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sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"make sure you have a consultation with the surgeon (avoid meetings only with sales people)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Being asked to pay for a hospital you have never seen is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"do not pay for a hospital you have never seen","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Stitches separate or tear open before healing","urgency":"contact_clinic","general":false,"source":{"url":"https://www.isaps.org/discover/patients-home/procedures/body-procedures/hymenoplasty/","host":"isaps.org","quote":"If the surgical stitches separate or tear open before they completely heal, the surgery may not achieve the desired result.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Unusual odor from the vaginal area","urgency":"contact_clinic","general":false,"source":{"url":"https://www.isaps.org/discover/patients-home/procedures/body-procedures/hymenoplasty/","host":"isaps.org","quote":"If you experience severe pain, an unusual odor, or signs of an infection (like a fever), you should contact your qualified surgeon right away.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Severe pain after the procedure","urgency":"contact_clinic","general":false,"source":{"url":"https://www.isaps.org/discover/patients-home/procedures/body-procedures/hymenoplasty/","host":"isaps.org","quote":"If you experience severe pain, an unusual odor, or signs of an infection (like a fever), you should contact your qualified surgeon right away.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives the home doctor the follow-up plan needed to continue care","document":"written discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer a nonsurgical option to surgery","name":"Herbal vaginal creams","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4564506/","host":"pmc.ncbi.nlm.nih.gov","quote":"Nonsurgical methods like creams containing herbal extracts and hydroxyethyl cellulose substances have been tried.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer a reported alternative to surgery","name":"Pelvic floor exercises","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10565202/","host":"pmc.ncbi.nlm.nih.gov","quote":"Fake blood capsules and pelvic floor exercises have been reportedly used as potential alternatives to surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"hymenal-remnant-suture","name":"Hymenal remnant suture reconstruction","how_it_works":{"text":"Remaining hymenal tissue is stitched together, if present","source":{"url":"https://www.isaps.org/discover/patients-home/procedures/body-procedures/hymenoplasty/","host":"isaps.org","quote":"Stitching together remaining hymenal tissue (if present).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"flap","name":"Flap/mucosal reconstruction (e.g., vaginal mucosal flap)","how_it_works":{"text":"Small sections of vaginal tissue are used to rebuild the 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