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face, a plastic surgeon may carry out the surgery to make sure the affected area looks as good as possible.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check whether a second pathologist can review the tissue sample, since melanoma can be hard to tell apart from a mole","scope":"procedure","source":{"url":"https://www.cancer.gov/types/skin/patient/melanoma-treatment-pdq","host":"cancer.gov","quote":"Patients may want to have the sample of tissue checked by a second pathologist.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that the surgeon has experience treating melanoma","scope":"procedure","source":{"url":"https://www.aad.org/public/diseases/skin-cancer/types/common/melanoma/after-diagnosed","host":"aad.org","quote":"The surgeon who performs this surgery is usually a surgical oncologist who has experience treating 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How deeply the melanoma tumor has grown into the skin How quickly the melanoma cells are growing and dividing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"The home doctor needs to know whether melanoma spread to nearby lymph nodes","document":"lymph-node results","source":{"url":"https://www.aad.org/public/diseases/skin-cancer/types/common/melanoma/node-biopsy","host":"aad.org","quote":"Having a sentinel lymph node biopsy (SLNB) can tell whether cancer cells have spread to a nearby lymph node.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","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 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leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T6","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":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":7,"unit":"days","qualifier":"Simple-closure excision, desk work. 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depth","scope":"procedure","source":{"url":"https://www.aad.org/public/diseases/skin-cancer/types/common/melanoma/diagnose-treat","host":"aad.org","quote":"The type of surgical removal you receive depends largely on the type of melanoma you have, where it’s located, and how deeply it goes.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Melanoma is confirmed without a skin biopsy, which is the only sure way to diagnose it","scope":"procedure","source":{"url":"https://www.aad.org/public/diseases/skin-cancer/types/common/melanoma/diagnose-treat","host":"aad.org","quote":"Having a skin biopsy is the only way to know for sure whether you have skin cancer.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"The consultation or offer does not identify a surgeon with melanoma experience","scope":"procedure","source":{"url":"https://www.aad.org/public/diseases/skin-cancer/types/common/melanoma/after-diagnosed","host":"aad.org","quote":"The surgeon who performs this surgery is usually a surgical oncologist who has experience treating melanoma.","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":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs tumor type, depth and growth rate from the report","document":"pathology report","source":{"url":"https://www.aad.org/public/diseases/skin-cancer/types/common/melanoma/diagnose-treat","host":"aad.org","quote":"The type of melanoma How deeply the melanoma tumor has grown into the skin How quickly the melanoma cells are growing and dividing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"The home doctor needs to know whether melanoma spread to nearby lymph nodes","document":"lymph-node results","source":{"url":"https://www.aad.org/public/diseases/skin-cancer/types/common/melanoma/node-biopsy","host":"aad.org","quote":"Having a sentinel lymph node biopsy (SLNB) can tell whether cancer cells have spread to a nearby lymph node.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","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":"T4","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":"T5","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":"T6","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":"Your large melanoma is causing symptoms","name":"Radiotherapy","source":{"url":"https://www.nhs.uk/conditions/melanoma-skin-cancer/treatment/","host":"nhs.uk","quote":"Radiotherapy is sometimes used to reduce the size of large melanomas and help control and relieve your symptoms.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":140}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"wide-local-excision-primary-closure","name":"Wide local excision with primary closure","how_it_works":{"text":"The wound is closed directly with stitches and reinforced with tape","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-wider-excisionskin-grafts-and-donor-sites-4160/","host":"plymouthhospitals.nhs.uk","quote":"The wound itself will be closed with stitches and tape over the top to reinforce the wound.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"wide-local-excision-skin-graft","name":"Wide local excision with skin graft or local flap reconstruction","how_it_works":{"text":"Skin from elsewhere covers the area after extensive skin removal","source":{"url":"https://www.nhs.uk/conditions/melanoma-skin-cancer/treatment/","host":"nhs.uk","quote":"If a large area of skin is removed, skin may need to be taken from another part of your body and used to cover the area where the melanoma was.","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":"wide-local-excision-primary-closure","name":"Wide local excision with primary closure","how_it_works":{"id":"H1","text":"The wound is closed directly with stitches and reinforced with tape","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-wider-excisionskin-grafts-and-donor-sites-4160/","host":"plymouthhospitals.nhs.uk","quote":"The wound itself will be closed with stitches and tape over the top to reinforce the wound.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Most primary melanomas, with margins set by Breslow thickness (generally 0.5-2 cm).","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Sutures removed in about 1-2 weeks; return to light activity in days."},{"id":"wide-local-excision-skin-graft","name":"Wide local excision with skin graft or local flap reconstruction","how_it_works":{"id":"H1","text":"Skin from elsewhere covers the area after extensive skin removal","source":{"url":"https://www.nhs.uk/conditions/melanoma-skin-cancer/treatment/","host":"nhs.uk","quote":"If a large area of skin is removed, skin may need to be taken from another part of your body and used to cover the area where the melanoma was.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Larger defects or sites (face, acral, lower limb) where direct closure is not feasible.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer healing and activity restriction; may require a longer stay."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your large melanoma is causing symptoms","name":"Radiotherapy","source":{"url":"https://www.nhs.uk/conditions/melanoma-skin-cancer/treatment/","host":"nhs.uk","quote":"Radiotherapy is sometimes used to reduce the size of large melanomas and help control and relieve your symptoms.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":140}],"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":["azerbaijan","brazil","china","colombia","costa-rica","dominican-republic","egypt","germany","india","israel","mexico","poland","republic-of-korea","switzerland","thailand","turkey","ukraine","united-kingdom","united-states"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.7,"count":507,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Melanoma surgery in Spain typically costs from _op_120_price_from_ to _op_120_price_to_. The final price depends on the surgical technique, tumor depth, and clinic location in cities like Barcelona, Madrid, or Pamplona. In the US, similar procedures cost around _price_compare_US_average_ on average. Patients in Spain generally see savings of around _price_percent_discount_%. Common inclusions involve the surgical intervention, local anesthesia, and initial post-operative follow-up.</p>\n\n<ul>\n<li><strong>Mohs microsurgery:</strong> _op_363_price_from_ to _op_363_price_to_ for layer-by-layer tumor removal.</li>\n<li><strong>Wide excision of melanoma:</strong> _op_364_price_from_ to _op_364_price_to_ for removing larger tissue margins.</li>\n<li><strong>Topical therapy of melanoma:</strong> _op_361_price_from_ to _op_361_price_to_.</li>\n<li><strong>Diagnostic imaging:</strong> PET-CT scans for staging typically add 15-20% to the total budget.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing a center with specialized units offers superior value. At Centro Médico Teknon, Dr. Joan Ramon Garces Gatnau has performed over 2,000 Mohs surgeries. This expertise provides higher cure rates than standard excision. While premium clinics like Clinica Universidad de Navarra are JCI-accredited, they still offer competitive oncology packages starting around $3,000. It is a smart move for international patients seeking US-level innovation.</p>","faq":[{"q":"What types of melanoma surgery are available in Spain?","a":"<p>Melanoma surgery in Spain includes wide surgical excision, Mohs micrographic surgery, and sentinel lymph node biopsy. Advanced JCI-accredited facilities in Madrid and Barcelona utilize robot-assisted techniques and photodynamic therapy. Specialist multidisciplinary teams coordinate surgical removal with immunotherapy to target advanced tumor stages effectively.</p> <ul> <li><strong>Surgical excision:</strong> Standard removal of tumor with margins to ensure clear skin.</li> <li><strong>Mohs microsurgery:</strong> Layered removal preserving healthy tissue, ideal for facial or hand melanomas.</li> <li><strong>Lymph node biopsy:</strong> Diagnostic procedure checking for cancer spread to nearby immune system nodes.</li> <li><strong>Photodynamic therapy:</strong> Non-surgical light-based treatment available for specific early-stage or superficial cases.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish oncology centers like Centro Médico Teknon integrate surgical expertise with massive volume, performing over 23,500 operations annually. This high frequency allows surgeons like Dr. Joan Ramon Garces Gatnau to pioneer complex reconstructions of the eyebrow and lips. Patients benefit from this specialized skill level which is often unavailable in smaller regional hospitals.</p> <p><strong>Patient Consensus:</strong> Patients emphasize confirming surgical viability early since deep invasion into bone or structures may require shifting to radiation or experimental immunotherapy. Many report that Spanish centers successfully achieve complete remission using advanced drug combinations when traditional surgery is not possible.</p>"},{"q":"What happens during melanoma diagnosis in Spain?","a":"<p>Melanoma diagnosis in Spain involves a clinical skin assessment by dermatologists using digital dermoscopy to identify suspicious lesions. Surgeons perform excisional biopsies for confirmation, pathologically measuring Breslow thickness. Advanced imaging like 3-Tesla MRI or PET scans ensures precise staging at JCI-accredited facilities in Barcelona and Madrid.</p> <ul> <li><strong>Clinical examination:</strong> Specialists evaluate lesions using ABCDE criteria and high-tech digital dermoscopy imaging.</li> <li><strong>Excisional biopsy:</strong> Surgeons remove the entire mole with healthy margins for histological pathology analysis.</li> <li><strong>Advanced staging:</strong> Clinics utilize 3-Tesla MRI and PET scans to detect potential lymphatic spread.</li> <li><strong>Microscopic precision:</strong> Specialists like Dr. Joan Ramon Garces Gatnau offer Mohs micrographic surgery.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain’s private sector offers a significant speed advantage for melanoma detection compared to public wait times. While public referrals can take 3 to 6 months, private centers like Centro Médico Teknon provide immediate access. Many top-tier Spanish specialists have performed over 1,400 Mohs procedures, ensuring high diagnostic accuracy and expert surgical intervention.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that professional dermatological exams are the only reliable method for detection. They often warn that early symptoms can mimic benign spots, making immediate re-evaluation of persistent changes essential.</p>"},{"q":"Why choose Spain for melanoma treatment?","a":"<p>Spain is a top tier destination for melanoma treatment due to its integration of advanced clinical research and specialized oncodermatology. Patients access innovative therapies like Mohs micrographic surgery and dual immunotherapy protocols within Joint Commission International accredited facilities, often saving up to _price_percent_discount_% compared to United States healthcare costs.</p> <ul> <li><strong>Oncology expertise:</strong> Specialist centers in Barcelona and Madrid lead global clinical trials for new immunotherapies.</li> <li><strong>Advanced surgical techniques:</strong> Surgeons like Dr. Joan Ramon Garces Gatnau perform complex Mohs micrographic surgery.</li> <li><strong>Short waiting times:</strong> Private hospitals provide rapid access to high resolution 3-Tesla MRI and pathology.</li> <li><strong>Aesthetic recovery:</strong> Clinics like Centro Médico Teknon prioritize aesthetic reconstructions after tumor removal for better results.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many countries use standard immunotherapy, Spanish private centers offer unique multidisciplinary depth. For instance, Clinica Universidad de Navarra maintains a 95% limb preservation rate for complex sarcomas and melanomas. This surgical precision combined with JCI-accredited safety makes Spain a safer harbor for advanced stage cases.</p> <p><strong>Patient Consensus:</strong> Patients value the consistency of expert care, noting that Spanish hospitals follow the same high-standard immunotherapy protocols used in the US. The common sentiment highlights the peace of mind found in facilities that treat over 10,000 international patients annually.</p>"},{"q":"How long does it take to heal after melanoma surgery?","a":"<p>Healing after melanoma surgery typically takes 1 to 3 weeks for the wound to close. Complete tissue recovery can take several months. Recovery duration depends on the excision size, anatomical location, and whether surgeons used Mohs micrographic surgery or skin grafts to ensure clear margins.</p> <ul> <li><strong>Initial wound closure:</strong> Most surgical sites seal within 7 to 14 days after excision.</li> <li><strong>Suture removal:</strong> Surgeons usually remove standard stitches within 1 to 3 weeks post-surgery.</li> <li><strong>Skin graft recovery:</strong> Grafted areas require at least 3 weeks of protection from stretching.</li> <li><strong>Lower limb healing:</strong> Surgeries on shins or ankles may require 6 to 8 months for full closure.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data from top Spanish centers shows a shift toward Mohs micrographic surgery for complex cases. Dr. Joan Ramon Garces Gatnau at Centro Médico Teknon has performed over 1,400 Mohs procedures. This layer-by-layer removal preserves more healthy tissue, which often results in smaller wounds and faster functional recovery compared to traditional wide local excision.</p> <p><strong>Patient Consensus:</strong> Many patients find that while they return to work quickly, physical fatigue and the need for leg elevation can persist for weeks. Using silicone patches consistently is a popular tip for improving the long-term appearance of surgical scars.</p>"}],"h2":[{"text":"Comment ça fonctionne","kind":"content"},{"text":"Quel est le Coût pour votre Chirurgie du mélanome en Espagne ?","kind":"content"},{"text":"Découvrez les Meilleures Cliniques pour Votre Chirurgie du mélanome en Espagne : 3 Options Vérifiées et Prix","kind":"content"},{"text":"Aperçu de chirurgie du mélanome en Espagne","kind":"content"},{"text":"Obtenez une évaluation médicale pour Chirurgie du mélanome en Espagne : Choisissez le meilleur spécialiste dans le domaine","kind":"content"},{"text":"Histoires vidéo des patients de Bookimed","kind":"content"},{"text":"Avis sur Bookimed : Découvrez l'Expérience des Patients","kind":"content"},{"text":"Partager ce contenu","kind":"content"},{"text":"FAQ de chirurgie du mélanome en Espagne","kind":"content"},{"text":"Obtenez une consultation gratuite","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}