Tibie Osteotomy With Reconstruction in Istanbul, Turkey — AUD Costs, Best Clinics 2026

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How Much Does Tibie osteotomy with reconstruction Cost in Istanbul?

The average price of Tibie osteotomy with reconstruction in Istanbul is AUD $10,408, the minimum price is AUD $8,326, and the maximum price is AUD $12,489.

	Turkey	Thailand
Tibie osteotomy with reconstruction	from AUD $8,326	from AUD $12,489	from AUD $5,828

Data verified by Bookimed as of September 2026, based on patient requests and official quotes from 33 clinics worldwide. Median costs are based on real invoices (2025–2026) and updated monthly. Actual prices may vary.

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Best Tibie osteotomy with reconstruction Clinics in Istanbul: 11 Verified Options and Prices

Memorial Şişli Hospital

Turkey, Istanbul

Olcay Guler

20 years of experience

Clinic is certified :

Dr Olcay Guler has performed 900 orthopaedic procedures and personally reviews every case. Memorial Şişli Hospital was Turkey's first JCI-accredited facility, meeting rigorous international safety standards. The hospital treats 15,000 international patients annually, with 90% recommending their services. Surgery typically starts around A$79,300. This package covers the tibial osteotomy, reconstruction, your initial specialist consultation, and 4 nights in hospital. The dedicated international department provides full medical interpreter services for Australians throughout the stay.

diagnostics
Consultation with an orthopaedist	AUD $305
Lab tests	AUD $694
treatment
Tibie osteotomy with reconstruction	AUD $27,754 - AUD $41,630

VM Medical Park Florya Hospital

Turkey, Istanbul

Sami Sokucu

23 years of experience

Clinic is certified :

Professor Dr Sami Sökücü is a Fellow of the European Board of Orthopaedics and Traumatology. He has published over 20 studies on advanced osteotomy and bone fixation techniques. This procedure may cost around A$16,800 at VM Medical Park Florya Hospital. This package includes the surgery, anaesthetic fees, three nights in hospital, and all pre-operative radiology. The hospital provides complimentary airport transfers and translation services for international visitors. Australian patients are among the most frequent visitors to this Istanbul facility.

diagnostics
MRI of one area	AUD $833 - AUD $1,110
Lab tests	AUD $208 - AUD $278

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Lokman Hekim Istanbul Hospital

Turkey, Istanbul

Clinic is certified :

This multi-specialty clinic focuses on neurosurgery and orthopedics. Diagnostics for flat feet start around $109 for a blood count, with MRI scans costing $350–$650. The surgical reconstruction package costs around $12,000. This is an all-inclusive price covering the surgery, 4 days in the hospital, a 2-night hotel stay, medications, a private nurse, an interpreter, airport transfers, and a follow-up exam.

Price on request

Valued Med Hub Hospitals

Turkey, Istanbul

Prof. Dr. Sami Sokucu

23 years of experience

Clinic is certified :

Valued Med Hub Hospitals holds a 4.9 rating from patients worldwide. Single-sided tibial osteotomy typically costs around A$9,100. Bilateral surgery for both legs may cost around A$13,600. These prices cover 2–3 hospital nights and airport transfers. Pre-operative exams and standard medications during hospitalisation are also included. The clinic regularly treats Australian patients and operates a multidisciplinary orthopaedic centre. Professor Sami Sokucu leads complex bone reconstruction cases. One accompanying person can stay with the patient at no extra cost during hospitalisation.

diagnostics
Consultation with creation of treatment plan	AUD $278
CT (computer tomography)	AUD $264 - AUD $486

NP Istanbul Brain Hospital

Turkey, Istanbul

Murat Demirgolu

30 years of experience

Clinic is certified :

NP Istanbul Brain Hospital is JCI-accredited – meeting international safety standards important for Australians travelling abroad. As Europe's number 2 brain hospital, it treats over 4,000 patients annually. The clinic is a 20-minute drive from Istanbul International Airport and offers telemedicine for overseas follow-ups. It was founded by award-winning neuropsychiatry specialist, Prof Dr Nevzat Tarhan.

diagnostics
Lab tests	AUD $278 - AUD $416
CT (computer tomography)	AUD $888 - AUD $1,249

You’ve viewed 4 of 11 clinics

Tibie osteotomy with reconstruction Overview in Turkey

Takeaways

Related procedures & Costs

How it works

Benefits

Payment

patients recommend -

85%

Surgery Time - 3 hours

Stay in the country - 14 days

Rehabilitation - 6 days

Anaesthesia - General anaesthesia

Requests processed - 23249

Verified patient reviews - 20

Bookimed fees - $0

Our Trusted Doctors

View all Doctors

Halil Can Gemalmaz

19 years of experience

Dr. Halil Can Gemalmaz is a professor of orthopedics and traumatology in Istanbul. He is a pioneer in Turkey for 3D patient-specific orthopedic procedures. Dr. Gemalmaz specializes in robotic-assisted joint replacements for the knee and hip. He currently serves as a faculty member at Atlas University Faculty of Medicine.

Uses 3D planning and custom surgical guides for complex bone deformities.
Performs robotic-assisted arthroplasty, including MAKOplasty and OMNI systems.
Treats sports injuries through arthroscopic surgery of the shoulder and knee.
Practices at a center accredited by the Turkish Medical Association.

Erman Cekic

15 years of experience

Dr Erman Cekic is a high-volume orthopaedic surgeon who has performed over 10,000 joint replacement procedures at leading Turkish hospitals.

Completed advanced masters training in operative fracture treatment through the AO Trauma programme
Specialises in joint and cartilage surgery using stem cell treatments and microsurgery techniques
Authored significant research on tibial fracture healing and radiographic union scoring systems
Extensive expertise in managing complex sports injuries and multi-joint reconstructions

Sami Sokucu

23 years of experience

Professor Sami Sokucu is a highly regarded orthopaedic specialist who holds prestigious dual certification from both the Turkish and European Boards of Orthopaedics and Traumatology.

Specialises in complex limb reconstruction, deformity correction, and bone lengthening techniques
Uses advanced Taylor Spatial Frames and motorised lengthening nails for precise tibial alignment
Serves as a senior faculty member at Istanbul Aydin University Faculty of Medicine
Published extensive research on innovative fixation methods for distal tibial and femoral osteotomies
Fellow of the European Board of Orthopaedics and Traumatology (FEBOT)

Selman Dogan

20 years of experience

Dr. Selman Dogan is a highly-rated orthopedic surgeon at Hisar Hospital Intercontinental in Istanbul. He specializes in hip and shoulder replacement and treats international patients. Dr. Dogan also manages complex spine and extremity trauma. He holds a degree from the Cerrahpasa School of Medicine. He completed his residency at Istanbul Umraniye Teaching Hospital.

Expertise includes pediatric orthopedics for conditions like hip dysplasia and pes equinovarus.
Studied orthopedic oncology at Goztepe Teaching and Research Hospital.
Performs sports traumatology procedures for meniscus and cruciate ligament injuries.
Dr. Dogan works at a JCI-accredited facility meeting US healthcare safety standards.

Reviews about Bookimed: Discover Patients' Insights

Шахноза • Surgery for forearm fracture

8 Aug 2026

Verified review.

The surgery went brilliantly

I sincerely want to thank the Bookimed team for their assistance. I had a challenging task: finding a specialized surgeon with expertise in hand finger surgery. The Bookimed specialists were very attentive to my request and helped me find the right doctor in Turkey. I was facing a serious operation on the 3rd, 4th, and 5th fingers of my left hand. The procedure was complex: a bone graft from the iliac crest was placed, and osteotomy was performed on several fingers with pin fixation. The surgery went brilliantly. Surgeon Levent Yalcin personally examined me afterward, which was very important. The staff at the Group Florence Nightingale Hospitals clinic was very polite. It was nice that there were no additional expenses, as the clinic provided everything necessary for the stay.

I would like to sincerely thank the Bookimed team for their assistance in finding a clinic and doctor in Turkey. I faced a fairly complex task: it was necessary to find a highly specialized surgeon with expertise in treating and performing surgery on finger joints. Finding the right specialist on my own proved to be challenging—there is a lot of information available, but it was essential to select a doctor with the necessary specialization and experience. The specialists at Bookimed paid close attention to my request. They did not just suggest a few clinic options, but helped me navigate the information, chose an appropriate medical institution, and found a surgeon with the required profile in Turkey. I was provided with a personal coordinator, Olga. I especially want to highlight the promptness, attentive service, and individualized approach. They remained in contact with me at all stages, answered questions, assisted with organizational matters, and provided necessary information. This was particularly important to me because dealing with health issues and upcoming surgical treatment, one wants to ensure they are turning to reliable professionals and are in safe hands. Upon arrival in Istanbul, everything was top-notch—transfer service, interpreter, coordinators, doctor consultations, and surgery preparation were all meticulously planned, leaving us with no worries. The surgery went excellently; even before the procedure, they ensured I was well-prepared. I didn't even notice how I ended up in the operating room. I woke up post-operation in the ward where my husband was waiting for me. The excellent surgeon, Levent Yalçın, conducted the surgery, accompanied me at all stages, and always answered questions. The staff at Group Florence Nightingale Hospitals was very polite and responsive. They regularly checked on my well-being, measured blood pressure, and temperature. The conditions in the room were like a 5-star hotel, or even better, with additional amenities available in the restroom for patients. I would also like to thank Alisher, the international department coordinator, for his kindness and responsiveness, and interpreter Darya for her support and assistance in communicating with the doctors and staff.

Rashed Alhosani • Consultation with an orthopaedist

United Arab Emirates

10 Feb 2024

Verified review.

In 8 days I felt better and I don't need surgical operation

I like the treatment , staff , environment. Special thanks for Hussein , Melih , and all staff I can’t remember the names . I recommend this hospital for all . Daily they made for me more than 10-12 session . They used all technology and staff to let me feel better . I had some special services massage , daily Hotel transport, and hotel discount . I can’t express all but thanks a lot in 8 days I felt better and I don’t need surgical operation . Will visit again inshallah .

About Bookimed service

Perfect they follow all my needs

Catherine • CO2 Laser Treatment

United States of America

15 July 2026

Verified review.

I booked specifically a CO2 laser facial and was told by the Dr. that she does not do them this time of year. She said she would do a treatment to make my face glow and give youth. They were fillers. I did not want fillers. She did botox, removed a few lines on my nose. I insisted I would stay out of the sun and to please do the CO2 laser because that is why I flew that far for treatment. She asked what day I left and was going to do it the day before. I returned a second day for the CO2 treatment. She says it was new technology when I asked why I'm not seeing the same redness as I had on photos I had seen online. There is zero evidence that a CO2 laser facial has been done. There was no redness, no irritation, no healing but most of all no change in my skin's texture whatsoever. I truly feel like I was charged $2000 for lies. With everything I spent including hotel, flight and "treatments" I spent over $4000.

Mariia Chumakova • Hallux valgus surgery

Georgia

24 Oct 2025

Verified review.

Lokman Hekim Hospital left a profound impression on me with its genuine care for every patient

Lokman Hekim Hospital left a profound impression on me with its genuine care for every patient. Everything here is organized the way it should be in an ideal clinic: the staff is attentive, considerate, always ready to help, and does not just go through formal procedures. Unlike many expensive clinics, where everything feels cold and impersonal, where patients are treated almost like on a conveyor belt, here you truly feel involvement and empathy. Every step, every detail is thoughtfully planned with the patient in mind, creating a sense of safety and comfort. Here, they don’t just treat and send you away — they guide and support you at every stage, creating an atmosphere of trust and warmth. This approach makes the stay in the clinic as comfortable and reassuring as possible.

In short, my experience was simply amazing. I highly recommend Lokman Hekim among other Turkish clinics, in Istanbul and other cities, because everything here is truly top-notch. I have already shared more detailed impressions in other reviews, but in short — everything was perfect.

Everything was perfect

About Bookimed service

My experience with Bookimed was absolutely amazing. My sister even went with me to have blepharoplasty, and she immediately wanted to have her surgery at the same clinic where I had mine, because the plastic surgeon there was incredibly professional and outstanding. I can confidently recommend Bookimed to all my relatives, and I would gladly go again to this clinic and only to these doctors, because every specialist in the clinic is exceptional and excellent. Bookimed is truly an amazing platform. I am grateful that it exists because it is very important for people who cannot find the best doctors in their own countries. The platform helps to find the best options for each patient individually, offering different choices so that everyone can select what is optimal for them.

Tat'yana • Consultation with an orthopaedist

United Kingdom

9 May 2026

Verified review.

They all deserve top marks

Strange as it may sound, my overall rating is zero. That said, I can’t say a single bad word about either the surgeon or the clinic staff. They all deserve top marks. The doctor was very attentive and professional, and the support team did everything they could to help. The problem isn’t with the people. The problem is that the outcome of the consultation and what followed completely overshadowed all the positive impressions, leaving me in a very difficult situation during the recovery phase. The service was good, but the result was not.

Qualifications of doctors and medical staff

Online answers to questions It takes a very long time

Anonymous • Hip replacement

7 May 2026

Verified review.

Thanks to the successful operation, I started walking without a limp almost as soon as I tried doing so without crutches

Before the operation, I was most worried about a possible difference in leg length, but now they feel exactly the same. The operation was performed via an anterior approach using a Stryker implant. A huge thank you to the wonderful doctor, Professor Olcay Güler. He is always positive, a pleasure to talk to, and uses modern techniques as well as robotic surgery for procedures like this. Direct anterior access is the best option for those who want a faster and better recovery, and there are very few specialists who use this modern method. On the 7th day after the operation, I had already started walking without crutches, even though I hadn’t rushed my recovery; the doctors do recommend walking with crutches for two weeks. Thanks to the successful operation, I started walking without a limp almost as soon as I tried doing so without crutches. I should note that I deliberately didn’t walk with just one crutch; I used both, but walked with them using the Nordic walking technique with poles. I think this also helped me avoid limping straight away. If anyone needs joint replacement surgery, I highly recommend Professor Olcay Güler and the Memorial Şişli Clinic; a good doctor is the key to a successful return to normal life. And of course, a huge thank you to the Bookimed team and personally to coordinator Sergey, who patiently selected the clinic and doctor for me! In the early stages of recovery, the hardest thing for me is getting in and out of the car. A tip for future patients: prepare comfortable trousers without elastic at the bottom in advance, slip-on shoes, and a special device for putting on compression garments and socks – a butler or glider – will also come in very handy, but only if you’re doing everything without assistance.

A huge thank you to the wonderful doctor, Professor Olcay Güler. He always has a positive attitude, is a pleasure to talk to, and uses modern techniques as well as robotic surgery for procedures of this kind. Direct anterior approach is the best solution for those who want a faster and better recovery, and there are very few specialists who practise this modern method. On the 7th day after the operation, I had already started walking without crutches, even though I hadn’t rushed my recovery; the doctors do recommend walking with crutches for two weeks. Thanks to the successful operation, I started walking without a limp almost immediately after trying to do so without crutches on the 7th day. I also made a point of not walking with just one crutch; I used both, but walked with them in the style of Nordic walking with poles. I think this also helped me avoid limping straight away. If anyone needs joint replacement surgery, I highly recommend Professor Olcay Güler and the Memorial Şişli Clinic; a good doctor is the key to a successful return to normal life. And of course, a huge thank you to the Bookimed team and personally to coordinator Sergey, who patiently helped me find the right clinic and doctor!

There are no downsides, just one suggestion: to produce a short leaflet for the clinic’s patients setting out post-operative restrictions, initial exercises, and exercises for further rehabilitation six weeks later, when most restrictions will have been lifted.

Нурлан Чормаков • Hip replacement

Kazakhstan

25 Apr 2024

Verified review.

I am very satisfied with the choice of this clinic

At the Turan Turan Clinic, I had total hip replacement surgeries on both legs almost simultaneously, two days apart. The operation was categorised as complicated. From the very first days of my stay in the clinic until my discharge I was really surrounded by sincere care and attention of the doctor and medical staff and interpreter. I was placed in a very comfortable ward with everything I needed. The interpreter and assistant in the person of Eldar did not leave me a step and helped with translation, consulted, gave useful advice and literally led me by the hand to the doctors where I was examined, from the X-ray room to the anaesthesiologist before the operation. Preparation for the operation, collection of analyses, their study and consultation with doctor Kayhan Turan took little time. Everything went promptly. The surgery was performed by the head doctor Kayhan Turan himself, who has vast experience in orthopaedic surgeries. With his light hand and high level of professionalism, the two surgeries two days apart were very easy. Smith & Nephew prostheses were fitted. Both operations were performed under spinal anaesthesia, which in my case completely eliminated the unpleasant stage of coming out of anaesthesia. I was conscious during the operations. Subsequent rehabilitation took place in a hospital ward, where special medical simulators were used along with exercises to develop the joint and vessels. I am very satisfied with the choice of this clinic.

About Bookimed service

Thank you Bookimed for the quality and prompt selection of the right clinic in accordance with the quality-price criterion. I was immediately offered several real offers to choose from, constant communication gave me hope for a speedy recovery. Very attentive staff. Thank you !!!!

Maryna Bajer • Hand surgery

Germany

14 Oct 2023

Verified review.

Thanks a lot to the great team!

I had to do an operation of the fracture of my little finger that happened during vacation in the South of Turkey. The organization was supported by Alisher Durdiyev and was very quick and helpful, even during the late evening. The surgery could be organized very quickly, the doctor Levent Yalcin, one of the rare hand surgeons, was extremely good, could incorporate my wishes and I was back with my family very quickly. The teams of nurses and doctors in the hospital was very good. Thanks a lot to the great team!

Anonymous • Robotic knee replacement surgery

United States of America

23 Apr 2026

Verified review.

The clinic facilities and the general staff were solid

If a friend asked about robotic knee replacement, I'd start with this: understand your whole body's situation first. For me, I’ve realized I need both hips revision, not just the knee, and that has a big impact on my overall progress. The clinic facilities and the general staff were solid. They were helpful. My main challenge is currently my walking distance. While the staff were supportive, my interactions with the surgeon felt a bit lacking, and I think that aspect could have been better. It’s a serious process with many moving parts to consider.

Dar'ya • Arthroscopic surgery

Georgia

14 Feb 2026

Verified review.

I am completely satisfied with the treatment and grateful to the entire team for their professionalism and care

I was very impressed with the clinic and the attentive care given to patients. Special thanks to Dr. Rukhat Tanli—an knowledgeable, professional, and highly compassionate specialist. Anesthesia was administered smoothly, and recovery was comfortable. The staff is friendly and caring, and the clinic is modern and clean. I would also like to specifically thank coordinator Olga for her assistance, support, and translation guidance—thanks to her, the entire process was calm and organized. I am completely satisfied with the treatment and grateful to the entire team for their professionalism and care.

I was highly impressed with the clinic and their approach to patients. Special thanks to Dr. Rukhat Tanli — a knowledgeable, attentive, and professional specialist. The anesthesia was smooth, and the recovery was comfortable. The staff is very friendly and caring, with a calm atmosphere. The clinic is modern and clean. I am completely satisfied with the treatment and grateful to the entire team for their help and support.

About Bookimed service

Everything is great, thank you.

David Coombes • Hip replacement

26 Feb 2026

Verified review.

I found the surgical staff and nurses in operating theatre to be extremely understanding and helpful. I was happy with the surgical procedure but would have liked a little more post-op feedback from the surgeon. Overall, though I was more than satisfied. Unfortunately the same cannot be said about the treatment which I received from the nursing staff, especially at night, although I subsequently found out that they are very short staffed while not having at least one English speaking nurse on duty day or night.

Procedure was very good on the day of surgery. Friendly and helpful medical coordinator Friendly nurses during the day. However there was not even one English speaking nurse during every day and every night. The only means of communicating was by phone translator which became tiresome and frustrating.

There needs to be better understanding between the nursing staff and patients. Despite best efforts it all became overwhelming and frustrating. I don’t know why but it was difficult to inform the staff that I was vegetarian. Twice I needed to change the capither myself - seemingly because nurses see it below their station so need to find a nursing assistant to empty the capither bag. To summarise - the medical coordinator was extremely helpful; the care and help by surgical staff and theatre nursing staff was very good. However the treatment from many of the nurses left something to be desired.

About Bookimed service

Helpful and understanding with good communication and follow up service. I was extremely satisfied with the empathy and help from Yasmina, Bookimed’s medical coordinator.

claudine heilig • Osteoarthritis

France

6 Mar 2026

Verified review.

In my situation, this care truly gave me hope again

I came to Istanbul for intensive medical care with a complex case involving multiple conditions. Thanks to Bookimed and my French-speaking coordinator Fidan and her colleague, everything was organized flawlessly. They truly went above and beyond, adapting my care to my evolving needs with great responsiveness and compassion. From the moment I arrived at Florence Nightingale Hospital, everything was handled with remarkable efficiency: I consulted 7 specialist professors in one day, followed by comprehensive tests (full-body MRI, CT scan, EMG, blood tests) over the next few days. In less than a week, I had a complete diagnosis and all treatments in place. The medical team is exceptionally professional — both highly skilled and genuinely caring. Each professor took the time to explain the results and treatment options. I now receive monthly follow-ups with my specialists. The service goes far beyond medical care: the hospital provides daily transportation for appointments, physiotherapy, and rehabilitation sessions. In France, I would have waited months just to get a first specialist appointment. Here, everything was done within days. I highly recommend Bookimed and Florence Nightingale Hospital without hesitation. In my situation, this care truly gave me hope again.

I arrived with a very complex and serious medical case, and I was impressed by the speed and efficiency of my care. In less than a week, I consulted 7 specialist professors, all necessary tests were completed (full-body MRI, CT, EMG, comprehensive blood work), and my treatments are now in place with monthly follow-ups by the professors. On top of that, the hospital provides daily transport for all my treatments: physiotherapy, rehabilitation, etc. An incredible service. Florence Nightingale is an excellent facility in every respect, both medically and humanly.

Apart from my visceral fear of needles, honestly, nothing. I even have a dedicated French-speaking coordinator. And a terrace café to enjoy a cappuccino in the sun inside the hospital. I have never been taken care of this well in my life.

About Bookimed service

Bookimed gave me access to excellent medical care in Istanbul that I could never have obtained so quickly in France. The compassionate support from Fidan and her team made all the difference at a time when I was feeling particularly vulnerable. I would recommend them without hesitation.

Marina • Surgical treatment of scoliosis

8 Aug 2025

Verified review.

Doctors at the highest level

PLUSES Doctors at the highest level...professionalism, attention, responsibility felt during the whole stay...nothing unnecessary was said...no promises were made that could not be realised later...we were very satisfied with the results of their work.... Medical equipment may not be the latest models, but the penultimate certainly ... The food is very tasty... The facilities in the ward create a comfortable stay... The location of the clinic is good... Many hotels of different categories within walking distance..... MINUSES The medical staff and service staff (cleaning of the ward) wish to be better...the clinic needs a little more review of the process of care of medical staff for patients...at night when the patient before surgery or after surgery should gain strength and rest, begins frequent going to the room...then the temperature to measure, then the pressure, then remembering about the drip to connect the next or remove the forgotten.... Another disadvantage is the proposal-proform with an indication of what services are included in the paid amount, and which are not ... I would like a more specific list...taking into account that the treatment plan has changed, the amount to be paid has also changed, and there is always a question whether it is paid or whether it is necessary to pay additionally...which causes inconvenience and worries "whether you have enough money".... The general impression of the clinic was good...despite the disadvantages.....

Professionalism of the medical team

Nursing and housekeeping.

About Bookimed service

Very grateful to Stanislav...all questions were always answered in a short period of time..... any misunderstandings that arose were resolved quickly.....

Anonymous • Orthopedic Rehabilitation

Egypt

22 Aug 2026

Verified review.

Unfortunately, it was a very, very unsuccessful experience, and their only goal is money, not treatment. The doctors are completely unprofessional, and I was exploited.

Volodymyr Kopysov Kopysov • Ankylosing spondylitis

Ukraine

16 Oct 2025

Verified review.

I am satisfied with everything

He completed a two-week rehabilitation course. I improved my condition, I am satisfied with everything. The staff are professionals. Special thanks to Kenan for his support and resolution of all issues. I liked the treatment programme. With my diagnosis of ankylosing spondylitis, it was possible to improve the condition of my spine and partially restore mobility. I recommend it, I will come back again.

schedule, treatment, staff

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Updated: 31/08/2026

Authored by

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A certified medical writer with 10+ years of experience, developed Bookimed’s trusted content, backed by a Master’s in Philology and medical expert interviews worldwide.

Reviewed by Bookimed Medical Advisor

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General practitioner. Winner of 4 scientific awards. Served in Western Asia. Former Team Leader of a medical team supporting Arabic-speaking patients. Now responsible for data processing and medical content accuracy.

This page may feature information relating to various medical conditions, treatments, and healthcare services available in different countries. Please be advised that the content is provided for informational purposes only and should not be construed as medical advice or guidance. Please consult with your doctor or a qualified medical professional before starting or changing medical treatment.