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Why Patients Are Turning to Medical Tourism

Statistics, Benefits, and Risks

Planning Ahead

Frequently asked questions.

Medical tourism is a term that refers to traveling to another country to get a medical or dental procedure. In some instances, medical tourists travel abroad seeking alternative treatments that are not approved in the United States.

Medical tourism is successful for millions of people each year, and it is on the rise for a variety of reasons, including increasing healthcare costs in the United States, lack of health insurance, specialist-driven procedures, high-quality facilities, and the opportunity to travel before or after a medical procedure.

According to a New York Times article from January 2021, pent-up demand for nonessential surgeries, as well as the fact that many Americans lost their health insurance during the coronavirus pandemic led to a surge in medical tourism once other countries re-opened.

However, there are specific risks that come with traveling overseas for surgery. If you're thinking of pursuing a medical procedure in another country, here's what to know about the benefits and the risks.

Medical Tourism Benefits

The most common procedures Americans go abroad for include dental care, cosmetic procedures , fertility treatments, organ transplants , and cancer treatment.

This is not to be confused with having an unplanned procedure in a foreign country due to an unexpected illness or injury.

Among the reasons a person might choose to go abroad for a medical procedure are:

Lower Costs

Medical tourists can save anywhere from 25% to 90% in medical bills, depending on the procedure they get and the country they travel to. There are several factors that play into this:

• The cost of diagnostic testing and medications is particularly expensive in the United States.
• The cost of pre- and post-procedure labor is often dramatically lower overseas. This includes labor costs for nurses , aides, surgeons , pharmacists, physical therapists , and more.
• High cost of malpractice insurance—the insurance that protects medical professionals against lawsuits—in the United States.
• Hospital stays cost far less in many overseas countries compared to the United States. In other words, quality care, hospital meals, and rehabilitation are far more affordable abroad for many people.

For someone who doesn't have insurance , or someone having a procedure that is not covered by insurance , the difference can be enormous.

Popular Countries for Medical Tourism

Dominican Republic

South Korea

Culture and Language

Many immigrants prefer to have treatments and procedures done in their country of origin—a sensible decision, considering just how much language barriers alone can affect the quality of their care.

Furthermore, at least 25% of immigrants and noncitizen residents in the United States are uninsured, compared to 9% of American citizens. Children with at least one noncitizen parent are also more likely to be uninsured.

Practicalities aside, many people choose to have their procedure done in their country of origin simply because it allows them to be close to family, friends, and caretakers who can assist them through their recovery .

Insurance Incentives

Some insurance companies have started promoting medical tourism. The reason behind this is simple: savings for the insured means savings for the insurance provider and vice versa.

Several insurance providers, including Aetna have programs specifically geared at promoting safe medical tourism. Some insurance providers even offer financial incentives for medical tourism, like discounts on medical bills .

That said, many insurance companies will not pay for surgery performed outside of the country unless it is an emergency.

Luxury and Privacy

Medical tourism is a lucrative business for many countries, and much of the money brought in by medical tourists is reinvested into the local economy and health infrastructure.

The effect of this is apparent in the spa-like luxury that some foreign hospitals offer, providing medical tourists the opportunity to be pampered during their stay for a fraction of the cost they would pay at home.

Some facilities offer hospital rooms that are more like a hotel suite than a traditional hospital room. Other hospitals offer one-on-one private nursing care, which is far more generous and attentive than the staffing ratios that most hospitals allow.

Medical tourists who seek that added layer of privacy can find it abroad. Many can return home from their "vacation" without anyone knowing they had a procedure at all.

Vacation in a Foreign Country

Medical tourists often take advantage of their stay in a foreign country to travel for pleasure by scheduling a vacation before or after their procedure.

This is an especially inexpensive way to travel to a foreign country, especially if their insurance provider is paying for the flight and the cost of staying is low. 

While it seems logical to recover on a beach or in a chalet by the mountains, keep in mind that it's important not to jeopardize your recovery.

Swimming isn't recommended until your incisions are completely closed. You may not feel up to doing much more than napping in the days following your procedure, either.

Don't let your vacation disrupt your recovery. Any time you have a procedure done, especially a surgery, it's important to listen to your body, take your medications as directed, and follow your doctor's recommendations closely.

Bypassing Rules and Regulations

Some travelers seek surgery abroad to bypass rules that are set in place by their own government, insurance company , or hospital. These rules are typically in place to protect the patient from harm, so getting around them isn't always the best idea.

For example, a patient may be told that their weight is too low to qualify for weight loss surgery . A surgeon in a foreign country may have a different standard for who qualifies for weight loss surgery, so the patient may qualify overseas for the procedure they want.

Talented Surgeons

Surgeons in certain countries are known for their talent in a specific area of surgery. For example, Brazilian surgeons are often touted for their strong plastic surgery skills .

Whereas in the United States, insurance companies might only cover cosmetic procedures if it is medically necessary, cosmetic surgery is often free or low-cost in Brazil's public hospitals—giving cosmetic surgeons there ample practice.

Thailand is reported to be the primary medical tourism destination for individuals seeking gender reassignment . It is often easier to qualify for surgery and the cost is significantly reduced. Surgeons are performing the procedures frequently, and as a result, many have become quite specialized in them.

It is often surprising to many medical tourists that their physician was trained in the United States. Not all physicians are, of course, but a surprisingly high percentage of them working in surgery abroad are trained in English-speaking medical schools and residency programs and then return to their home country. These physicians often speak multiple languages and may be board certified in their home country and a foreign country, such as the United States.

Medical tourism isn’t limited to countries outside of the United States, either. Many people travel to the United States for medical care due to the country's cutting-edge technology, prescription medication supply, and the general safety of healthcare.

Medical Tourism Risks

The financial and practical benefits of medical tourism are well known, and you may even know someone who had a great experience. Nonetheless, the downsides of medical tourism can be just as great if not greater. Sometimes, they can even be deadly.

If you are considering a trip abroad for your procedure, you should know that medical tourism isn't entirely without obstacle and risks. These include:

Poorly Trained Surgeons

In any country—the United States included—there will be good surgeons and bad. And just as there are great surgeons abroad, there are also some surgeons who are less talented, less trained, and less experienced.

Regardless of what procedure you are getting or where, you should always do some preliminary research into the surgeon or physician who will be treating you as well as the hospital you will be treated at.

In the United States, it is fairly easy to obtain information about malpractice lawsuits , sanctions by medical boards, and other disciplinary actions against a physician.

Performing this research from afar can be challenging, especially if you don't speak the local language. Yet countless people take the risk anyway, without knowing whether the physicians who will treat them are reputable.

A physician should be trained in the specific area of medicine that is appropriate for your procedure. For example, you should not be having plastic surgery from a surgeon who was trained to be a heart doctor. It isn’t good enough to be a physician, the physician must be trained in the specialty .

Prior to agreeing to surgery, you should also know your surgeon’s credentials : where they studied, where they trained, and in what specialty(s) they are board-certified. Do not rely on testimonials from previous patients; these are easily made up for a website and even if they are correct, one good surgery doesn’t mean they will all be successful.

Quality of Staff

Nurses are a very important part of healthcare, and the care they provide can mean the difference between a great outcome and a terrible one.

A well-trained nurse can identify a potential problem and fix it before it truly becomes an issue. A poorly trained nurse may not identify a problem until it is too late. The quality of the nursing staff will have a direct impact on your care.

Once again, it's important to research the hospital staff where you will be having your procedure done. Read the reviews but don't trust them blindly. If you can, seek out a recommendation from someone who can vouch for the medical staff where you will be going.

Quality of the Facility

While researching healthcare facilities for your procedure, you want to learn not just about the quality of the facilities themselves, but about the country's healthcare system as a whole.

In some countries, there is a marked distinction between public hospitals and private hospitals. In Turkey, for example, private hospitals are considered on-par with hospitals in the states, while many locals will advise you to steer clear of public hospitals if you can.

You will also want to seek out facilities that are internationally accredited. In the United States, the Joint Commission evaluates hospitals and certifies those that provide safe, quality care. The international division does the same for hospitals outside the United States.

Once you have a few options for potential facilities, you can start to investigate specifics. For one, you should find as many pictures and reviews of the facility as you can. Ask yourself whether the facility is state of the art or whether it seems dirty and outdated.

You will also need to find out if the facility has ICU level care available, in case something goes wrong. If not, there should be a major hospital nearby so that you can be transferred quickly.

To learn more about a healthcare facility, consider joining expat groups on social media for the city or country you will be traveling to. Ask the group for recommendations, or inquire about any positive or negative experiences they may have had at a particular facility.

Flying Home After Surgery

Any surgery comes with risks, including infection and blood clots . Flying home increases the risk of blood clots, especially on long-haul flights that are longer than four hours.

Try to avoid flying home in the days immediately after surgery; waiting a week will decrease the chances of developing a blood clot or another serious complication during the flight.

For longer flights, plan on getting up and walking up and down the aisles each hour to improve blood flow in your legs. You might also benefit from wearing compression socks with your doctor's approval.

If you are taking blood thinners or are at-risk of blood clots , be sure to talk to your doctor about how you can reduce your risk of blood clots after your procedure and while traveling.

Furthermore, you should know the symptoms of blood clots and stay alert.

Unplanned Illness

Any time you travel abroad, you run the risk of catching an illness that you have never been exposed to or that your body is not prepared to fight off. This is especially a concern when spending time in a foreign hospital.

If you have a sensitive stomach, you may also want to think long and hard about having surgery abroad. The food is often very different in foreign hospitals, and in some areas, there is a risk that even the water will be upsetting to your body.

Having diarrhea or postoperative nausea and vomiting makes for a miserable recovery experience, especially if you do not have a friend or family member nearby who can help you through it.

Before you travel abroad, check with your doctor to see if you need any vaccines to travel to your destination or if there are any foreign illnesses you should be aware of. Picking up an illness abroad, particularly after your surgery, can potentially be life-threatening.

Language Barriers

If you are having surgery in a country where English is not the primary language, you will need to make preparations in order to be able to communicate with the staff.

You may be pleasantly surprised to learn that the staff speaks your primary language well. If not, then you will need to consider how you will make your wishes and needs known to the surgeon, the staff, and others you will meet.

Whether you are at home or abroad, remember to speak up and advocate for yourself to make sure your needs are met. If you don't speak the local language, download a language translation app on your smartphone and don't hesitate to use it to communicate your needs. Hiring a translator is another option.

A Word About Transplant Tourism

Transplant tourism is one area of medical tourism that is strongly discouraged by organ and tissue transplant professionals in multiple countries. Most international transplants are considered “black market” surgeries that are not only poor in quality, but ethically and morally wrong.

China, for example, the country that is believed to perform more international kidney transplants than any other country, is widely believed to take organs from political prisoners after their execution.

In India, living donors are often promised large sums of money for their kidney donation, only to find out they have been scammed and never receive payment. Selling an organ in India is illegal, as it is in most areas of the world, so there is little recourse for the donor.

Then there is the final outcome: how well the organ works after the surgery is complete. With black market transplants, less care is often taken with matching the donor and recipient, which leads to high levels of rejection and a greater risk of death. Furthermore, the new organ may not have been screened for diseases such as cytomegalovirus , tuberculosis , hepatitis B , and hepatitis C . It is often the new disease that leads to death, rather than the organ rejection itself.

Finally, transplant surgeons are often reluctant to care for a patient who intentionally circumvented the donor process in the United States and received their transplant from an unknown physician.

It is important to arrange your follow-up care prior to leaving your home country.

Many physicians and surgeons are hesitant to take care of a patient who received care outside the country, as they are often unfamiliar with medical tourism and have concerns about the quality of care overseas.

Arranging for follow-up care before you leave will make it easier to transition to care at home without the stress of trying to find a physician after surgery .

Just be sure to inform your follow-up care physician where you are having your procedure done. After you return, they will also want to know what prescription medications you were given, if any.

What are popular countries for medical tourism? 

Mexico, India, Costa Rica, Turkey, Singapore, Canada, and Thailand are among the many countries that are popular for medical tourism.

How safe is medical tourism?

Medical tourism is generally considered safe, but it's critical to research the quality of care, physician training, and surgical specialties of each country. There are several medical tourism organizations that specialize in evaluating popular destinations for this purpose.

What countries have free healthcare? 

Countries with free healthcare include England, Canada, Thailand, Mexico, India, Sweden, South Korea, Israel, and many others.

A Word From Verywell

If you are considering medical tourism, discuss the risks and benefits with your doctor, and consider working with your insurance provider to arrange a trip that balances financial savings with safety. (Also, before you embark on a trip overseas for your procedure, make sure you are financially prepared for unexpected events and emergencies. Don't go abroad if you don't have enough money to get yourself home in a crisis.)

A medical tourism organization such as Patients Without Borders can help you evaluate the quality and trustworthiness of healthcare in various countries. Making sure a high level of care is readily available will lead to a safer, more relaxing experience.

Centers For Disease Control and Prevention. Medical Tourism: Getting medical care in another country . Updated October 23, 2017.

University of the Incarnate Word. Center for Medical Tourism Research .

Patients Beyond Borders. Facts and figures .

Kaiser Family Foundation. Health coverage of immigrants . Published July 2021.

Paul DP 3rd, Barker T, Watts AL, Messinger A, Coustasse A. Insurance companies adapting to trends by adopting medical tourism . Health Care Manag (Frederick). 2017 Oct/Dec;36(4):326-333. doi: 10.1097/HCM.0000000000000179

Batista BN. State of plastic surgery in Brazil .  Plast Reconstr Surg Glob Open . 2017 Dec;5(12):1627. doi:10.1097/GOX.0000000000001627

Johns Hopkins Bloomberg School of Public Health - Global Health Now. Brazilians' risky right to beauty . Published May 2018.

Chokrungvaranont P, Selvaggi G, Jindarak S, et al. The development of sex reassignment surgery in Thailand: a social perspective .  Sci World J . 2014 Mar;2014(1):1-5. doi:10.1155/2014/182981

The Joint Commission. For consumers .

Centers for Disease Control and Prevention. Blood clots and travel: what you need to know . Reviewed February 2021.

Hurley R. China harvested organs from political prisoners on substantial scale, says tribunal . BMJ . 2018 Dec;363(1):5250. doi:10.1136/bmj.k5250

Ambagtsheer F, Van Balen L. I'm not Sherlock Holmes: suspicions, secrecy, and silence of transplant professionals in the human organ trade . Euro J Criminol . 2019 Jan;17(6):764-783. doi:10.1177/1477370818825331

Centers for Disease Control and Prevention. Transplant Surgery. Key facts . Reviewed January 2019.

By Jennifer Whitlock, RN, MSN, FN Jennifer Whitlock, RN, MSN, FNP-C, is a board-certified family nurse practitioner. She has experience in primary care and hospital medicine.

More From Forbes

What is medical tourism traveling for healthcare explained.

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Medical tourism is nothing new. People have been seeking more affordable, sometimes higher-quality care for as long as humans could cross borders. In today’s world that usually means travel to foreign countries for a wide range of medical procedures from elective surgeries like liposuction and rhinoplasty to advanced care for complex medical conditions like cancer and fertility treatments. And it’s a multibillion dollar market that continues to grow with globalization.

There are as many alternative medical offerings as there are destinations in the world – giving people countless reasons to seek medical care away from home.

These often include pursuing more affordable treatment options to accessing specialized medical expertise that is not available locally to combining medical procedures with a luxury travel experience. And admittedly, in some cases individuals may opt for health travel because specific treatments are not recommended locally, have long wait times or for desired anonymity.

But to dispel any misconceptions about medical tourism, not all medical travel is for cosmetic surgery procedures such as breast augmentation, liposuction, facelifts and rhinoplasty. While those are popular, it may come as a surprise that dental procedures, heart valve replacements, fertility treatments and orthopedic surgeries are standard in the medical tourism industry . And according to the CDC , many seek more stigmatized care such as substance use rehabilitation and even physician-assisted death abroad because of cultural differences and acceptance.

What To Know Before You Go

There are many risks, big and small, to pursuing care outside the traditional and highly regulated U.S. system. And it’s important to note that even some small perceived risks carry great weight. For example, language and cultural barriers might seem insignificant at first, but will certainly influence the treatment experience and post-operative care. What is considered standard in one place, may be unacceptable in others.

Differences in healthcare regulations and standards across countries may lead to discrepancies in the quality of care and patient safety, necessitating thorough research and due diligence before choosing a health provider abroad. Common complications include infection, inadequate training and lack of follow up protocol. Additionally, managing post-operative complications and follow-up care from a distance can be challenging, especially when returning to the patient's home country for ongoing medical support. This makes planning and preparation crucial steps for a successful medical tourism trip, ensuring patients make informed decisions and have a comfortable experience throughout the journey.

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Thorough research into accredited medical facilities, experienced providers and patient reviews it is possible to find a reputable destination that aligns with the patient's specific medical needs. But, one must also understand the legal and ethical considerations surrounding medical procedures in their chosen destination, including medical malpractice laws and patient rights. This is where planning and proactive actions come into play.

Arranging travel logistics, including flights, accommodation and transportation, plays a pivotal role in creating a seamless and stress-free medical tourism experience for patients and their accompanying companions. But with the right care providers, treatment plan, facilities and travel goals patients can achieve all their objectives.

One can often save a substantial amount of money, even when factoring in travel and accommodation expenses, compared to undergoing the same procedures in their home country. Further, medical tourism provides access to specialized treatments and medical expertise that may not be readily available in the patient's home country. This can be particularly beneficial for individuals seeking advanced or experimental procedures for specific medical conditions.

Depending on country of origin health travel additionally offers the advantage of shorter wait times and the option to combine necessary medical procedures with a leisurely, often luxurious, travel experience, offering a unique opportunity to recuperate in a new, exciting and relaxing environment.

Where To Go And What To Do

Unfortunately, medical care costs and the health insurance industry in the U.S. have pushed many Americans beyond their means . Although it can be frightening and uncertain to explore options outside the regulated system, each day more and more people are choosing - or are forced - to do so. And countries around the world are stepping up to meet the demand.

For example, countries like Thailand, Brazil and South Korea are renowned for their expertise in cosmetic surgery and attract a significant number of international patients seeking these procedures. For dental treatments many go to Mexico, Hungary or Costa Rica. Those looking for assistance with fertility often travel to Spain, India and the Czech Republic. In contrast, Germany, Malaysia and the United Arab Emirate are top of people’s lists for orthopedic surgeries.

No matter what one is seeking in their exploration abroad, it’s vital to remember that healing time, post-operative care and self-awareness are essential to recovery and safety. This is in addition to all the pre-travel research, validation and planning that must take place. Any kind of medical treatment outside the U.S. poses a risk to the traveler.

But with that knowledge one cannot deny that medical tourism offers a range of attractive services from cosmetic surgeries to complex procedures like organ transplants or cardiac surgeries that can save travelers from prohibitively high costs or long waiting times in their home countries. Destinations with advanced medical infrastructure and skilled health professionals can capitalize on this by promoting their services to international patients, providing not only medical expertise but also opportunities for travel and recuperation in attractive destinations. Although challenges such as varying quality standards, language barriers and post-operative care logistics remain valid concerns for those considering medical tourism, the barriers for seeking care outside the United States are reduced every day.

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• Section 6 - Perspectives : Avoiding Poorly Regulated Medicines & Medical Products During Travel
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Medical Tourism

Cdc yellow book 2024.

Author(s): Matthew Crist, Grace Appiah, Laura Leidel, Rhett Stoney

• Categories Of Medical Tourism

The Pretravel Consultation

Risks & complications, risk mitigation, additional guidance for us health care providers.

Medical tourism is the term commonly used to describe international travel for the purpose of receiving medical care. Medical tourists pursue medical care abroad for a variety of reasons, including decreased cost, recommendations from friends or family, the opportunity to combine medical care with a vacation destination, a preference to receive care from a culturally similar provider, or a desire to receive a procedure or therapy not available in their country of residence.

Medical tourism is a worldwide, multibillion-dollar market that continues to grow with the rising globalization of health care. Surveillance data indicate that millions of US residents travel internationally for medical care each year. Medical tourism destinations for US residents include Argentina, Brazil, Canada, Colombia, Costa Rica, Cuba, the Dominican Republic, Ecuador, Germany, India, Malaysia, Mexico, Nicaragua, Peru, Singapore, and Thailand. Categories of procedures that US medical tourists pursue include cancer treatment, dental care, fertility treatments, organ and tissue transplantation, and various forms of surgery, including bariatric, cosmetic, and non-cosmetic (e.g., orthopedic).

Most medical tourists pay for their care at time of service and often rely on private companies or medical concierge services to identify foreign health care facilities. Some US health insurance companies and large employers have alliances with health care facilities outside the United States to control costs.

Categories of Medical Tourism

Cosmetic tourism.

Cosmetic tourism, or travel abroad for aesthetic surgery, has become increasingly popular. The American Society of Plastic Surgeons (ASPS) reports that most cosmetic surgery patients are women 40–54 years old. The most common procedures sought by cosmetic tourists include abdominoplasty, breast augmentation, eyelid surgery, liposuction, and rhinoplasty. Popular destinations often are marketed to prospective medical tourists as low cost, all-inclusive cosmetic surgery vacations for elective procedures not typically covered by insurance. Complications, including infections and surgical revisions for unsatisfactory results, can compound initial costs.

Non-Cosmetic Medical Tourism

Cancer treatment.

Oncology, or cancer treatment, tourism often is pursued by people looking for alternative treatment options, better access to care, second opinions, or a combination of these. Oncology tourists are a vulnerable patient population because the fear caused by a cancer diagnosis can lead them to try potentially risky treatments or procedures. Often, the treatments or procedures used abroad have no established benefit, placing the oncology tourist at risk for harm due to complications (e.g., bleeding, infection) or by forgoing or delaying approved therapies in the United States.

Dental Care

Dental care is the most common form of medical tourism among US residents, in part due to the rising cost of dental care in the United States; a substantial proportion of people in the United States do not have dental insurance or are underinsured. Dentists in destination countries might not be subject to the same licensure oversight as their US counterparts, however. In addition, practitioners abroad might not adhere to standard infection-control practices used in the United States, placing dental tourists at a potential risk for infection due to bloodborne or waterborne pathogens.

Fertility Treatments

Fertility tourists are people who seek reproductive treatments in another country. Some do so to avoid associated barriers in their home country, including high costs, long waiting lists, and restrictive policies. Others believe they will receive higher quality care abroad. People traveling to other countries for fertility treatments often are in search of assisted reproductive technologies (e.g., artificial insemination by a donor, in vitro fertilization). Fertility tourists should be aware, however, that practices can vary in their level of clinical expertise, hygiene, and technique.

Physician-Assisted Suicide

The practice of a physician facilitating a patient’s desire to end their own life by providing either the information or the means (e.g., medications) for suicide is illegal in most countries. Some people consider physician-assisted suicide (PAS) tourism, also known as suicide travel or suicide tourism, as a possible option. Most PAS tourists have been diagnosed with a terminal illness or suffer from painful or debilitating medical conditions. PAS is legal in Belgium, Canada, Luxembourg, the Netherlands, Switzerland, and New Zealand, making these the destinations selected by PAS travelers.

Rehab Tourism for Substance Use Disorders

Rehab tourism involves travel to another country for substance use disorder treatment and rehabilitation care. Travelers exploring this option might be seeking a greater range of treatment options at less expense than what is available domestically (see Sec. 3, Ch. 5, Substance Use & Substance Use Disorders , and Box 3-10 for pros and cons of rehab tourism).

Transplant Procedures

Transplant tourism refers to travel for receiving an organ, tissue, or stem cell transplant from an unrelated human donor. The practice can be motivated by reduced cost abroad or an effort to reduce the waiting time for organs. Xenotransplantation refers to receiving other biomaterial (e.g., cells, tissues) from nonhuman species, and xenotransplantation regulations vary from country to country. Many procedures involving injection of human or nonhuman cells have no scientific evidence to support a therapeutic benefit, and adverse events have been reported.

Depending on the location, organ or tissue donors might not be screened as thoroughly as they are in the United States; furthermore, organs and other tissues might be obtained using unethical means. In 2009, the World Health Organization released the revised Guiding Principles on Human Cell, Tissue, and Organ Transplantation, emphasizing that cells, tissues, and organs should be donated freely, in the absence of any form of financial incentive.

Studies have shown that transplant tourists can be at risk of receiving care that varies from practice standards in the United States. For instance, patients might receive fewer immunosuppressive drugs, increasing their risk for rejection, or they might not receive antimicrobial prophylaxis, increasing their risk for infection. Traveling after a procedure poses an additional risk for infection in someone who is immunocompromised.

Ideally, medical tourists will consult a travel medicine specialist for travel advice tailored to their specific health needs 4–6 weeks before travel. During the pretravel consultation, make certain travelers are up to date on all routine vaccinations, that they receive additional vaccines based on destination, and especially encourage hepatitis B virus immunization for unvaccinated travelers (see Sec. 2, Ch. 3, Vaccination & Immunoprophylaxis & General Principles , and Sec. 5, Part 2, Ch. 8, Hepatitis B ). Counsel medical tourists that participating in typical vacation activities (e.g., consuming alcohol, participating in strenuous activity or exercise, sunbathing, swimming, taking long tours) during the postoperative period can delay or impede healing.

Advise medical tourists to also meet with their primary care provider to discuss their plan to seek medical care outside the United States, to address any concerns they or their provider might have, to ensure current medical conditions are well controlled, and to ensure they have a sufficient supply of all regular medications to last the duration of their trip. In addition, medical tourists should be aware of instances in which US medical professionals have elected not to treat medical tourists presenting with complications resulting from recent surgery, treatment, or procedures received abroad. Thus, encourage medical tourists to work with their primary care provider to identify physicians in their home communities who are willing and available to provide follow-up or emergency care upon their return.

Remind medical tourists to request copies of their overseas medical records in English and to provide this information to any health care providers they see subsequently for follow-up. Encourage medical tourists to disclose their entire travel history, medical history, and information about all surgeries or medical treatments received during their trip.

All medical and surgical procedures carry some risk, and complications can occur regardless of where treatment is received. Advise medical tourists not to delay seeking medical care if they suspect any complication during travel or after returning home. Obtaining immediate care can lead to earlier diagnosis and treatment and a better outcome.

Among medical tourists, the most common complications are infection related. Inadequate infection-control practices place people at increased risk for bloodborne infections, including hepatitis B, hepatitis C, and HIV; bloodstream infections; donor-derived infections; and wound infections. Moreover, the risk of acquiring antibiotic-resistant infections might be greater in certain countries or regions; some highly resistant bacterial (e.g., carbapenem-resistant Enterobacterales [CRE]) and fungal (e.g., Candida auris ) pathogens appear to be more common in some countries where US residents travel for medical tourism (see Sec. 11, Ch. 5, Antimicrobial Resistance ).

Several infectious disease outbreaks have been documented among medical tourists, including CRE infections in patients undergoing invasive medical procedures in Mexico, surgical site infections caused by nontuberculous mycobacteria in patients who underwent cosmetic surgery in the Dominican Republic, and Q fever in patients who received fetal sheep cell injections in Germany.

Noninfectious Complications

Medical tourists have the same risks for noninfectious complications as patients receiving medical care in the United States. Noninfectious complications include blood clots, contour abnormalities after cosmetic surgery, and surgical wound dehiscence.

Travel-Associated Risks

Traveling during the post-operative or post-procedure recovery period or when being treated for a medical condition could pose additional risks for patients. Air travel and surgery independently increase the risk for blood clots, including deep vein thrombosis and pulmonary emboli (see Sec. 8, Ch. 3, Deep Vein Thrombosis & Pulmonary Embolism ). Travel after surgery further increases the risk of developing blood clots because travel can require medical tourists to remain seated for long periods while in a hypercoagulable state.

Commercial aircraft cabin pressures are roughly equivalent to the outside air pressure at 6,000–8,000 feet above sea level. Medical tourists should not fly for 10 days after chest or abdominal surgery to avoid risks associated with changes in atmospheric pressure. ASPS recommends that patients undergoing laser treatments or cosmetic procedures to the face, eyelids, or nose, wait 7–10 days after the procedure before flying. The Aerospace Medical Association published medical guidelines for air travel that provide useful information on the risks for travel with certain medical conditions.

Professional organizations have developed guidance, including template questions, that medical tourists can use when discussing what to expect with the facility providing the care, with the group facilitating the trip, and with their own domestic health care provider. For instance, the American Medical Association developed guiding principles on medical tourism for employers, insurance companies, and other entities that facilitate or incentivize medical care outside the United States ( Box 6-07 ). The American College of Surgeons (ACS) issued a similar statement on medical and surgical tourism, with the additional recommendation that travelers obtain a complete set of medical records before returning home to ensure that details of their care are available to providers in the United States, which can facilitate continuity of care and proper follow-up, if needed.

Box 6-07 American Medical Association’s guiding principles on medical tourism 1

• Employers, insurance companies, and other entities that facilitate or incentivize medical care outside the United States should adhere to the following principles:
• Receiving medical care outside the United States must be voluntary.
• Financial incentives to travel outside the United States for medical care should not inappropriately limit the diagnostic and therapeutic alternatives that are offered to patients or restrict treatment or referral options.
• Patients should only be referred for medical care to institutions that have been accredited by recognized international accrediting bodies (e.g., the Joint Commission International or the International Society for Quality in Health Care).
• Prior to travel, local follow-up care should be coordinated, and financing should be arranged to ensure continuity of care when patients return from medical care outside the United States.
• Coverage for travel outside the United States for medical care should include the costs of necessary follow-up care upon return to the United States.
• Patients should be informed of their rights and legal recourse before agreeing to travel outside the United States for medical care.
• Access to physician licensing and outcome data, as well as facility accreditation and outcomes data, should be arranged for patients seeking medical care outside the United States.
• The transfer of patient medical records to and from facilities outside the United States should be consistent with Health Insurance Portability and Accountability Action (HIPAA) guidelines.
• Patients choosing to travel outside the United States for medical care should be provided with information about the potential risks of combining surgical procedures with long flights and vacation activities.

1 American Medical Association (AMA). New AMA Guidelines on Medical Tourism . Chicago: AMA; 2008.

Reviewing the Risks

Multiple resources are available for providers and medical tourists assessing medical tourism–related risks (see Table 6-02 ). When reviewing the risks associated with seeking health care abroad, encourage medical tourists to consider several factors besides the procedure; these include the destination, the facility or facilities where the procedure and recovery will take place, and the treating provider.

Make patients aware that medical tourism websites marketing directly to travelers might not include (or make available) comprehensive details on the accreditations, certifications, or qualifications of advertised facilities or providers. Local standards for facility accreditation and provider certification vary, and might not be the same as those in the United States; some facilities and providers abroad might lack accreditation or certification. In some locations, tracking patient outcome data or maintaining formal medical record privacy or security policies are not standard practices.

Medical tourists also should be aware that the drugs and medical products and devices used in other countries might not be subject to the same regulatory scrutiny and oversight as in the United States. In addition, some drugs could be counterfeit or otherwise ineffective because the medication expired, is contaminated, or was improperly stored (for more details, see the previous chapter in this section, . . . perspectives: Avoiding Poorly Regulated Medicines & Medical Products During Travel ).

Table 6-02 Online medical tourism resources

Checking credentials.

ACS recommends that medical tourists use internationally accredited facilities and seek care from providers certified in their specialties through a process equivalent to that established by the member boards of the American Board of Medical Specialties. Advise medical tourists to do as much advance research as possible on the facility and health care provider they are considering using. Also, inform medical tourists that accreditation does not guarantee a good outcome.

Accrediting organizations (e.g., The Joint Commission International, Accreditation Association for Ambulatory Health Care) maintain listings of accredited facilities outside of the United States. Encourage prospective medical tourists to review these sources before committing to having a procedure or receiving medical care abroad.

ACS, ASPS, the American Society for Aesthetic Plastic Surgery, and the International Society of Aesthetic Plastic Surgery all accredit physicians abroad. Medical tourists should check the credentials of health care providers with search tools provided by relevant professional organizations.

Travel Health Insurance

Before travel, medical tourists should check their domestic health insurance plan carefully to understand what services, if any, are covered outside the United States. Additionally, travelers might need to purchase supplemental medical insurance coverage, including medical evacuation insurance; this is particularly important for travelers going to remote destinations or places lacking medical facilities that meet the standards found in high-income countries (see Sec. 6, Ch. 1, Travel Insurance, Travel Health Insurance & Medical Evacuation Insurance ). Medical tourists also should be aware that if complications develop, they might not have the same legal recourse as they would if they received their care in the United States.

Planning for Follow-Up Care

Medical tourists and their domestic physicians should plan for follow-up care. Patients and clinicians should establish what care will be provided abroad, and what the patient will need upon return. Medical tourists should make sure they understand what services are included as part of the cost for their procedures; some overseas facilities and providers charge substantial fees for follow-up care in addition to the base cost. Travelers also should know whether follow-up care is scheduled to occur at the same facility as the procedure.

Health care facilities in the United States should have systems in place to assess patients at admission to determine whether they have received medical care in other countries. Clinicians should obtain an explicit travel history from patients, including any medical care received abroad. Patients who have had an overnight stay in a health care facility outside the United States within 6 months of presentation should be screened for CRE. Admission screening is available free of charge through the Antibiotic Resistance Laboratory Network .

Notify state and local public health as soon as medical tourism–associated infections are identified. Returning patients often present to hospitals close to their home, and communication with public health authorities can help facilitate outbreak recognition. Health care facilities should follow all disease reporting requirements for their jurisdiction. Health care facilities also should report suspected or confirmed cases of unusual antibiotic resistance (e.g., carbapenem-resistant organisms, C. auris ) to public health authorities to facilitate testing and infection-control measures to prevent further transmission. In addition to notifying the state or local health department, contact the Centers for Disease Control and Prevention at [email protected] to report complications related to medical tourism.

The following authors contributed to the previous version of this chapter: Isaac Benowitz, Joanna Gaines

Bibliography

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Al-Shamsi, H, Al-Hajelli, M, Alrawi, S. Chasing the cure around the globe: medical tourism for cancer care from developing countries. J Glob Onc. 2018;4:1–3.

Kracalik I, Ham C, Smith AR, Vowles M, Kauber K, Zambrano M, et al. (2019). Notes from the field: Verona integron-encoded metallo-β-lactamase–producing carbapenem-resistant Pseudomonas aeruginosa infections in U.S. residents associated with invasive medical procedures in Mexico, 2015–2018. MMWR Morb Mortal Wkly Rep. 2019;68(20):463–4.

Pavli A, Maltezou HC. Infectious complications related to medical tourism. J Travel Med. 2021;28(1):taaa210.

Pereira RT, Malone CM, Flaherty GT. Aesthetic journeys: a review of cosmetic surgery tourism. J Travel Med. 2018;25(1):tay042.

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Salama M, Isachenko V, Isachenko E, Rahimi G, Mallmann P, Westphal LM, et al. Cross border reproductive care (CBRC): a growing global phenomenon with multidimensional implications (a systematic and critical review). J Assist Reprod Genet. 2018;35(7):1277–88.

Schnabel D, Esposito DH, Gaines J, Ridpath A, Barry MA, Feldman KA, et al. Multistate US outbreak of rapidly growing mycobacterial infections associated with medical tourism to the Dominican Republic, 2013–2014. Emerg Infect Dis. 2016;22(8):1340–7.

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Why Medical Tourism Is Drawing Patients, Even in a Pandemic

The coronavirus pandemic has devastated medical tourism, but pent-up demand remains for affordable treatment in foreign lands.

• Share full article

By Ceylan Yeginsu

On a cold February morning last year, as she lay curled up in a fetal position on her kitchen floor, Melissa Jackson called her manager at a New Jersey beauty salon to ask for some unpaid time off.

It was the sixth consecutive week that the 39-year-old beauty technician was unable to work full time because of the debilitating pain in her pelvis caused by endometriosis, a chronic condition triggered by the growth of uterine tissue outside of the uterus.

As her symptoms worsened, she started exploring options to get less costly medical care abroad.

In recent years, while still on her ex- husband’s health insurance policy, she had received hormonal treatments to ease the pain so she could go about her daily life. But since her divorce last year and the coronavirus restrictions placed on the beauty industry in March, those treatment costs have become prohibitive, especially with no insurance.

“There is no real cure for endometriosis, but if I want to free myself from this pain then I need to get a hysterectomy,” Ms. Jackson said, her voice shaking as she described the procedure to remove her uterus. “As if the surgery isn’t bad enough, I need to find 20,000 bucks to pay for it, which is just crazy so I’m going to have to find a way to go to Mexico.”

The coronavirus pandemic has pushed millions of Americans into poverty and stripped more than 5.4 million American workers of their health insurance, according to a study by the nonpartisan consumer advocacy group, Families USA. Many people like Ms. Jackson have experienced a significant deterioration in their health because they have delayed medical procedures. The fear of large medical bills has outweighed fear of contagion for some, giving rise to an increased number of patients seeking medical treatment in a foreign country.

“We are seeing a pent-up demand for medical tourism during the pandemic, particularly in the U.S. where a fast-growing number of Americans are traveling across the land border with Mexico for health purposes,” said David G. Vequist IV, the founder of the Center for Medical Tourism Research , a group based in San Antonio, Texas, and a professor at t he University of the Incarnate Word in San Antonio.

Even before the pandemic, millions of Americans traveled to other countries for savings of between 40 to 80 percent on medical treatments, according to the global medical tourism guide Patients Beyond Borders. Mexico and Costa Rica have become the most popular destinations for dental care, cosmetic surgery and prescription medicines while Thailand, India and South Korea draw in patients for more complex procedures including orthopedics, cardiovascular, cancer and fertility treatment.

In 2019, 1.1 percent of Americans traveling internationally did so for health treatments, according to the National Travel and Tourism Office , although that figure only accounts for those who traveled by air and does not include the thousands of travelers who crossed the United States-Mexico border. Definitive statistics on medical tourism are hard to come by because countries have different recording methods and definitions of the sector.

Medical tourism has been decimated by coronavirus restrictions, but, even so, the twin crises of the economy and the enormous strain that Covid-19 has placed on the already faulty American health care system are pushing many patients to travel. Demand for nonessential surgeries has also been building up after more than 177,000 scheduled surgeries were postponed in the United States between March and June in 2020, according to the Center for Medical Tourism Research.

“Our market has always been what I call the ‘working poor’ and they just keep getting poorer,” said Josef Woodman, the chief executive of Patients Beyond Borders. “The pandemic has gutted low-income and middle-class people around the world and for many of them the reality is that they have to travel to access affordable health care.”

In April, following the initial global lockdown to curb the spread of the coronavirus, medical travel bookings were down by more than 89 percent in the most popular destinations, including Mexico, Thailand, Turkey and South Korea, according to Medical Departures, a Bangkok-based medical travel agency. Since August, the numbers have slowly been rebounding, but bookings in Mexico, which has seen an uptick in American travelers in recent months, are still down by 32 percent compared to the same period of August to December in 2019.

“Covid-19 has devastated the whole medical tourism ecosystem because of all the uncertainty over travel restrictions and quarantine measures that keep changing across the world,” said Paul McTaggart, the founder of the agency.

“Despite this, we are still seeing a growing number of people traveling and booking trips to address their urgent health needs, especially between the U.S. and Mexico border where patients can travel safely by car,” Mr. McTaggart said. The Center for Medical Tourism Research found that Google searches in the United States for the terms “Mexico medical tourism” went up by 64 percent since July, compared to pre-pandemic levels before travel restrictions were imposed in March.

“Google searches are almost directly correlated with consumer behavior when it comes to travel across borders,” Mr. Vequist said.

Before the winter resurgence of the coronavirus, Ms. Jackson had started to plan and save for a trip to Mexicali, a border city in northern Mexico, where she can get a hysterectomy for $4,000, one-fifth the cost of the procedure offered in New Jersey. Her best friend had offered to drive her there and pay for the gas and accommodations.

“We wanted to make a vacation out of it and have some fun before the surgery because it’s such a heavy and dark thing with real consequences,” Ms. Jackson said. “At 39, I have to come to terms with the reality that I’ll never have kids. That’s even more painful than my condition.”

For now, Ms. Jackson has put the surgery on hold and will wait until the virus is brought under control. Her doctor had pointed to cheaper options for the operation in New Jersey, starting at $11,000 in a local outpatient facility. But Ms. Jackson is adamant about having it in the hospital and says the aftercare is more thorough in Mexico.

“Going for the cheaper option at home means getting lower quality care and taking a risk. That just isn’t the experience for people who do this in specialized hospitals in Mexico,” she said. “It’s cheap and safe.” (Many hospitals and clinics in Mexico and other countries have accreditation to ensure their standards are equivalent to medical facilities in the United States.)

In recent weeks, Ms. Jackson has had a flare up of symptoms, which is common when the condition goes untreated.

“I’m not sure if I will be able to wait for Covid to get better,” she said. “This thing cripples every part of my life.”

The land border with Mexico — closed to tourists — has remained open for essential travel, which includes all medical treatment, and a handful of Americans cross the border every day into Los Algodones (also known as Molar City ) to receive dental treatment or purchase pharmaceuticals.

“It’s just Americans over there getting dental care,” said Jeff Somerville, a Delta Air Lines flight attendant who visited the Supreme Dental Clinic in Los Algodones in September to get his crowns replaced. “You park on the U.S. side and just walk across. It’s easy and felt very safe.” He said the procedure would have cost around $25,000 in Tampa, Fla., close to where he lives in the city of Clearwater. In Mexico, he paid $7,000.

Now, Mr. Somerville, 47, is preparing to travel to Turkey in February for a hair and beard transplant, which will cost $3,000 and includes plasma treatments, medications, hotel lodging for three nights and a translator.

“I’m going to live my life, but I’m going to take my precautions while I do that,” he said. “I’m not going to sit at home and be scared.”

Turkey has remained open to tourists throughout the latest surge of the pandemic in Europe and only visitors from Britain are required to take a test as a precaution against a new, more transmissible variant of the virus. On weekends in Turkey a strict curfew is imposed on local residents to curb the spread of the virus, but foreign visitors are allowed to roam free without any restrictions. On Istanbul’s main Istiklal Avenue, men recovering from hair transplant procedures can easily be spotted with bandages around their heads.

“This is the best time to get surgery,” said Martin Wright, a British tourist, who had a hair transplant in Istanbul in December, before the new variant of the virus was identified in Britain. “Hotels are cheap, sites are empty and you get to have down time in a foreign city where you don’t have to explain to anyone why or how you got a hair transplant.”

Over the summer, when lockdown restrictions were eased across Europe, Britons traveled to the continent to receive medical treatment, after waiting lists for elective surgery on the National Health Service reached record levels. With British hospitals operating at reduced capacity to accommodate patients with Covid-19, hundreds of thousands of patients, who have been waiting for more than a year for non-urgent surgery, are facing further delays, N.H.S. figures show.

Cynthia Hedges, a 77-year-old retired nurse from Plymouth in southwest England, traveled to France in August for a knee replacement after waiting more than 19 months to get the procedure at her hospital.

“It just became hopeless, I could barely walk and was just living off pain medication, which is not good for my health,” she said in a telephone interview. “I know we can’t go far these days, but I became very depressed not even being able to walk to my garden. I know it was risky to travel at the time, but it was the best thing I did. It was worth it.”

Even as travel restrictions tighten, experts in the medical tourism industry see an opportunity as demand builds and health care becomes more inaccessible in people’s home countries.

“It doesn’t matter if you’re in Europe or the Americas,” said Mr. McTaggart of Medical Departures. “Financially challenged individuals will seek out and be more receptive to the idea that you can travel abroad and see substantial savings for medical treatment and get past the line.”

Follow New York Times Travel on Instagram , Twitter and Facebook . And sign up for our weekly Travel Dispatch newsletter to receive expert tips on traveling smarter and inspiration for your next vacation.

An earlier version of this article gave an incorrect name for a global medical tourism guide. It is Patients Beyond Borders, not Patients Without Borders.

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Ceylan Yeginsu is a London-based reporter. She joined The Times in 2013, and was previously a correspondent in Turkey covering politics, the migrant crisis, the Kurdish conflict, and the rise of Islamic State extremism in Syria and the region. More about Ceylan Yeginsu

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Medical Tourism

The journey to world-class care: top medical tourism destinations in the united states.

When it comes to healthcare, patients want access to the latest treatments, experienced medical staff, and world-class facilities. For those seeking medical care outside of their home country, the United States is a premier destination for medical tourism. With a reputation for excellence in healthcare, the United States offers some of the best medical facilities and treatments in the world. In this article, we will explore the top medical tourism destinations in the United States and why they are the best.

New York City:

Home to some of the most prestigious medical facilities in the world, New York City is a top destination for medical tourism. From cancer treatments to cardiac care, New York City offers some of the most advanced medical treatments available. Some of the top medical facilities in New York City include Memorial Sloan Kettering Cancer Center, New York-Presbyterian Hospital, and Mount Sinai Hospital.

Memorial Sloan Kettering Cancer Center is one of the world's leading cancer treatment centers. The center has a team of over 1,200 oncologists and is equipped with state-of-the-art technology, such as robotic surgery and proton therapy. Patients from all over the world travel to New York City to receive treatment at Memorial Sloan Kettering.

New York-Presbyterian Hospital is one of the largest hospitals in the United States and is consistently ranked as one of the best hospitals in the country. The hospital has a team of over 4,000 physicians and provides a wide range of medical services, including cardiology, neurology, and oncology.

Mount Sinai Hospital is a top-ranked hospital in the United States, with a reputation for excellence in medical research and patient care. The hospital has a team of over 7,000 physicians and offers a wide range of medical services, including cancer treatment, heart care, and neurology.

Los Angeles:

Known for its cutting-edge cosmetic and plastic surgery treatments, Los Angeles is a premier destination for medical tourism. However, it's not just cosmetic treatments that make Los Angeles a top medical tourism destination. With some of the best medical research facilities in the world, Los Angeles offers access to groundbreaking treatments and therapies. Some of the top medical facilities in Los Angeles include Cedars-Sinai Medical Center, UCLA Medical Center, and City of Hope National Medical Center.

Cedars-Sinai Medical Center is a top-ranked hospital in the United States, with a reputation for excellence in patient care and medical research. The hospital is known for its cardiology, neurology, and oncology departments and has a team of over 2,000 physicians.

UCLA Medical Center is consistently ranked as one of the best hospitals in the United States and offers a wide range of medical services, including cancer treatment, heart care, and neurology. The hospital has a team of over 4,000 physicians and is equipped with state-of-the-art technology.

City of Hope National Medical Center is a world-renowned cancer treatment center and research institute. The center has a team of over 500 physicians and is equipped with cutting-edge technology, such as robotic surgery and gene therapy.

With its warm climate and beautiful beaches, Miami is a popular vacation destination. But it's also a top destination for medical tourism. With a large Hispanic population, Miami is home to some of the best medical facilities for Spanish-speaking patients. Miami is also known for its cosmetic surgery treatments and has become a hub for medical tourism from Latin America. Some of the top medical facilities in Miami include Jackson Memorial Hospital, University of Miami Hospital, and Baptist Health South Florida.

Jackson Memorial Hospital is a top-ranked hospital in the United States, with a reputation for excellence in patient care and medical research. The hospital is known for its trauma center and provides a wide range of medical services, including cardiology, neurology, and oncology.

University of Miami Hospital is a top-ranked hospital in the United States, with a reputation for excellence in patient care and medical research. The hospital offers a wide range of medical services, including cardiology, neurology, and oncology, and has a team of over 1,200 physicians.

Baptist Health South Florida is a not-for-profit healthcare organization that operates multiple hospitals and medical facilities in the Miami area. The organization is known for its advanced medical technology and patient-centered care.

Home to some of the top medical research facilities in the world, Boston is a premier destination for medical tourism. With a focus on research and development, Boston offers access to some of the most advanced medical treatments available. Some of the top medical facilities in Boston include Massachusetts General Hospital, Brigham and Women's Hospital, and Boston Children's Hospital.

Massachusetts General Hospital is a top-ranked hospital in the United States and is known for its expertise in a wide range of medical specialties, including cancer treatment, neurology, and cardiology. The hospital has a team of over 1,600 physicians and is equipped with state-of-the-art technology.

Brigham and Women's Hospital is a world-renowned hospital and research institution. The hospital is known for its expertise in a wide range of medical specialties, including cancer treatment, neurology, and cardiology. The hospital has a team of over 1,600 physicians and is equipped with state-of-the-art technology.

Boston Children's Hospital is a top-ranked children's hospital and research institution. The hospital is known for its expertise in a wide range of pediatric specialties, including cancer treatment, neurology, and cardiology. The hospital has a team of over 1,000 physicians and is equipped with state-of-the-art technology.

With a reputation for excellence in cancer care, Houston is a top destination for medical tourism. Home to some of the best cancer treatment facilities in the world, Houston offers access to cutting-edge treatments and therapies. Some of the top medical facilities in Houston include MD Anderson Cancer Center, Memorial Hermann-Texas Medical Center, and Houston Methodist Hospital.

MD Anderson Cancer Center is a world-renowned cancer treatment center and research institution. The center has a team of over 1,400 physicians and is equipped with cutting-edge technology, such as proton therapy and gene therapy.

Memorial Hermann-Texas Medical Center is a top-ranked hospital in the United States and offers a wide range of medical services, including cancer treatment, heart care, and neurology. The hospital has a team of over 5,000 physicians and is equipped with state-of-the-art technology.

Houston Methodist Hospital is a top-ranked hospital in the United States and offers a wide range of medical services, including cancer treatment, heart care, and neurology. The hospital has a team of over 2,000 physicians and is equipped with state-of-the-art technology.

Why Choose the United States for Medical Tourism?

The United States offers some of the best medical facilities and treatments in the world. From cutting-edge treatments to experienced medical staff, the United States is a premier destination for patients seeking world-class care. Additionally, the United States has a reputation for medical excellence and is home to some of the top medical research facilities in the world.

Medical tourism can be a complex process, and it's important to choose the right destination and medical facility to meet your specific needs. Working with a medical tourism consultant can help make the process smoother and more streamlined. Global Healthcare Resources is a leading consultancy that helps hospitals and destinations attract inbound medical tourism. With their expertise, they can help you find the right destination and medical facility to meet your specific needs.

In conclusion, the United States is a premier destination for medical tourism, offering some of the best medical facilities and treatments in the world. From cancer care to cosmetic surgery, the top medical tourism destinations in the United States offer a range of specialties to meet the needs of patients from around the globe. These destinations have some of the most advanced medical treatments available and a team of experienced medical staff who are dedicated to providing world-class care.

If you're considering medical tourism and would like to learn more about how Global Healthcare Resources can help you find the right destination and medical facility to meet your specific needs, visit their website at https://www.globalhealthcareresources.com/medical-tourism-consulting . Their team of experts can provide you with the guidance and support you need to make your medical tourism journey a success.

Working with a medical tourism consultant can help make the process smoother and more streamlined. Global Healthcare Resources is a leading consultant that helps hospitals and destinations attract inbound medical tourism. With their expertise, they can help patients find the right destination and medical facility to meet their specific needs.

Don't let the complexity of medical tourism hold you back from receiving world-class care. With the help of Global Healthcare Resources, you can find the right destination and medical facility to meet your needs and ensure a successful medical tourism journey.

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The Medical Tourism Magazine (MTM), known as the “voice” of the medical tourism industry, provides members and key industry experts with the opportunity to share important developments, initiatives, themes, topics and trends that make the medical tourism industry the booming market it is today.

Medical Tourism in Developing Countries pp 199–213 Cite as

Medical Tourism Overview

Medical Tourism: Consequences for Public Health

• Kesha Bhadiyadra 6 ,
• Sushman Sharma 6 ,
• Bhupinder Chaudhary 7 ,
• B. S. Dhillon 8 &
• Nishi Gandhi 9  
• First Online: 07 February 2024

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Medical tourism happens when people travel to a different country to get therapeutic, surgical, or dental services. Medical tourists may visit developing or developed nations for the most prevalent types of medical reasons. Medical tourism, a rapidly growing component of the healthcare industry, has unique issues for both public health and clinical medicine. Patient travels for medical tourism services may have an impact, depending on whether nations such as India, Mexico, Singapore, Malaysia, Thailand, Cuba, or Brazil import medical tourism services. Medical tourists, particularly overseas travelers, have unique health concerns that should be addressed in addition to following standard travel health precautions. People suffering from follow-up care during treatment, language problems, a shortage of staff, hospital accreditation, and poor service quality are some of the consequences that may affect the public during medical care. Some of these requirements, such as follow-up care after treatment and correct paperwork, include the need for appropriate post-procedure care as well as the necessity to ensure that present medical issues have stabilized enough for travel.

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Medical, Health and Wellness Tourism Research—A Review of the Literature (1970–2020) and Research Agenda

1 Institute for Big Data Research in Tourism, School of Tourism Sciences, Beijing International Studies University, Chaoyang District, Beijing 100024, China; nc.ude.usib@anilgnohz (L.Z.); moc.361@5220niloabgned (B.D.); moc.361@gnay__uyil (L.Y.)

Baolin Deng

Alastair m. morrison.

2 Greenwich Business School, Old Royal Naval College, University of Greenwich, London SE10 9SL, UK; [email protected]

J. Andres Coca-Stefaniak

Associated data.

Data are reported in the article.

Medical, health and wellness tourism and travel represent a dynamic and rapidly growing multi-disciplinary economic activity and field of knowledge. This research responds to earlier calls to integrate research on travel medicine and tourism. It critically reviews the literature published on these topics over a 50-year period (1970 to 2020) using CiteSpace software. Some 802 articles were gathered and analyzed from major databases including the Web of Science and Scopus. Markets (demand and behavior), destinations (development and promotion), and development environments (policies and impacts) emerged as the main three research themes in medical-health-wellness tourism. Medical-health-wellness tourism will integrate with other care sectors and become more embedded in policy-making related to sustainable development, especially with regards to quality of life initiatives. A future research agenda for medical-health-tourism is discussed.

1. Introduction

In 1841, Thomas Cook organized a tour of 570 people to travel from Leicester to Loughborough’s hot springs [ 1 ]. This was the first historically documented tour arranged by a travel agent. However, far earlier, people in Ancient Greece used to travel considerable distances for medical treatment [ 2 ]. Thus, the pursuit of health and medical care has been an essential reason for travel for centuries.

Today, people continue to travel in the pursuit of relaxation, for health reasons, as well as fitness and well-being [ 3 ]. As a response to this growing demand, countries, medical providers, and hospitality and tourism organizations are adapting to offer a broader set of medical, health, and wellness tourism experiences.

The concept of medical-health-wellness tourism has emerged relatively recently as a scholarly field of enquiry in tourism [ 4 , 5 , 6 ]. Although it has been pointed out that travel medicine has existed for 25 years [ 7 ], much of the research related to this has traditionally focused on medical aspects with inadequate consideration given to travel or tourism. Medical-health-wellness tourism can be classified into two primary categories according to a tourist’s choice - obligatory or elective. Obligatory travel occurs when required treatments are unavailable or illegal in the place of origin of the traveler and, as a result of this, it becomes necessary to travel elsewhere to access these services. Elective travel is usually scheduled when the time and costs are most suitable, and the treatments may even be available in the travelers’ home regions [ 8 ]. Other studies have classified these forms of travel and tourism into specific types based on the purpose of the treatment, such as dental tourism [ 9 ], stem cell tourism [ 10 ], spa tourism [ 11 ], springs tourism [ 12 ], IVF treatment [ 13 ], hip and knee replacements, ophthalmologic procedures, cosmetic surgery [ 5 ], cardiac care, and organ transplants [ 14 ].

A consensus is yet to be established on the definitions and contents of medical-health-wellness tourism, and how they interact, including their potential overlaps. Medical travel and tourism, health tourism, wellness tourism, and other similar terms (e.g., birth tourism, cosmetic surgery tourism, dental tourism) tend to be investigated separately in tourism research [ 15 , 16 , 17 , 18 , 19 , 20 ]. Notwithstanding the apparently disconnected nature of published research in this field, medical-health-wellness tourism has become much more popular for a variety of economic, cultural, lifestyle and leisure reasons [ 11 , 21 , 22 ]. Given their rapid development, it seems appropriate to conduct a comprehensive review of the definitions, history, typologies, driving factors, and future directions for these forms of tourism.

This study firstly reviews existing scholarly research through a meta-analysis of medical-health-wellness publications in the context of tourism ( Section 2 ). Then, the method used to analyze the data collected from ISI Web of Science is outlined in Section 3 , followed by a discussion of the research findings ( Section 4 ). Finally, in Section 5 , the conclusions, future research directions, and limitations of the study are presented.

2. Scholarly Reviews and Meta-Analyses of Medical, Health and Wellness Tourism

Previous reviews of the literature and meta-analyses have contributed to clarifying the overall understanding of medical-health-wellness tourism. Existing literature reviews tend to be very broad, spanning health-oriented tourism, medical tourism, sport and fitness tourism, adventure tourism, well-being (Yang sheng in Chinese) tourism, cosmetic surgery tourism, spa tourism, and more.

Medical tourism is an expanding global phenomenon [ 15 , 23 , 24 ]. Driven by high healthcare costs, long patient waiting lists, or a lack of access to new therapies in some countries, many medical tourists (mainly from the United States, Canada, and Western Europe) often seek access to care in Asia, Central and Southern Europe, and Latin America [ 25 , 26 , 27 ]. There are potential biosecurity and nosocomial risks associated with international medical tourism [ 28 ]. One research study collected 133 electronic copies of Australian television programs (66 items) and newspapers (65) about medical care overseas from 2005 to 2011 [ 29 ]. By analyzing these stories, the researchers discovered that Australian media coverage of medical tourism was focused geographically mainly on Asia, featuring cosmetic surgery procedures and therapies generally not available in Australia. However, people tend to engage with medical tourism for a broad range of reasons. In some cases, it is better service quality or lower treatment costs that prevail. In other cases, treatments may not be available locally, or there are long patient waiting lists for non-emergency medical care. Some 100 selected articles were reviewed and categorized into different types of medical tourism depending on the medical treatments they involved, such as dentistry, cosmetic surgery, or fertility work [ 25 ]. An analysis was done on 252 articles on medical tourism posted on the websites of the Korean Tourism Organization and the Korean International Medical Association [ 30 ]. This work enhanced the understanding of medical tourism in Korea as well as identifying the key developmental characteristics. Another research study detailed patient experiences in medical travel, including decision making, motivations, risks, and first-hand accounts [ 31 ]. A literature review was conducted on international travel for cosmetic surgery tourism [ 5 ] and it concluded that the medical travel literature suffered from a lack of focus on the non-surgery-related morbidity of these tourists.

Another set of authors defined health tourism as a branch of tourism in general in which people aim to receive specific treatments or seek an enhancement to their mental, physical, or spiritual well-being [ 32 ]. This systematic literature review assessed the value of destinations’ natural resources and related activities for health tourism. It was argued that most of the research on health tourism has focused on travel from developed to developing countries, and that there is a need to study travel between developed nations [ 33 ].

Wellness tourism is a key area of relevant research as well [ 34 ]. One research study reviewed trends in wellness tourism research and concluded that tourism marketing had so far failed to tap into the deeper meaning of wellness as a concept [ 35 ]. The emergence of health and wellness tourism was explored with their associated social, political, and economic influences [ 13 ]. A review was conducted of the development of wellness tourism using the concept of holistic wellness tourism where it was found that the positive impacts of this type of tourism on social and economic well-being were key to its rising levels of popularity [ 36 ].

All in all, although earlier literature reviews provide invaluable insights into medical-health-wellness tourism, there is a lack of studies that approach this concept in a holistic way. This research seeks to redress this balance by delivering a holistic review of the literature with the following objectives in mind: (1) investigating international journal articles across the typologies of tourism outlined above; (2) identifying influential scholars that have significantly contributed to this field; and (3) summarizing key trends in markets, industry development and promotion, as well as policy-making and impacts. In order to achieve this, a systematic review was conducted to analyze research articles in medical-health-wellness tourism published over a 50-year period from 1970 to 2020.

3.1. Data Collection

A two-step approach was adopted for the development of a database of publications for analysis with CiteSpace. The first step involved a search for relevant, high-quality refereed articles in medical-health-wellness tourism. Several academic journal databases, within tourism and hospitality but also including other disciplines too, were searched for relevant articles in medical-health-wellness tourism using a set of selected keywords. The ISI Web of Science and Scopus were chosen for this purpose as a result of their international recognition and comprehensiveness. Articles included in the list of references of selected articles were also considered valid as part of this search, in line with methodological suggestions for systematic literature searches [ 37 ]. Cited articles were also collected from prominent journals, including the Southern Medical Journal, Journal of Travel Medicine, BMC Public Health, Annals of Tourism Research, Tourism Management, Journal of Travel Research, and Journal of Vacation Marketing. Non-tourism related journals were selected as well including Amfiteatru Economic, Asia Pacific Viewpoint, Public Personal Management, and Revista de Historia Industrial. Adding these references not only delivered a higher number of relevant articles to the database, but it also increased its representativeness.

The second step involved using appropriate, valid and representative search keywords. A total of 986 articles were gathered using the following keywords: medical tourism, health tourism, wellness tourism, and spa tourism. After careful sorting of these publications, using their abstracts and keywords, the number of articles in the database was narrowed down to 802. Of these, 615 were obtained using the keywords medical tourism or wellness tourism, 157 were located by searching for health tourism, and 30 were discovered using spa tourism as the search term. Using the above keywords and restricting the search to 50 years (1970–2020), the first article was found to be published in 1974. As a result, the ensuing analysis of the literature comprises the period from 1974 to 2020.

3.2. Data Analysis

The research tool used for this study was CiteSpace, which is a bibliometric analysis software developed by Professor Chaomei Chen of Drexel University based on the Java framework [ 38 ]. This software assists researchers in the analysis of research trends in a specific field of knowledge and presents scientific knowledge structures through visualization. It has been applied to numerous research fields by scholars from many countries. The data processing for this research used the software V.5.7.R2 (64-bit) version.

The data were classified and analyzed to achieve three specific goals. The first and primary goal of this review work was to analyze the content of the chosen articles, including year of publication, authors, journal impact factors, and the institutional affiliations of scholars in this field. The data were then sorted into categories. The order of authorship was not recorded. For multiple-authored articles, each author was given the same level of credit as sole authors. Second, one of the aims of this research was to discover associations in authorships, regions, and affiliations using statistical analysis. Third, the 802 articles were classified into dominant thematic categories applying the approach proposed by Miles and Huberman [ 39 ]. Three flows of analytical activities were targeted here: data reduction, data display, and verification of data. In the data reduction activity, the word count technique was adopted. Through content analysis, each article’s title and full-text body were recorded for word counting. The most frequently appearing words were extracted to represent the main topics of the collected articles. The dominant thematic categories to be explored further based on the content analysis and word count were: (1) tourism market: tourist demand and behavior; (2) tourism destinations: development and promotion; and (3) tourism development contexts: policies and impacts.

Finally, in order to refine the set of topic sub-categories, abstracts, first paragraphs, and conclusions were read to make the most appropriate assignments. This approach contributed to the more advanced stages of development of the classification of sub-categories and, consequently, the verification of findings.

This section presents the results of the data analysis carried out in this study and provides further insights on the methodology adopted.

4.1. Overview of Articles Published

The 802 articles selected were all published in English and in international peer-reviewed academic journals. Figure 1 displays the timeline distribution of the research on medical-health-wellness tourism and shows a steady growth in publications in this field between 1974 and 2020. This growth in scholarly activity is particularly significant from 2010 onwards. In fact, 74.9% of the articles were published between 2013 and 2020.

Number of articles by publication year.

4.2. Source Journals

Initially, the first stage of this literature search involved identifying academic journals publishing research articles on medical-health-wellness tourism. It was found that 38 articles had been published on this topic in Tourism Management, and 24 articles in Social Science & Medicine. Table 1 shows the top ten tourism journals for publications in this field, with Tourism Management in first place.

Tourism journals publishing articles on medical-health-wellness tourism.

Non-tourism journals in fields such as business, economics, and health, also contributed a significant number of publications in this field, as shown in Table 2 .

Non-tourism journals publishing articles on medical-health-wellness tourism.

4.3. Author Productivity and Authorship Analysis

The second aim was to identify the most prolific scholars in medical-health-wellness tourism research. This was achieved using co-occurrence network analysis of the authors of relevant research articles ( Figure 2 ). Each node in the co-occurrence map shown in Figure 2 represents a given scholar. The larger the node, the more articles the authors published on the topic, with the connections between nodes representing cooperation between authors.

Author article productivity.

Among the 2381 authors identified, 1820 (76.4%) contributed to only one article, whereas the remaining 561 (23.6%) authored two or more articles. The three most prolific authors were Jeremy Snyder, Valorie Crooks, and Rory Johnston.

4.4. Author Regions and Affiliations

Another objective was to illustrate the relationships and networks of authors publishing research on medical-health-wellness tourism. An analysis of countries this research originated from was carried out using the CiteSpace software. Figure 3 shows that scholars publishing in this field were distributed across 61 countries. The largest group of authors originated from the USA ( n =197). The second and third largest groups corresponded to Canada ( n = 88) and the UK ( n = 84), respectively, followed by Australia ( n = 70) and South Korea ( n = 65). As shown in Figure 3 , authors from the USA and Canada have made the most significant contributions to medical-health-wellness tourism based on the number of journal articles published.

Country of origin of authors in medical-health-wellness tourism.

As shown in Figure 4 , a significant number of scholars publishing in this field ( n = 47) were affiliated to Simon Fraser University in Canada. This university was followed by Sejong University in South Korea ( n = 13), and the London School of Hygiene & Tropical Medicine ( n = 13) in the UK. The top universities in terms of author frequency were based in Canada, USA, Australia, UK, South Korea, and Hong Kong.

Institutions of authors.

4.5. Thematic Analysis of Research

The fourth research objective was to elicit the prevailing research themes using the 802 articles gathered. First, an analysis of keyword frequency was performed to identify the main research interests. High frequency keywords reflect the research ‘hotspots’ in the field. Using CiteSpace’s keyword visualization analysis function, the keyword co-occurrence knowledge map of medical-health-wellness tourism research was drawn to grasp the research ‘hotspots’ ( Figure 5 ).

Frequencies of research keywords.

Then, content analysis performed on the articles gathered for this study identified three main themes, namely: markets (tourist demand and behavior), destinations (development and promotion), and development environments (policies and impacts). An uneven distribution of research themes is highlighted in Figure 6 and Figure 7 .

Timeline of research keyword appearance.

Themes of research articles.

4.6. Markets: Demand and Behavior

Previous studies have shown that the growth of medical-health-wellness tourism in developing countries is largely linked to lower costs, shorter patient waiting lists, and better quality of care [ 40 ]. Similarly, it is suggested that the inequalities and failures in domestic health care systems often lead to people seeking treatment to travel abroad to obtain it [ 41 ]. In general terms, higher costs, long patient waiting lists, the relative affordability of international air travel, favorable exchange rates, and the availability of well-qualified doctors and medical staff in developing countries, all contribute to this situation [ 42 ].

As the demand for these forms of tourism has risen over time, processes and factors influencing decision-making have attracted growing levels of scholarly enquiry. For example, a political responsibility model was used to develop a decision-making process for individual medical tourists [ 43 ]. A sequential decision-making process has been proposed, including considerations of the required treatments, location of treatment, and quality and safety issues attendant to seeking care [ 44 ]. Accordingly, it has been found that health information and the current regulatory environment tend to affect the availability of medical care.

Multiple factors may simultaneously influence decisions related to the destination for care, including culture [ 45 ], social norms [ 46 ], religious factors [ 47 ], and the institutional environment [ 48 ]. It is suggested that socioeconomic conditions shape medical travelers’ decision-making and spending behavior relative to treatment, accommodation, and transport choices as well as the length of stay [ 49 ]. Perceived value is a key predictor of tourist intentions. More specifically, perceived medical quality, service quality, and enjoyment significantly influence the intention to travel abroad for medical-health-wellness purposes [ 50 ]. Further, perceived quality, satisfaction, and trust in the staff and clinics have significant associations affecting intentions to revisit clinics and the destination country [ 51 ]. An empirical study was conducted and found that physical convenience in willingness to stay and time and effort savings in perceived price were key factors affecting the decision-making related to medical hotels [ 52 ]. In addition, the level of perceived advantages, price perceptions, and willingness to stay were found to differ significantly between first-time patients and those with two or more previous visits. In addition, it was found that community communication was a major factor influencing decision-making. For instance, it is argued that virtual community membership has a strong influence on tourist behaviors and the way information is transmitted [ 53 ].

Compared to other tourists, the mental activity and behavior of medical-health-wellness travelers are quite different. Medical tourists are less likely to question their need for surgery and tend to be much readier to accept it [ 54 ]. The emotion and anxiety conditions of medical tourists differ from others’ experiences of travel and tourism, as well as their giving and receiving of transnational health care [ 55 ]. It has been found that language barriers and parenting responsibilities can be significant challenges, while hospital staff and their own families are often major sources of support for medical tourists [ 56 ]. Furthermore, there are significant differences among visitors from different countries in terms of choices, discomfort, preferred product items, and attitudes towards medical tourism [ 57 , 58 ].

4.7. Destinations: Development and Promotion

In response to the demands of medical-health-wellness tourism, destination development and promotion are attracting growing levels of scholarly interest. Scholars from different countries have discussed the market status of Turkey [ 12 , 59 ], the Caribbean [ 60 ] and Barbados [ 61 ], India [ 62 , 63 ], Canada [ 64 ], and Albania [ 65 ]. Table 3 outlines the most frequently researched country destinations in this respect.

Medical-health-wellness destination frequency in keywords.

The advantages and disadvantages of Turkey were examined and indicated needs for improvements [ 59 ]. In another research study, three years (2005, 2007, and 2011) of actual and projected operational cost data were evaluated for three countries: USA, India, and Thailand [ 66 ]. This study discussed some of the inefficiencies in the U.S. healthcare system, drew attention to informing uninsured or underinsured medical tourists of the benefits and risks, and determined the managerial and cost implications of various surgical procedures in the global healthcare system.

As regards medical-health-wellness tourism destination development, scholars have explored research from various perspectives. Conceptual frameworks have been developed to include tourism destinations and services in the context of medical and health tourism [ 59 , 67 ]. Advice has been provided from the perspective of public and private hospital doctors [ 68 ]. The principles of designing hospital hotels have been proposed, including proper planning, low prices of tourism services, medical education, creating websites on medical tourism, and health tourism policy councils [ 69 ]. Above all, scholars have posited that meeting or exceeding tourist expectations and requirements should remain the top priorities as regards the effective development of medical tourism destinations [ 69 , 70 ].

Once a medical-health-wellness tourism destination is developed successfully, marketing and promotion are essential to attract tourists. As part of this process, informing potential patients about procedural options, treatment facilities, tourism opportunities, and travel arrangements are the keys to success [ 71 ]. Most tourists rely on the Internet to gather information about destinations, often using mobile devices or personal computers [ 72 ], with websites and social media playing a key role in this respect, and specifically with regards to information about destinations’ medical facilities, staff expertise, services, treatments, equipment, and successful cases [ 73 ]. For example, apps for medical travel are available to attract tourists and promote medical tourism in Taiwan [ 74 ].

Numerous businesses promote medical-health-wellness travel, including medical travel companies, health insurance companies, travel agencies, medical clinics, and hospitals [ 75 ]. Among them, medical travel facilitators play a significant role as engagement moderators between prospective patients in one country and medical facilities elsewhere around the world [ 76 ]. The services offered on medical tourism facilitator websites vary considerably from one country to another [ 77 ]. Although medical travel facilitators operate on a variety of different scales and market their services differently, they all emphasize the consumer experience through advertising quality assurance and logistical support [ 78 ].

Scholarly research has also considered the factors that need to be taken into consideration in medical-health-wellness tourism promotion. This research has suggested that destinations should identify the specifics in their health tourism resources, attractions, and products, seek collaboration with others, and build a common regional brand [ 79 ]. Regional differences should be considered in the process of marketing as medical-health-wellness tourism is a global industry [ 77 ]. International advertisers need to understand the important, contemporary, and cultural characteristics of target customers before promotion [ 80 ]. Similarly, destinations need to portray safe and advanced treatment facilities to dispel potential patient worries and suspicions. Messages related solely to low cost may detract from and even undermine messages about quality [ 71 ]. However, while benefits are highly emphasized online, websites may fail to report any procedural, postoperative, or legal concerns and risks associated with medical tourism [ 81 ].

4.8. Development Environments: Policies and Impacts

The rise of medical-health-wellness tourism emphasizes the privatization of healthcare, an increasing dependence on technology, and the accelerating globalization of healthcare and tourism [ 82 ]. There are challenges and opportunities in the development of these tourism forms. For instance, it has been suggested that medical tourism distorts national health care systems, and raises critical national economic, ethical, and social questions [ 83 ]. Along with the development of medical-health-wellness tourism, social-cultural contradictions [ 84 ] and economic inequities are widening in terms of access, cost, and quality of healthcare [ 85 ]. It is argued that this tourism leads destinations to emphasize tertiary care for foreigners at the expense of basic healthcare for their citizens [ 86 ]. Moreover, in some instances, this phenomenon can exacerbate the medical brain drain from the public sector to the private sector [ 43 , 87 , 88 ], leading to rising private health care and health insurance costs [ 88 ].

While medical-health-wellness tourism is a potential source of revenue, it also brings a certain level of risk to destinations and tourists [ 89 ]. The spread of this type of tourism has been posited as a contributing factor to the spread of infectious diseases and public health crises [ 90 , 91 ]. Medical tourists are at risk of hospital-associated and procedure-related infections as well as diseases endemic to the countries where the service is provided [ 92 ]. Similarly, the safety of some treatments offered has also been the subject of growing levels of scrutiny. Contemporary scholarship examining clinical outcomes in medical travel for cosmetic surgery has identified cases in which patients traveled abroad for medical procedures and subsequently returned home with infections and other surgical complications [ 93 ]. Stem cell tourism has been criticized on the grounds of consumer fraud, blatant lack of scientific justification, and patient safety [ 94 , 95 ]. During the process of medical tourism, inadequate communication, and information asymmetry in cross-cultural communication may bring medical risks [ 96 ].

Medical-health-wellness tourism has emerged as a global healthcare phenomenon. Policy guidance is vital for the development of this sector in the future [ 97 ]. There are policy implications for the planning and development of medical-health-wellness tourism destinations [ 98 ]. Generally, it has been found that the medical-health-wellness tourism sector tends to perform better in countries with a clear policy framework for this activity [ 99 ]. Similarly, scholars have argued the need for a clearer policy framework regulating tourism agencies and the information and services they provide [ 100 ]. The upsurge of these tourism forms presents new opportunities and challenges for policy makers in the health sector. It has been argued that existing policy processes are mainly based on entrenched ideological positions and more attention should be paid to robust evidence of impact [ 101 ]. The UK developed policies focused on ’patient choice’ that allow people who are able and willing to choose to travel further for healthcare [ 102 ]. However, more robust policy making is still required to strengthen national health services and facilitate medical-health-wellness tourism sector development in destinations [ 103 , 104 ].

5. Discussion and Conclusions

5.1. generation discussion.

This study is based on a literature review of 802 articles on medical-health-wellness tourism from 1970 to 2020. Jeremy Snyder was found to be the most prolific author in this field with 45 articles. It has been found that the literature on this topic can be summarized into three themes: markets (tourist demand and behavior), destinations (development and promotion), and development environments (policies and impacts). The scholarly research in this growing field has undergone a shift in emphasis from tourist demand and behavior to the promotion and development of destinations, and, more recently, to policies and impacts.

To attract more tourists, destinations should explore their potential for medical-health-wellness tourism. Accessibility, procedural options, treatment facilities, travel arrangements, safety guarantees, and government policies remain influential factors. In the development and promotion of this form of tourism, childhood vaccinations, oral health, legal frameworks, evaluation systems, entrance systems, and macro-policy continue to be areas of concern and where further research is required. Above all, meeting or exceeding tourist expectations and requirements is the most important consideration to promote medical-health-wellness tourism. Similarly, appropriate policy guidelines and frameworks are necessary to support this form of tourism. Importantly, medical-health-wellness tourism may result in negative impacts on the healthcare service provision for local residents in poorer countries, with tourists from richer countries benefiting to the detriment of local communities. However, if managed successfully, this form of tourism can also be a force for good in terms of fostering the economic development of countries delivering these services.

The results indicated that the research literature is spread across a range of different disciplines and there is not one single venue for publishing in this field. A better integration of the research and improved understanding of the overlaps among medical, health, and wellness tourism is required.

5.2. Future Research Trends

5.2.1. industrial perspective.

Medical-health-wellness tourism will, over time, integrate fully with other healthcare and wellness services. Similarly, medical challenges such as disease prevention and traditional medicine remain essential directions for the future of health tourism. This form of tourism will also integrate further with industries such as wellness culinary tourism, mindfulness tourism, active tourism (including adventure tourism), and even cosmetic surgery tourism, leading to a vast array of potential research avenues linked to health tourism destinations. These futures will greatly promote the physical and mental health of wellness tourists. This is another emerging direction for future medical-health-wellness tourism research.

5.2.2. Destination Development Perspectives

Medical-health-wellness tourism will become more significant forms of tourism and impact the development of different nations and areas. For example, this tourism will integrate with Chinese traditional culture. Traditional treatments and remedies will become more of an advantage and should be a topic for future medical-health-wellness tourism research, as well as in other countries with unique health cultures, treatments, and procedures.

Thailand, Malaysia, and other Southeast Asian countries are favored by tourists from developed countries due to lower costs. In the future, these areas need to focus more on tourism product design, health tourism marketing, community participation, and cross-cultural communication. Developed countries such as the USA, Japan, and South Korea, will use advanced technology and medical equipment to take the path to high-end, high value-added tourism development. This will lead to some new research opportunities.

5.2.3. Tourist Perspectives

Compared with other types of tourists, the needs of medical-health-wellness tourists will receive more attention. Based on previous research, the psychology and perceived value of these tourists are the focus of considerable research. In the future, more emphasis will be paid to people and especially to their psychological and physiological needs. Research on demand will become a more popular topic of this tourism research. Second, the current research on medical-health-wellness tourists is concentrated on the study of tourists in the USA and Canada. Future research should be more dispersed and diversified. Tourists from emerging countries such as Eastern Europe, Asia, the Middle East, and Africa will receive more attention.

5.3. Limitations

This study, inevitably, has a number of limitations, including the relatively modest amount of articles collected. Only articles written in English were considered. The sample number is rather small to represent the general research trends in medical-health-wellness tourism from 1970 to 2020. Therefore, it is desirable to increase the number of publications and expand the time and language coverage of the research articles to gain more insights.

Although the research scope of medical-health-wellness tourism is vast, it lacks in-depth exploration. Current research is fragmented, lacks continuity and comprehensiveness, and therefore cannot be considered systematic. Also, the legal aspects of the development of this tourism, environmental capacity of medical-health tourism, wellness tourism management, and mechanisms of profit distribution for medical-health-wellness tourism are less frequently mentioned in research articles. Innovation in this field and international cooperation, and talent cultivation are also not sufficiently addressed. The methods used in medical-health-wellness tourism research are often simple. Scholars still use traditional descriptive statistics and related analysis methods. The theoretical foundation of medical-health-wellness tourism is still relatively weak. We are in the primary stage of this tourism research and in the development of related tourism products. People all over the world are eager for healthy lives. Medical-health-wellness tourism is likely to play a more important future role in travel medicine and tourism research. Beyond what has been done already, follow-up research should be focused on interdisciplinarity and based on the integration of industries. More theoretical research is necessary to support the future growth of medical-health-wellness tourism.

Author Contributions

Formal analysis, L.Z.; Funding acquisition, L.Z.; Investigation, L.Z.; Supervision, B.D.; Data collection and analysis, B.D.; Writing-original draft, A.M.M. and J.A.C.-S.; Writing—original draft, A.M.M.; Writing—review & editing, A.M.M., J.A.C.-S. and L.Y.; Data collection and analysis. All authors have read and agreed to the published version of the manuscript.

National Natural Science Foundation of China, Grant no: 71673015); Ethnic research project of the National Committee of the people’s Republic of China. NO: 2020-GMD-089; Fundamental Research Funds for the Central Universities of Beijing Foreign Studies University, 2021JS001.

Institutional Review Board Statement

No human subjects were involved in this research and no institutional review was required.

Informed Consent Statement

Not applicable as there were no human subjects.

Data Availability Statement

Conflicts of interest.

The authors have no conflict of interest.

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Skin Cancer Treatments

Stem cell orthopedics, stem cell anti-aging, stem cell fertility, steps involved in ivf:, procedure description.

Skin cancer is a form of cancer that originates in the skin cells. There are various types of skin cancer, including basal cell carcinoma, squamous cell carcinoma, and melanoma, each with different severity levels, symptoms, and treatment approaches. The procedures involved in treating skin cancer can range from surgical interventions like excision and Mohs surgery to non-surgical options like topical treatments and radiation therapy. These treatments aim to remove or eliminate cancerous cells, preventing their spread and offering a better quality of life to the patient.

When skin cancer is caught in the early stages, the chances of successful treatment are much higher. However, in some cases, the cancer may be more advanced and require a combination of treatments, including chemotherapy and targeted therapy. The choice of treatment is dependent on multiple factors such as the type of skin cancer, its stage, and the patient's overall health.

Travelling abroad for skin cancer treatments has become an increasingly popular option, especially for those living in countries where the healthcare system is either too expensive or lacks advanced treatment options. Medical tourism allows these patients to seek specialized, affordable, and often quicker medical services in other countries.

Procedure Duration

The duration of a skin cancer treatment procedure can vary depending on several factors including the type of cancer, its stage, and the treatment method chosen. Simple surgical excisions may take as little as 30 minutes to an hour, but more complicated procedures like Mohs surgery may take several hours. In terms of recovery, surgical treatments may require a few weeks for full recovery, while radiation and chemotherapy could extend over several months.

It's important to note that the procedure duration mentioned above is a general guideline; the actual length of the procedure and recovery time may vary from patient to patient. In the case of non-surgical treatments, multiple sessions might be required, necessitating a longer stay abroad if you're considering medical tourism.

For those contemplating medical tourism for skin cancer treatments, planning a well-structured travel itinerary that allows for pre-operative consultations, the actual procedure, and post-operative care is essential. This ensures that you are adequately prepared for the treatment duration and the required time for full recovery.

• Cost Savings : Medical procedures abroad often cost a fraction of the price in countries like the United States.
• Expertise : Some countries are renowned for their specialized cancer treatment facilities and skilled medical professionals.
• Advanced Technology : Access to state-of-the-art medical technology can sometimes be more readily available in foreign healthcare systems.
• Shorter Wait Times : Medical tourists often experience shorter wait times for consultations and procedures.

Potential Destinations

• India : Known for high-quality cancer treatments at affordable prices.
• Germany : Renowned for precision medicine and advanced cancer therapies.
• South Korea : A leader in innovative skin cancer treatments.
• Israel : Offers some of the world's leading cancer treatment centers.
• Singapore : Known for excellent healthcare facilities and highly-skilled specialists.

Risks & Considerations

• Quality of Care : While many countries offer high-quality medical services, standards can vary.
• Travel Fatigue : Long-distance travel can be stressful and may not be suitable for all patients.
• Language Barrier : Communication difficulties may arise if the medical staff are not fluent in your native language.
• Legal Protections : In case of malpractice, legal recourse may be limited compared to your home country.

How to Choose the Right Doctor and Hospital

• Credentials : Verify the qualifications and experience of the healthcare providers.
• Patient Reviews : Check testimonials and reviews from previous patients.
• Accreditation : Look for internationally-recognized accreditations from reputable healthcare organizations.
• Consultation : Schedule a pre-treatment consultation to discuss your medical history and treatment options.
• Payment Options : Consider the payment arrangements and see if the hospital accepts your insurance or offers payment plans.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries.

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope ©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

Orthopedics Stem Cell

Research on mesenchymal stem cells regenerative properties in knee osteoarthritis. In these studies, researchers suggest that Stem Cell Therapy has the potential to regenerate lost cartilage, stop and reverse cartilage degeneration, provide pain relief, and improve patient mobility.

Stem Cell Therapy as an Alternative to Rotator Cuff & Shoulder Replacement Surgery. Stem cell therapy may offer an excellent alternative for patients looking to avoid shoulder joint replacement surgery, as well as many other surgical treatments for shoulder pain.

If you suffer from chronic or acute ankle pain or instability due to arthritis, cartilage loss, ligament strain or tear, or tendon damage, then you may benefit from non-surgical stem cell treatments or stem cell-enhanced surgery.

Patients now have a minimally invasive option. Stem cell therapy for back pain and disc herniations can potentially repair the damaged disc or facet joint, restore function, rehydrate the disc, and ultimately alleviate chronic pain.

Anti-Aging Stem Cell

Stem cell therapy and PRP therapy have been shown to be most effective for: Those in the early stages of hair loss, patients who are not viable candidates for surgery and women who prefer to avoid hair surgery.

Facial Anti-Aging

Aesthetic Anti-Aging. The Aesthetic Stem Cell Localized Treatment is a non-surgical minimally invasive procedure to enhance the appearance of aging skin and hair restoration. This all-natural technique combines dermal injections of bone marrow or adipose tissue derived stem cells and growth factors.

Fertility Stem Cell

Endometrial prp.

The stem cells used for treatment of a thin endometrium include mesenchymal stem cells. In addition, successful repair of the endometrium in pregnancy with stem cells has been reported previously.

Low Ovarian Reserve (PRP)

The treatment uses PRP (Platelet-Rich-Plasma), which with stem cell therapy is the novel therapeutic approach for restoring the quality of the ovarian reserve.Your PRP will contain a physiologic balance of platelets, growth factors and white blood cells tailored specifically for you.

Punta Mita Hospital

Punta Mita Hospital - Genesis Cell

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Medical tourism: A passport to wellness

The ups and downs of traveling abroad for health care.

By Ethan Bauer

Every year, millions travel abroad seeking health care they can afford. “Medical tourism” is an estimated $92 billion industry that is growing by 15-25 percent each year, promising cheaper access to dental implants, plastic surgery, fertility assistance and even exotic cancer treatments — and doubles as something like a vacation to countries like Thailand or Mexico. The practice has become common around the world, but it’s particularly cost-effective here; the average American pays more than $12,500 on health care each year, outpacing the citizens of any other wealthy nation by $4,000. Some insurance companies have embraced the practice, too, but the savings come along with new risks and potential complications. Is medical tourism a boon for the marketplace, or a symptom of something rotten?

Free-market triumph

Access to doctors and clinics abroad empowers Americans to make the best choices for their own health by introducing competition to a stagnant system, dramatically expanding a growing range of options. Consumers can save up to 80 percent of what they’d pay at home, according to Patients Beyond Borders, a North Carolina company that promotes the practice. For many, these savings constitute a lifeline.

“Our market has always been what I call the ‘working poor’ and they just keep getting poorer,” Josef Woodman, the company’s CEO, told The New York Times in 2021. “The pandemic has gutted low-income and middle-class people around the world, and for many of them the reality is that they have to travel to access affordable health care.” The differences in cost are most salient for elective procedures, like plastic surgery, fertility treatment and dental work, which are not usually covered by insurance.

Institutions and corporations can also benefit from even a quick jaunt into a neighboring country. In Utah, the public trust that insures state employees offers a “pharmacy tourism program,” flying clients to San Diego and shuttling them across the border to buy low-cost prescription drugs in Tijuana, Mexico. Or if they prefer, they can choose to travel to Vancouver, Canada. In 2021, researchers at the University of Chicago argued that even medical tourism to other markets within the United States could be the most cost-effective way to fill the gap left by vanishing rural hospitals. Less glamorous, perhaps, but utilitarian.

Some patients travel for personal reasons, like getting access to cutting-edge treatments or privacy for elective procedures like cosmetic surgery. “Many can return home from their ‘vacation’ without anyone knowing they had a procedure at all,” writes one registered nurse for the physician-reviewed health website Verywell Health. Others may travel for treatments that aren’t approved or allowed in the U.S., like stem cell therapy or other experimental procedures.

Despite the inevitable hand-wringing over quality of care, the independent nonprofit The Joint Commission has recognized over 1,000 medical facilities worldwide that meet its standards. The same organization has accredited American hospitals since 1951 and is the largest health care accreditor in the nation, so its approval carries weight.

Systemic failure

Medical tourism is an indictment of our nation’s health care system, masked in pleasant terminology. “I prefer the term ‘outward medical travel,’” writes MSNBC health columnist Dr. Esther Choo, “and would argue that (this industry) should remind us of how inaccessible health care is here and the lengths to which people will go to get the care they want or need.” Patients may not realize what they’re risking, whether at their own initiative or nudged by insurance providers. “Quality and safety standards, licensure, credentialing and clinical criteria for receiving procedures are not consistent across countries and hospitals.”

These are not academic concerns, but vital issues with life-threatening consequences. One analysis from the Centers for Disease Control and Prevention found that 93 Americans died between 2009 and 2022 due to complications from botched cosmetic surgeries in the Dominican Republic alone. The federal agency has also found outbreaks of antibiotic-resistant bacteria that were linked to medical tourism in Mexico and warns that the most common complications among medical tourists are infections.

Medical tourists seeking access to treatments that have not been tested and approved by regulatory agencies in the U.S. may not be aware of the risks they are taking with a practice that researchers at Canada’s Simon Fraser University call “circumvention tourism.” They warn of potentially enormous pitfalls, from shattered hopes to money-sucking quackery. “Individuals may be desperate for a cure and vulnerable to engaging in decision-making that’s predicated on hope,” they write, “without a full understanding of the likelihood of success.”

Perhaps the most common problems are the most obvious: Patients are traveling far from home to get treatment from doctors who cannot participate in long-term follow-up, often coming up against linguistic and cultural challenges. Much more prevalent than the risk of getting targeted by opportunistic criminals are these impediments to communicate their needs. “It might be a no-brainer,” observes Henry Ford Health, one of the largest health care companies in Michigan, “but if you don’t speak the local language, it might be difficult to explain any feelings of discomfort or apprehension as they come up.”

This story appears in the April 2024 issue of Deseret Magazine . Learn more about how to subscribe .

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Medical Tourism

"affordable healthcare abroad: cost comparisons for medical treatments" - a comparison of treatment costs in different medical tourism destinations, highlighting potential savings for patients..

Medical tourism has become a popular option for patients seeking affordable healthcare services. In this detailed article, we compare the cost of medical treatments in different destinations, highlighting potential savings for patients. From cosmetic surgery in Thailand to dental treatments in Mexico, patients can find significant cost savings by traveling abroad for medical care. This article provides an in-depth cost comparison to help patients make informed decisions about their healthcare options.

Affordable Healthcare Abroad: Cost Comparisons for Medical Treatments

Medical tourism has become a popular option for patients seeking affordable healthcare services. The high cost of healthcare in many countries, combined with long wait times and limited access to specialized treatments, has prompted patients to seek medical treatments abroad. From cosmetic surgery in Thailand to dental treatments in Mexico, patients can find significant cost savings by traveling abroad for medical care. In this article, we will compare the cost of medical treatments in different destinations, highlighting potential savings for patients.

Cosmetic Surgery

Cosmetic surgery is a popular medical tourism option, with many patients seeking affordable treatments such as breast augmentation, liposuction, and rhinoplasty. The cost of cosmetic surgery varies depending on the destination and the specific treatment, with some countries offering significantly lower prices compared to others.

Brazil is one of the most popular destinations for cosmetic surgery, with prices that are up to 60% lower than in the US. For example, a breast augmentation in Brazil can cost as little as $3,500, compared to an average cost of $6,500 in the US. Thailand is another popular destination for cosmetic surgery, with prices that are up to 50% lower than in the US. A rhinoplasty in Thailand can cost as little as $2,000, compared to an average cost of $5,000 in the US.

Dental Treatments

Dental treatments are another popular medical tourism option, with many patients seeking affordable treatments such as dental implants, crowns, and veneers. The cost of dental treatments varies depending on the destination and the specific treatment, with some countries offering significantly lower prices compared to others.

Mexico is one of the most popular destinations for dental treatments, with prices that are up to 70% lower than in the US. For example, a dental implant in Mexico can cost as little as $1,200, compared to an average cost of $3,000 in the US. Thailand is another popular destination for dental treatments, with prices that are up to 50% lower than in the US. A dental crown in Thailand can cost as little as $200, compared to an average cost of $1,000 in the US.

Orthopedic Procedures

Orthopedic procedures such as joint replacements and spinal surgeries are often expensive in many countries, making medical tourism a popular option for patients seeking affordable treatments. The cost of orthopedic procedures varies depending on the destination and the specific treatment, with some countries offering significantly lower prices compared to others.

India is one of the most popular destinations for orthopedic procedures, with prices that are up to 80% lower than in the US. For example, a knee replacement in India can cost as little as $6,000, compared to an average cost of $35,000 in the US. Thailand is another popular destination for orthopedic procedures, with prices that are up to 50% lower than in the US. A spinal fusion in Thailand can cost as little as $8,000, compared to an average cost of $30,000 in the US.

Cancer Treatments

Cancer treatments such as chemotherapy and radiation therapy can be prohibitively expensive in many countries, making medical tourism a popular option for patients seeking affordable treatments. The cost of cancer treatments varies depending on the destination and the specific treatment, with some countries offering significantly lower prices compared to others.

Mexico is one of the most popular destinations for cancer treatments, with prices that are up to 50% lower than in the US. For example, a course of chemotherapy in Mexico can cost as little as $4,000, compared to an average cost of $12,000 in the US. India is another popular destination for cancer treatments, with prices that are up to 90% lower than in the US. For example, a course of radiation therapy in India can cost as little as $2,500, compared to an average cost of $25,000 in the US.

Fertility Treatments

Fertility treatments such as in vitro fertilization (IVF) can be expensive in many countries, making medical tourism a popular option for patients seeking affordable treatments. The cost of fertility treatments varies depending on the destination and the specific treatment, with some countries offering significantly lower prices compared to others.

Thailand is one of the most popular destinations for fertility treatments, with prices that are up to 50% lower than in the US. For example, a cycle of IVF in Thailand can cost as little as $4,000, compared to an average cost of $12,000 in the US. India is another popular destination for fertility treatments, with prices that are up to 70% lower than in the US. A cycle of IVF in India can cost as little as $3,000, compared to an average cost of $10,000 in the US.

Potential Savings for Patients

By traveling abroad for medical treatments, patients can save thousands of dollars compared to the cost of the same treatments in their home countries. For example, a patient who travels to Mexico for dental implants can save up to $1,800, while a patient who travels to India for a knee replacement can save up to $29,000. These cost savings can make medical treatments more accessible for patients who would otherwise be unable to afford them.

However, it's important for patients to do their research and choose a reputable hospital and doctor before embarking on a medical tourism journey. Patients should also factor in the cost of travel and accommodation when considering medical treatments abroad.

In conclusion, Medical tourism can offer significant cost savings for patients seeking affordable healthcare services. From cosmetic surgery in Brazil to cancer treatments in Mexico, patients have a range of options to choose from when it comes to medical tourism destinations. By comparing the cost of medical treatments in different destinations, patients can make informed decisions about their healthcare options and potentially save thousands of dollars in the process.

‍ To receive a free quote please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com/

It is recommended that consumers do not share their personal and confidential information on random medical tourism platforms as they may not be secure. Consumers must be cautious when disclosing their private information as some organizations may not protect their privacy and could misuse their information. Additionally, there are agencies that may prioritize their commissions over the well-being of the patients. Consumers should avoid choosing the cheapest price and instead make a thorough comparison across multiple facilitators to make an informed decision.

Exploring the Surge of Cosmetic Tourism: Trends and Considerations in Aesthetic Procedures Abroad

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The Medical Tourism Magazine (MTM), known as the “voice” of the medical tourism industry, provides members and key industry experts with the opportunity to share important developments, initiatives, themes, topics and trends that make the medical tourism industry the booming market it is today.