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Services and fees

Four things we offer, and what each one costs.

Prices are shown here, not on request. Each is a fixed amount in US dollars that does not change with what you decide afterwards — and the specialist advising you takes no share of any referral margin.

01 What you can ask us for

Free

Know Before You Go

No charge, no account, no email required

The decoded procedure library. Read the operation you have been offered before you speak to anyone at all — including us.

  • Indications: is this operation even for you?
  • Benefits and risks, honestly weighted
  • Alternatives, including doing nothing
  • The questions to ask your own surgeon
US$20

Your personal risk report

Your case, summarised and risk-stratified · My Surgery, My Risk

Your reports and history organised into one structured summary, your surgical and anaesthetic risk graded using recognised scoring systems, and any further investigation that would help a decision. A licensed physician reviews and signs off every report before it reaches you.

  • A clear summary of your case, in one document
  • Risk stratification using standard scoring systems
  • Which further tests or imaging would help, and why
  • The specific questions your case raises

This is not a treatment plan and contains no medication advice. It is the document that makes a consultation — with us or with anyone else — faster and better informed.

US$50

Specialist consultation

One specialist, one to one, with everything in writing

A full consultation with the specialist in the relevant field, prepared for by our medical team and transcribed for you.

  • Case preparation included, at no extra cost
  • Live transcript, yours to keep
  • Written plan, alternatives and costing
  • A prescription where interim treatment or further tests would help
  • Fourteen days of written follow-up questions
Two consultants in two different offices, each studying the same scan independently.

One specialist, in their own clinic

Studies your case, forms a view, writes it down. Never sees what the other one said.

A second specialist, somewhere else entirely

Does exactly the same thing, from scratch. You receive both, unedited, side by side.

Two-opinion panel, US$100 — two doctors, two answers, no editing

For decisions where a second view genuinely changes things — a cancer operation, a joint replacement in someone young, a repeat IVF cycle, a spine fusion — two specialists consult on your case independently. Neither sees the other's opinion first.

You receive both transcripts and both plans, side by side, exactly as written. Where they disagree, we show the disagreement. We do not merge two opinions into one comfortable summary, and we do not quietly drop the one that recommends less surgery.

US$100 — two consultations, priced as two consultations. We add nothing for arranging it.

And one thing that is free: doctor to doctor

If you are a physician or surgeon with a case you would like to discuss, we connect you directly with the right specialist for a peer conversation — usually within 48 hours, at no charge, ever. No patient present, no report, no invoice. See the page for referring doctors →

02 Side by side

Which one do you actually need?

LibraryRisk reportConsultationPanel
Best whenYou are just starting to understand the operationYou are broadly decided but worried about your own fitnessYou have been offered surgery and need a real opinion on your caseThe decision is major, irreversible, or you have been given conflicting advice
Who writes itOur editorial team, reviewed by specialistsA licensed physicianThe specialist in that fieldTwo specialists, independently
You receiveA decoded procedure pageA written personal risk profileTranscript, plan, alternatives, costingTwo of everything, unedited
PriceFreeUS$20US$50US$100
TurnaroundImmediateStated when you bookStated when you bookStated when you book

03 Fee rules

Four things we hold ourselves to.

Rule 1

The doctor is paid for the consultation

Much of this industry asks specialists for free opinions in exchange for the promise of patients. A consultation given for nothing is worth roughly that: rushed, half-attentive, and delivered by someone whose real interest is in the operation. We pay the doctor for the hour. That is what buys you a proper one.

Rule 2

We never hold your treatment money

If you go on to be treated, you pay the hospital directly. We do not take custody of surgical payments, deposits or refunds at any point.

Rule 3

If we cannot help, we say so and refund

If your case is outside what our panel can properly advise on, we tell you before taking payment. If that only becomes clear afterwards, the fee is returned.

Rule 4

The consulting doctor takes no referral margin

The specialist advising you receives their consultation fee and nothing else. They have no share in what any hospital or facilitator earns from your treatment. If they later operate on you, they are paid their standard surgical fee, exactly as they would be for any patient.

Start with a conversation, not a quotation.

Send us your case and we will tell you honestly whether a consultation would help you, and what it would involve.