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femme","alias":"male-to-female-mtf-surgery"}]}}],"hasVideoReviewsByContext":true,"externalReviews":[{"id":"68f3ea6aa1ec9be6ca0b9976","source":"google","clinic_id":1662},{"id":"68f3ea6e1e946bc8760e6c79","source":"google","clinic_id":1662},{"id":"68f3ea779c26ceb153036064","source":"google","clinic_id":1662},{"id":"68f3ea7b9c26ceb153036065","source":"google","clinic_id":1662},{"id":"68f3ea81a1ec9be6ca0b9977","source":"google","clinic_id":1662}],"updatedAt":"2026-11-14T01:40:08.328Z","activeCountries":["MX","TR","ES","DE","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":4449}},"direction":{"id":6,"name":"Otorhinolaryngologie/Oreille, Nez et Gorge (ORL)","alias":"otorhinolaryngology","name_forms":{"base_form":"Otorhinolaryngologie/Oreille, Nez et Gorge (ORL)","form_1":"otorhinolaryngologie/oreille, nez et gorge (orl)","form_2":"d'otorhinolaryngologie/Oreille, Nez et Gorge (ORL)","form_4":"oto-rhino-laryngologiste"}},"illness_kind":{"id":6,"name":{"en":"Otorhinolaryngology/Ear, Nose and Throat(ENT)"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Pain peaks on days 3-7 and diet is limited at first. Adults usually need the upper end."},"complication_rate_pct":{"min":1.5,"max":4,"unit":"percent","qualifier":"Serious events only, mainly bleeding needing return to theatre. Minor issues excluded. Higher in adults than children."},"contraindications":["Active acute tonsillitis at time of surgery","Bleeding disorders or uncorrected coagulopathy","Anticoagulant or antiplatelet therapy that cannot be safely managed","Unfit for general anesthesia due to severe cardiopulmonary disease"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge after a few hours of observation; overnight stay only if bleeding, pain or airway concerns."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":3,"unit":"weeks","qualifier":"Strenuous exercise and heavy lifting wait until scabs separate and healing."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Tonsils are removed at surgery and the area heals in 2-4 weeks. Symptom improvement is usually clear within 1-3 months."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"Secondary bleeding can occur up to about 2 weeks, when scabs separate. Avoid flying until this window passes."},"follow_up_visits":[{"purpose":"assessment","requirement":"conditional","after":{"min":14,"max":28,"unit":"days","qualifier":"Optional postoperative review after healing; many surgeons only see patients if problems arise."}},{"purpose":"other","requirement":"conditional","after":{"min":1,"max":14,"unit":"days","qualifier":"Urgent review for any bleeding, fever or inability to drink."}}],"indications":["Recurrent acute tonsillitis meeting frequency criteria","Chronic tonsillitis not responding to treatment","Peritonsillar abscess history (recurrent)","Obstructive sleep-disordered breathing due to tonsil hypertrophy","Suspected tonsil malignancy or asymmetry needing tissue diagnosis","Chronic tonsilloliths or halitosis unresponsive to other measures"],"main_risks":["Postoperative bleeding (primary or secondary, up to about 2 weeks)","Severe throat pain and dehydration","Infection","Anesthesia-related risks","Nausea and vomiting","Temporary voice change, taste change or referred ear pain","Rarely dental injury, airway problems or velopharyngeal issues"],"pain":"Moderate to severe sore throat, often with referred ear pain, peaking around days 3-7 and worse in adults; usually improves over 10-14 days with regular analgesia.","preparation":["Preoperative clinical assessment and anesthesia evaluation","Blood tests if indicated by history","Review of bleeding history and current medications with the surgeon","Fasting before general anesthesia as instructed","Arrange adult support at home for the first days"],"recovery_timeline":[{"phase":"Day 0","description":"Observation after general anesthesia and discharge the same day if drinking and no bleeding.","restrictions":["Rest","No driving","Cool fluids and soft food"]},{"phase":"Days 1-6","description":"Peak throat pain; white scab forms in tonsil beds; maintain hydration and analgesia.","restrictions":["Avoid sharp or hot foods","Avoid strenuous activity","Avoid NSAIDs unless surgeon approves"]},{"phase":"Days 7-14","description":"Scabs separate with risk of secondary bleeding; seek urgent care for bleeding. Pain settles and diet normalizes.","restrictions":["Avoid heavy exertion"]},{"phase":"Weeks 2-4","description":"Most normal activities resume; sport and exercise return gradually.","restrictions":["Gradual return to sport"]}],"rehabilitation_days":{"min":10,"max":14,"unit":"days","qualifier":"Throat pain peaks on days 3-7 and settles over 10-14 days. Children recover earlier, adults later."},"result_longevity":"Tonsils are removed, so tonsillitis from tonsil tissue is not expected to recur; occasional pharyngitis may still occur, and rare regrowth of residual tissue is possible.","revision_rate_pct":{"min":0,"max":1,"unit":"percent","qualifier":"Regrowth needing repeat surgery is rare, under about 1% long-term. Bleeding returns to theatre are not counted."},"scars":"No external scars; operation is performed through the mouth.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation under general anesthesia."},"stages":[{"code":"tonsillectomy","label":"Removal of both palatine tonsils","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Standalone bilateral tonsillectomy in one session."},"success":{"metric":"Fewer sore throat episodes after tonsillectomy for recurrent tonsillitis","value":80,"unit":"percent reduction in episodes","horizon":"12 months","population":"Adults with recurrent acute tonsillitis meeting frequency criteria","evidence_status":"limited"},"techniques":[{"name":"Cold steel dissection with ties or cautery","suits_whom":"Most adults with recurrent tonsillitis; traditional, widely available approach.","recovery":"Typically 10-14 days in adults."},{"name":"Electrocautery (monopolar/bipolar) dissection","suits_whom":"Adults with recurrent tonsillitis; less intraoperative bleeding than cold steel.","recovery":"Similar or slightly more pain; 10-14 days."},{"name":"Coblation or harmonic scalpel","suits_whom":"Adults where the surgeon prefers less bleeding or shorter surgery.","recovery":"Similar 10-14 days; pain benefit not consistently shown."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Operating time for bilateral adult tonsillectomy, excluding anesthesia induction and recovery."},"initial_assessment_documents":["ENT specialist report on tonsil history","Medical records of documented tonsillitis episodes","Recent blood count and coagulation results","Current medication list including blood thinners","Throat photo showing tonsils (if available)","Previous anesthesia complications report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session surgery; stay about 10-14 days to pass the secondary bleeding window before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's training and qualifications","scope":"treatment_type","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"You should always ask a surgeon what training and qualifications they have and what organisations they belong to.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check how many procedures of this kind the surgeon has undertaken","scope":"treatment_type","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"How many procedures of the kind you are interested in have they undertaken","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you talk with the operating surgeon before you give consent","scope":"treatment_type","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure that you talk to the surgeon who will be performing your procedure before you give your consent","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check what back-up the clinic has if something goes wrong","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"What facilities do they have and what back up do they have if something goes wrong?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check whether follow-up care is at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"You are asked to agree before meeting the operating surgeon","scope":"treatment_type","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Do not agree to cosmetic surgery before meeting the surgeon carrying out the procedure","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Surgeon or hospital will not discuss the details of surgery with you","scope":"treatment_type","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Be wary of surgeons and hospitals that do not want to discuss the details of surgery with you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Surgery is marketed as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Beware of any hospital which markets cosmetic surgery as part of a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy bleeding that does not stop","urgency":"emergency","general":false,"source":{"url":"https://www.pah.nhs.uk/?p=8946","host":"pah.nhs.uk","quote":"If the bleeding is heavy, does not stop, or you feel faint or unwell, call 999 immediately.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Bleeding from the throat after leaving hospital","urgency":"contact_clinic","general":false,"source":{"url":"https://www.pah.nhs.uk/?p=8946","host":"pah.nhs.uk","quote":"Bleeding from your throat after you have left hospital.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Pain that gets worse after five days","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17562-tonsillectomy-postop-care","host":"my.clevelandclinic.org","quote":"Pain that gets worse after five days or doesn’t improve with pain medication","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever that does not improve with medication","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17562-tonsillectomy-postop-care","host":"my.clevelandclinic.org","quote":"A fever higher than 101 degrees Fahrenheit (38.3 degrees Celsius) that doesn’t improve with medication","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the report of the hospital stay","document":"discharge summary","source":{"url":"https://guysandstthomas.nhs.uk/health-information/discharge-medicines-service","host":"guysandstthomas.nhs.uk","quote":"This is a report that your hospital doctor prepares at the end of your hospital stay.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure 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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":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your tonsillitis is caused by bacteria rather than a virus","name":"Antibiotics for bacterial tonsillitis","source":{"url":"https://my.clevelandclinic.org/health/diseases/21146-tonsillitis","host":"my.clevelandclinic.org","quote":"Antibiotics typically eliminate bacterial tonsillitis in about 10 days.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your tonsillitis is viral and settles without treatment","name":"Watchful waiting for tonsillitis","source":{"url":"https://my.clevelandclinic.org/health/diseases/21146-tonsillitis","host":"my.clevelandclinic.org","quote":"Viral tonsillitis typically goes away on its own in about one week.","tier":"tier1_medical","fetched_at":"2026-11-12","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":"cold-steel-dissection","name":"Cold steel dissection with ties or cautery","how_it_works":{"text":"A surgeon removes the tonsils with a scalpel","source":{"url":"https://www.healthline.com/health/tonsillectomy","host":"healthline.com","quote":"In this case, your surgeon removes your tonsils with a scalpel.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"electrocautery-dissection","name":"Electrocautery (monopolar/bipolar) dissection","how_it_works":{"text":"Heat is used to remove the tonsils and stop bleeding","source":{"url":"https://my.clevelandclinic.org/health/articles/21043-tonsillectomy-with-or-without-adenoidectomy","host":"my.clevelandclinic.org","quote":"This method uses heat to remove your tonsils and stop any bleeding.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"coblation","name":"Coblation or harmonic scalpel","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/city=gvadalahara/procedure=tanzillektomiya/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}