Each treatment, fully unpacked — procedure, packages, safety, costs
Six of our most-requested treatments documented the way a hospital documents them — not the way a brochure does.
Coronary Artery Bypass Graft (CABG) — Premier Package
What it is
Coronary Artery Bypass Graft (CABG, pronounced "cabbage") is open-heart surgery to restore blood flow when one or more coronary arteries are blocked. The surgeon takes a healthy blood vessel — typically the left internal mammary artery (LIMA) and/or saphenous vein from the leg — and grafts it around the blockage. It is the gold-standard treatment for triple-vessel disease, left-main disease, and diabetic patients with multi-vessel CAD.
Who it is for
- Triple-vessel coronary artery disease (CAD) with angina unresponsive to medication
- Left main coronary artery disease (LMCA > 50% stenosis)
- Diabetics with multi-vessel disease (CABG outperforms PCI/stenting)
- Failed PCI / re-stenosis after previous angioplasty
- Combination cases: CABG + valve replacement, CABG + LV aneurysmectomy
Why India · why us · why Lucknow
Indian cardiac centres perform over 200,000 bypass surgeries a year with outcomes meeting or beating US benchmarks at 7–10% of the cost. Medanta Lucknow is part of the Medanta network founded by Dr. Naresh Trehan, India's most decorated cardiac surgeon. The Lucknow unit runs the same protocols, same imported consumables, same imported anaesthetics — but with hotel-and-recovery costs 40–60% lower than Delhi. Three hours direct flight from Muscat.
Step-by-step clinical pathway
Pre-operative workup
Echocardiogram, coronary angiogram review, carotid Doppler, pulmonary function tests (PFT), HbA1c, complete blood profile, viral markers, blood grouping & cross-match. Anaesthesia consult. Dental clearance (mandatory — to prevent post-op endocarditis).
Anaesthesia & preparation
General anaesthesia (3-drug). Endotracheal intubation. Central venous + arterial lines. Foley catheter. Trans-oesophageal echo (TEE) probe. Surgical site preparation. 5-min surgical safety checklist (WHO standard).
Median sternotomy & harvest
Vertical incision through the sternum. Simultaneous harvest of LIMA (left internal mammary artery) and/or saphenous vein from leg. Heparin loaded.
Cardiopulmonary bypass (on-pump) OR beating-heart (off-pump)
Heart-lung machine takes over; aorta clamped; heart stopped with cardioplegia solution. Off-pump option (OPCAB) available for elderly / kidney-compromised patients — heart kept beating, surgery done with stabilisers.
Graft anastomosis (3–5 grafts typical)
Distal anastomoses to blocked coronaries; proximal to aorta. Sequential / Y-grafts when needed. Total: 3–6 hours.
Weaning, haemostasis, closure
Heart restarted; weaned off bypass; protamine reversal of heparin; meticulous haemostasis; chest tubes; sternum wired closed; subcutaneous + skin closure.
ICU recovery (3 nights)
Ventilated 4–12 hours, then weaned. Inotropes weaned. Chest tubes removed Day 2. Stepdown to ward Day 3. Daily echo, ECG, troponin.
Ward recovery + cardiac rehab
Mobilisation Day 4. Stair climbing Day 6. Discharge readiness assessed by Day 7–8. Sternal precautions taught.
Hotel recovery + final review
Daily home nurse visit. Doctor tele-check at Day 11. Final in-person review Day 13. Discharge summary, 90-day medication, departure Day 14.
What's actually included in your $8,500 package
Included
- Surgery + anaesthesia + perfusion team
- 3 nights ICU + 4 nights ward (private room)
- All imported grafts, sutures, drugs, blood products
- Pre-op investigations (worth $1,400)
- 7 nights deluxe hotel within 2km of hospital
- Daily breakfast + 1 dinner
- All ground transfers (airport, hospital, hotel)
- e-Medical Visa assistance
- Dedicated case manager (English / Arabic / French)
- Cardiac rehab + sternal-precaution kit
- 30 / 60 / 90 day tele follow-up
- 90-day medication kit
Optional add-ons
- AYUSH cardiac recovery in Rishikesh (7-day) — $1,200
- Second attendant + visa — $800
- Suite upgrade — +$60/night × 7 = $420
- Medical complications insurance (₹1cr cover) — $200
- Bedside translator (Arabic / Russian) — $400
- Family Taj Mahal day trip — $250/pp
- Cardiac MRI for pre-op deep evaluation — $350
Day-by-day itinerary
How we ensure your safety, security & smooth journey — CABG-specific
Cardiac surgery is the most operationally complex thing we facilitate. Here's the protocol stack we run, layer by layer:
Pre-acceptance medical board
Our in-house medical director (a practising doctor) reviews every CABG case with the lead cardiac surgeon BEFORE you book. If risk is too high, we tell you — even if we lose the case.
Infection control (HAI prevention)
Only JCI-accredited operating theatres. HEPA-filtered, laminar-flow. MRSA screening on admission. Antibiotic prophylaxis per WHO. Hand hygiene compliance >95%.
Blood & transfusion
Cross-matched, NAT-tested blood (HIV/HBV/HCV). Auto-transfusion for blood conservation. Cell saver where indicated.
24×7 founder + case manager line
You get direct WhatsApp access to the founder and the medical director. If anything goes sideways at 2am, a human answers.
Transparent itemised billing
Hospital tariff and our service fee shown separately. No commission padding. Razorpay escrow until discharge.
Complications insurance ($200 add-on)
Covers extended stay, re-operation costs, ICU upgrade. Hospital carries its own malpractice cover; this is additional.
30 / 60 / 90 day tele follow-up
Video calls with treating cardiac surgeon at home. Wound photos reviewed. Medication titration. Free.
Data security · DPDP 2023
Your medical records are encrypted at rest, stored in India, never sold or shared. Right to erasure on request.
Your cardiac team
Dr. Pravin K. Goel
Cardiac Surgery Team
SGPGI Cardiology (Govt)
Profiles maintained jointly with Practo, Vaidam, HexaHealth. Doctors are independent consultants at partner hospitals; we facilitate access only.
Where your $8,500 actually goes
Vs USA average $95,000 · UK private $32,000 · Singapore $22,000 · Thailand $15,000. Hospital tariff and our service fee always shown separately — never hidden as commission.
Bilateral Knee Replacement · Robotic-Assisted
What it is
Total knee replacement (TKR / TKA) replaces the diseased joint surfaces of the femur, tibia and patella with implants (cobalt-chrome femoral, titanium tibial, polyethylene insert). Robotic-assisted systems like MAKO (Stryker) and Cuvis-Joint use pre-op CT planning and intra-op haptic feedback to place implants within 1° of perfect alignment — meaningfully better than freehand for long-term implant survival.
Why bilateral in one sitting?
Single anaesthesia, single hospital stay, faster overall recovery, single travel trip. For appropriate patients (cardiac/renal cleared, BMI <38), bilateral TKR is the global gold-standard for symmetric severe arthritis. We will tell you honestly if your case isn't bilateral-suitable.
Step-by-step clinical pathway
Pre-op CT for robotic planning
3D model built in MAKO software. Implant size, rotation, alignment pre-planned to 1° precision.
Surgery (3.5–4.5 hours bilateral)
Spinal + light GA. Midline anterior incision both knees. Robot arm assists bone cuts. Trial components → final implant fixation with antibiotic-bone-cement. Closure.
Hospital recovery + physio
Walker → walking aided Day 1. Stair climbing Day 3. CPM machine. Knee brace. Discharge Day 4.
Hotel + outpatient physio
Daily 2-hour physio at hospital. Walking unaided by Day 7.
Final clearance + departure
X-rays. Home exercise protocol. Discharge summary. 30 / 60 / 90 day tele follow-up.
Included
- Bilateral knee replacement (robotic-assisted)
- Imported implants (Stryker / Zimmer)
- 4 nights hospital + 6 nights hotel
- 20+ physiotherapy sessions
- Walking aids, knee brace, ice machine
- All transfers + case manager
- 90-day tele follow-up + home exercise app
Optional add-ons
- Single-knee package — $4,200
- Extra week of physio — $350
- Ayurvedic joint care Rishikesh — $900
- Custom 3D-printed implant — +$1,200
Implant-related infection prevention
Laminar-flow theatre, body-exhaust suits, weight-adjusted antibiotic prophylaxis, intra-op povidone-iodine lavage, vancomycin-impregnated cement on request.
DVT prophylaxis
Pneumatic compression, early mobilisation, LMWH for 14–28 days, foot pumps. Critical because air travel post-surgery increases DVT risk.
Implant traceability
Every implant bar-code logged. Lot number on your discharge summary. If a recall ever happens, we can reach you.
Fly-fit clearance before departure
Cabin altitude raises DVT risk after orthopaedic surgery — we do a fly-fit physio + clinical clearance before booking your return flight.
IVF + ICSI + 7-Day AYUSH Wellness
What it is
In Vitro Fertilisation (IVF) with Intracytoplasmic Sperm Injection (ICSI) is the most successful assisted reproduction technique. Eggs are retrieved, fertilised in lab (with a single sperm injected per egg in ICSI), cultured to blastocyst stage, and transferred to the uterus. India's IVF success rates are comparable to US/UK at <25% of cost. Our package adds 7 days of fertility-supportive Panchakarma in Rishikesh between stimulation and embryo transfer — a unique combination no other facilitator offers.
Consultation + baseline hormone panel
AMH, FSH, LH, oestradiol; ultrasound; partner semen analysis.
Ovarian stimulation
Daily gonadotropin injections (self-administered, nurse assistance). 3 monitoring scans + estradiol checks. Trigger shot at follicle maturity.
Egg retrieval (OPU)
30-min day-care procedure under sedation. Transvaginal aspiration.
ICSI + blastocyst culture
Embryologist injects single sperm into each mature egg. Cultured to Day 5 blastocyst.
AYUSH support week in Rishikesh
Couple travels to Rishikesh. Daily abhyanga, shirodhara, fertility-supportive Ayurvedic diet, gentle yoga, stress-reduction.
Embryo transfer
Single or double embryo transfer under ultrasound guidance. No anaesthesia needed.
Implantation window · bed rest + AYUSH
Quiet recovery, continued AYUSH support, light yoga.
Pregnancy test + tele follow-up
Beta-hCG done in home country. Tele consult to interpret. Follow-up to 12-week scan.
Included
- Full IVF cycle with ICSI
- All hormone injections + monitoring
- Embryo culture to blastocyst
- Single embryo transfer (SET)
- 14 nights Lucknow + 7 nights Rishikesh
- Daily Panchakarma + yoga (Rishikesh)
- Couple's case manager (multilingual)
- e-Medical / e-AYUSH visa
- Pregnancy follow-up to 12-week scan
Optional add-ons
- PGT-A genetic testing — $1,400
- Embryo freezing (per year) — $600
- Donor egg / sperm — separate quote
- Frozen embryo transfer (FET) — $1,200
- Couple's Taj Mahal photoshoot — $420
Lab quality (ESHRE-aligned)
ISO-certified embryology lab. Time-lapse incubators. Air-quality VOC-monitored. Embryologist:cycle ratio <1:30.
OHSS prevention
Antagonist protocols, dose-adjusted to AMH/AFC, agonist trigger if high-risk. Day-of-trigger ultrasound mandatory.
Cultural & religious sensitivity
For Muslim couples: gamete handling protocols, no third-party gametes, transparent chain-of-custody. For Hindu/Christian couples: similar standards on request.
Honest success rates upfront
We share Apollomedics IVF clinic's age-stratified live-birth rates. No inflated marketing numbers.
Oncology · Surgical Tumour Resection + Adjuvant Care
What we treat
Surgical and combined-modality oncology for solid tumours: breast, colorectal, gastric, hepatobiliary, gynaecologic, head & neck, lung, and urological cancers. India's leading centres now offer robotic surgery, CAR-T cell therapy (Apollo platform), proton therapy (Apollo Chennai), and standard chemotherapy at 8–15% of US prices.
Our oncology pathway always starts with a multi-disciplinary tumour board review: med-onco + surg-onco + radiation-onco + pathology all weigh in on your case before we quote.
Pathology / imaging review
You send slides + scans. Our partner pathology lab reviews. Tumour board meets within 5 days.
Arrival + restaging
PET-CT if not already done. Tumour markers. Anaesthesia + cardiac clearance.
Surgical resection
Robotic / laparoscopic / open depending on indication. Frozen section margins. Lymph node dissection.
Recovery + final histopath
Pathology in 4–5 days. Tumour board reconvenes for adjuvant plan.
Adjuvant chemo (1st cycle) OR plan handover
Either start first chemo cycle in India and continue at home, or hand over plan to your local oncologist.
Tumour board first
No case starts without multi-disciplinary review. If India isn't right for your case, we will tell you up-front.
Pathology re-review
Outside slides re-read by our partner pathologists. ~5% of cases are reclassified — sometimes a more favourable diagnosis.
Home-country oncologist loop
We CC your home oncologist on every report, with consent. Continuity is the patient's best protection.
Chemo continuation kit
If adjuvant chemo starts in India, we ship a 90-day protocol + medication kit + monitoring schedule for your home oncologist.
Kidney Transplant · Live Donor
What it is
Live-donor kidney transplant — donor must be a near-relative (parent, sibling, spouse, child) per India's Transplantation of Human Organs Act (THOA, 1994 + amendments). Donor and recipient must both travel together. Cadaveric (deceased donor) transplants for foreign nationals are not permitted under Indian law.
Cross-match + relationship docs
Blood group, HLA matching, DNA-confirmed relationship documentation, embassy attestation.
Authorisation Committee hearing
Hospital Authorisation Committee reviews donor-recipient relationship + voluntary consent. Mandatory by law.
Donor + recipient surgery (same day)
Donor nephrectomy (laparoscopic preferred). Recipient transplant. ICU for both 48–72h.
Recovery + immunosuppression
Tacrolimus / MMF / steroid taper. Daily creatinine monitoring. Discharge Day 14–18.
Hotel recovery + departure
Both donor + recipient must be cleared. Departure typically Day 28–35.
THOA compliance · zero shortcuts
We do NOT facilitate cases without genuine documented near-relative donors. Any attempt at commercial organ trade = case rejected. Indian law is strict — and we are stricter.
Authorisation Committee preparation
We help compile relationship proof (birth certs, marriage certs, embassy attestation, DNA test if needed). Mock interview prep with our medical director.
Life-long immunosuppression supply
We arrange 6-month medication kit + connection to Indian generic pharmacy for ongoing supply via courier (legal, cost-effective).
Donor follow-up included
Donor's tele follow-up at Day 30, 60, 90, 180, 365. Living donors are heroes; their long-term health matters too.
AYUSH Panchakarma · 7-Day Wellness Retreat
What it is
Panchakarma (literally "five actions") is the classical Ayurvedic detoxification programme: Vamana (therapeutic emesis), Virechana (purgation), Basti (medicated enema), Nasya (nasal therapy), Raktamokshana (blood-letting — rarely used today). In modern practice, it's a 7–21 day medically-supervised programme combining selected purification + abhyanga (oil massage) + shirodhara (oil pouring on forehead) + diet + yoga + meditation.
India introduced the e-AYUSH Visa in July 2023 specifically for international patients seeking Ayurveda, Yoga, Naturopathy, Unani, Siddha or Homeopathy. Only 361 issued in 18 months — a wide-open lane.
A typical 7-day Panchakarma day
Yoga + pranayama
60-min gentle hatha or therapeutic asanas + breathwork by certified yoga therapist.
Sattvic breakfast
Warm, easily digestible, dosha-balancing meal designed by the resident Ayurvedic physician.
Abhyanga + Swedana
Two-therapist warm-oil massage (60–90 min) + steam therapy. Mobilises toxins.
Shirodhara / Specialised therapy
Continuous warm-oil pour on forehead. Or Nasya / Basti depending on prescription.
Lunch + rest
Main meal of day per Ayurvedic principle. 60-min siesta.
Counselling + meditation
Daily 30-min consult with Ayurvedic physician. 30-min guided meditation.
Light dinner + Satsang
Early, light meal. Evening kirtan / discourse / Ganga aarti (Rishikesh).
Ministry of AYUSH certified centres only
We do NOT use uncertified spa-style "Ayurveda resorts". Every partner centre has a registered Ayurvedic physician + qualified therapists.
GMP-certified herbal medicines
All internal medications from GMP-certified pharmacies (Kottakkal, Vaidyaratnam, Patanjali Wellness, etc.).
Pre-screening for medical conditions
Panchakarma isn't right for everyone. We screen for pregnancy, severe heart disease, uncontrolled diabetes, active infections.
Allopathic backup
Empanelled hospital within 30 min of every wellness centre. Emergency protocol documented.
