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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":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","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 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your legs","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/lumbar-decompression-surgery/","host":"nhs.uk","quote":"get new symptoms, such as pain, weakness or numbness in your legs, or problems controlling when you pee or poo","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Hot, red, itchy or oozing skin around stitches","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/lumbar-decompression-surgery/","host":"nhs.uk","quote":"the skin around your stitches is hot, itchy, oozing fluid or red (redness may be harder to see on black and brown skin)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Numbness around bottom or genitals","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/slipped-disc/","host":"nhs.uk","quote":"numbness around your bottom or genitals","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Constant pain that gets worse","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/neurosurgery/neurosurgery-patient-information/lumbar-microsurgeries","host":"nbt.nhs.uk","quote":"Constant pain which gets worse.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Severe headache or clear fluid leaking from wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/neurosurgery/neurosurgery-patient-information/lumbar-microsurgeries","host":"nbt.nhs.uk","quote":"You may be advised to undertake a period of bed rest for 48-72 hours and you may experience severe headache, wound leakage of clear fluid or wound swelling.","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":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","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":"T3","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":"T4","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 to try other treatments before surgery","name":"Physiotherapy","source":{"url":"https://www.nhs.uk/tests-and-treatments/lumbar-decompression-surgery/","host":"nhs.uk","quote":"Depending on the cause of your compressed nerves, you may have other treatments first, such as physiotherapy, losing weight if you're overweight, or steroid injections.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":128},{"id":"A2","text":"You want short-term relief from nerve pain without surgery","name":"Steroid injection","source":{"url":"https://www.nhs.uk/conditions/slipped-disc/","host":"nhs.uk","quote":"You might be prescribed a stronger painkiller, a steroid injection or a muscle relaxant to use in the short term for a slipped 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microdiscectomy return to normal activities in about two to four weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"endoscopic-discectomy","name":"Endoscopic discectomy","how_it_works":{"text":"The surgeon removes disc material through a percutaneous endoscopic approach","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10943953/","host":"pmc.ncbi.nlm.nih.gov","quote":"Multiple surgical techniques could be employed for LDH, including open discectomy, tubular discectomy, and percutaneous endoscopic discectomy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"tubular-discectomy","name":"Tubular (minimally invasive) discectomy","how_it_works":{"text":"The surgeon removes disc material through a tubular approach","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10943953/","host":"pmc.ncbi.nlm.nih.gov","quote":"Multiple surgical techniques could 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