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Some patients need revision.","revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Repeat voice surgery for inadequate pitch rise or pitch relapse within several years."},"scars":"Endoscopic transoral approaches leave no external scar. Cricothyroid approximation uses a small neck crease incision. 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Later reviews and therapy can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Choose a laryngologist who regularly performs this surgery, since it reduces complication risk","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/procedures/voice-feminization-surgery","host":"my.clevelandclinic.org","quote":"Working with a laryngologist who regularly performs voice feminization surgery reduces your risk of complications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask about the risks that apply to the specific procedure recommended for you","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/procedures/voice-feminization-surgery","host":"my.clevelandclinic.org","quote":"Ask your healthcare provider about potential risks based on the type of procedure they recommend for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Talk with your laryngologist and speech-language pathologist before surgery about what success means for you","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/procedures/voice-feminization-surgery","host":"my.clevelandclinic.org","quote":"This is why it's so important to talk with your laryngologist and SLP before surgery so everyone’s on the same page about what a successful voice surgery means for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Make sure you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision about treatment abroad is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"No discussion of possible complications before booking is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"The clinic cannot answer questions about the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The clinic’s facilities or standards do not satisfy you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"The provider cannot explain how aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Trouble breathing","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/voice-feminization-surgery","host":"my.clevelandclinic.org","quote":"Noticing signs of an infection (like fever , chills or pus at the incision site). Having trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Trouble swallowing water or soft foods","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/voice-feminization-surgery","host":"my.clevelandclinic.org","quote":"Having trouble swallowing water or soft foods.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Pus at the incision site","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/voice-feminization-surgery","host":"my.clevelandclinic.org","quote":"Noticing signs of an infection (like fever , chills or pus at the incision site).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Fever","urgency":"emergency","general":true,"source":{"url":"https://my.clevelandclinic.org/health/procedures/voice-feminization-surgery","host":"my.clevelandclinic.org","quote":"Noticing signs of an infection (like fever , chills or pus at the incision site).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"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}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want to reach your goals without surgery","name":"Gender-affirming voice therapy","source":{"url":"https://my.clevelandclinic.org/departments/head-neck/depts/voice-center","host":"my.clevelandclinic.org","quote":"Many patients can achieve their goals without surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"wendler-glottoplasty","name":"Wendler glottoplasty (anterior commissure web formation)","how_it_works":{"text":"Tissue is removed from the front of the vocal cords","source":{"url":"https://my.clevelandclinic.org/health/procedures/voice-feminization-surgery","host":"my.clevelandclinic.org","quote":"Removes several layers of tissue from the vocal cords at the front of your voice box.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"cricothyroid-approximation","name":"Cricothyroid approximation","how_it_works":{"text":"Stitches join cartilage from the top and bottom of the voice box","source":{"url":"https://my.clevelandclinic.org/health/procedures/voice-feminization-surgery","host":"my.clevelandclinic.org","quote":"Stitches together cartilage from the top and bottom of your voice box, increasing the tightness of your vocal cords.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"laser-reduction-glottoplasty","name":"Laser reduction glottoplasty","how_it_works":{"text":"A laser destroys the outer tissue of the vocal cords","source":{"url":"https://my.clevelandclinic.org/health/procedures/voice-feminization-surgery","host":"my.clevelandclinic.org","quote":"Destroys the outermost tissues of your vocal cords with light energy from a laser, increasing the tension in your vocal cords.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=madrid/procedure=feminizaciya-golosa/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":12},"manualSeo":[],"updatedAt":"2026-11-14T17:40:09.443Z","activeCountries":["ES","TR","UA","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}