclerotherapy","name":"Sclerotherapy","how_it_works":{"text":"A liquid is injected into hemorrhoids to make them shrink","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"a liquid is injected into your piles to make them shrink","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://www.ucsfhealth.org/education/hemorrhoids/","host":"ucsfhealth.org","quote":"You may return to daily activities right away.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"conventional","name":"Conventional hemorrhoidectomy","how_it_works":{"text":"An operation cuts away the hemorrhoids during surgery","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"Haemorrhoidectomy (the traditional operation) - An operation to cut away the haemorrhoid(s) is an option to treat grade 4 haemorrhoids, and for grade 2 and 3 haemorrhoids not successfully treated by banding or other methods.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://www.healthline.com/health/hemorrhoidectomy","host":"healthline.com","quote":"Recovery is different for everyone, but you should be able to return to normal activities within 1 to 2 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"stapled-hemorrhoidectomy","name":"Stapled hemorrhoidectomy","how_it_works":{"text":"A stapler pulls hemorrhoids back up by removing tissue above them","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"What happens in this procedure is a circular stapling 'gun' is used to cut out a circular section of the lining of the anal canal above the haemorrhoids.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"rubber-band-ligation","name":"Rubber band ligation","how_it_works":{"id":"H1","text":"A band is placed around hemorrhoids to make them drop off","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"a band is placed around your piles to make them drop off","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"You can usually go back to your usual activities right after hemorrhoid banding.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Persistent grade I–III internal hemorrhoids","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Office procedure; most patients resume usual activities quickly, with mild discomfort possible."},{"id":"sclerotherapy","name":"Sclerotherapy","how_it_works":{"id":"H1","text":"A liquid is injected into hemorrhoids to make them shrink","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"a liquid is injected into your piles to make them shrink","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://www.ucsfhealth.org/education/hemorrhoids/","host":"ucsfhealth.org","quote":"You may return to daily activities right away.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Lower-grade bleeding internal hemorrhoids","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Office procedure with short recovery."},{"id":"conventional","name":"Conventional hemorrhoidectomy","how_it_works":{"id":"H1","text":"An operation cuts away the hemorrhoids during surgery","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"Haemorrhoidectomy (the traditional operation) - An operation to cut away the haemorrhoid(s) is an option to treat grade 4 haemorrhoids, and for grade 2 and 3 haemorrhoids not successfully treated by banding or other methods.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://www.healthline.com/health/hemorrhoidectomy","host":"healthline.com","quote":"Recovery is different for everyone, but you should be able to return to normal activities within 1 to 2 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"High-grade, prolapsing, thrombosed or refractory hemorrhoids","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer recovery with more postoperative pain than office methods."},{"id":"stapled-hemorrhoidectomy","name":"Stapled hemorrhoidectomy","how_it_works":{"id":"H1","text":"A stapler pulls hemorrhoids back up by removing tissue above them","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"What happens in this procedure is a circular stapling 'gun' is used to cut out a circular section of the lining of the anal canal above the haemorrhoids.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Circumferential prolapsing internal hemorrhoids, grade III–IV","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Less postoperative pain than conventional excision; usually back to activity within two weeks."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want relief from itch and discomfort without a procedure","name":"Hemorrhoid creams and ointments","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"Ointments, creams, and suppositories - various preparations and brands are commonly used.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want a treatment that is not usually painful","name":"Hemorrhoidal artery ligation","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"This procedure is not usually painful and is gaining in popularity as a treatment option","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["austria","azerbaijan","china","colombia","czech-republic","dominican-republic","egypt","germany","greece","hungary","india","israel","italy","lithuania","mexico","poland","republic-of-korea","romania","switzerland","thailand","turkey","ukraine","united-arab-emirates"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.69,"count":524,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"

Hemorrhoid therapy in Spain typically costs from _op_1549_price_from_ to _op_1549_price_to_. The final price depends on the chosen technique, clinic location in cities like Madrid or Barcelona, and specialist fees. Patients save around _price_percent_discount_% compared to the US, where the average price is _price_compare_US_average_. Most Spanish private clinic quotes include the initial consultation, anesthesia, and follow-up visits.

\n\n\n\n

Bookimed Expert Insight: Spain offers world-class proctology at JCI-accredited centers like Centro Médico Teknon or Hospital Quiron Barcelona. These facilities attract elite athletes and international patients for their high success rates. Choosing a \"closed price\" package in Madrid or Barcelona is the smartest move. This prevents unexpected costs for diagnostic tests or required overnight hospital stays.

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