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Your doctor will explain the risks to you before the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check whether the facility holds accreditation, based on standards that facilities must meet","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Accrediting groups, including Joint Commission International, DNV GL International Accreditation for Hospitals, and the International Society for Quality in Healthcare, have lists of standards that healthcare facilities need to meet to be accredited.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Determine ahead of time how you will communicate with the clinician if you do not speak the language","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that the doctor discusses the anesthetic choice and answers your questions","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/circumcision/","host":"nhs.uk","quote":"Your doctor will discuss this with you and answer any questions you have.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check the qualifications of the clinician who will do the procedure and the facility's credentials","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Warning sign: the doctor does not explain the risks before the procedure","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/circumcision/","host":"nhs.uk","quote":"As with any operation, complications can happen during or after a circumcision. Your doctor will explain the risks to you before the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Warning sign: an offer promises a positive outcome, although accreditation does not guarantee one","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Please note that all surgeries carry the risk of complications and accreditation does not guarantee a positive outcome.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Warning sign: the clinician who will do the procedure is not named before booking","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"Warning sign: staff cannot communicate with you in a language you understand","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Receiving care at a facility where you do not speak the language fluently could lead to misunderstandings about your care.","tier":"tier1_medical","fetched_at":"2026-11-13","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 that does not stop","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/circumcision/","host":"nhs.uk","quote":"you have bleeding that does not stop","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Wound that is red or 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foreskin is tight and you prefer a non-surgical first step","name":"Topical steroid cream","source":{"url":"https://4skin-health.alderhey.nhs.uk/?p=254","host":"4skin-health.alderhey.nhs.uk","quote":"A steroid course involves the topical application of a very potent steroid cream to the prepuce.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want to keep your foreskin rather than remove it","name":"Preputioplasty","source":{"url":"https://4skin-health.alderhey.nhs.uk/?p=254","host":"4skin-health.alderhey.nhs.uk","quote":"An operation performed for phimosis which preserves and widens the foreskin to allow the foreskin to be fully retracted.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"disposable-ring-device","name":"Disposable ring device 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