title: Travelling abroad for aesthetic surgery: Informing healthcare practitioners and providers while improving patient safety.
abstract: Travelling abroad for surgery is a phenomenon reported internationally. It is particularly likely for aesthetic procedures not undertaken routinely by national health services. We assessed the impact of these patients presenting to the UK National Health Service (NHS) with concerns or complications on their return. All 326 UK consultant members of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) were asked to complete a short questionnaire about patients that had presented to the NHS with complications or concerns following surgery abroad. The results were subsequently presented to the Department of Health (DH). 203 (62%) UK consultant plastic surgeons responded. 76 (37%) of the 203 respondents had seen such patients in their NHS practice, most commonly following breast or abdominal procedures. A quarter underwent emergency surgery, a third out-patient treatment and a third elective surgical revision. In response to these findings, the DH clarified that NHS teams should provide emergency care to such patients but should not undertake any elective revision procedures. Travelling abroad for aesthetic surgery may reduce its cost. However, aesthetic procedures have high minor complication rates, and peri-operative travel is associated with increased risks. Fully informed consent is unlikely when patients do not meet their surgeon prior to paying and travelling for surgery, and national health services are used to provide a free safety net on their return. To help minimise the potential risks, BAPRAS has clarified the responsibilities of the NHS and is acting to better inform UK patients considering travelling abroad.
authors.affiliation: The Royal College of Surgeons of England, 35-43 Lincoln's Inn Fields, London WC2A 3PE, UK. rjeevan@rcseng.ac.uk
authors.forename: R
authors.initials: R
authors.lastname: Jeevan
authors.forename: J
authors.initials: J
authors.lastname: Birch
authors.forename: A P
authors.initials: AP
authors.lastname: Armstrong
mesh_terms: D006801:Humans; D057193:Medical Tourism; D005791:Patient Care; D011183:Postoperative Complications / Q000628:therapy; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D012449:Safety; D006113:United Kingdom