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Covered by the HSE under the Cross Border Directive.
An ovarian cyst that needs to come out can bring pelvic pain and worry for every week it stays.
Your ovarian cyst removed without the public wait: a fixed price in a private hospital in Spain, paid back by the HSE. The hospital, the surgeon, the price and your stay are in writing before you decide.
Free · no commitment · no documents · by video or phone, at a time you pick
Your right under EU law since 2011
2,266claims paid back to Irish patients in 2024
Your rights under the schemeGynaecology waiting lists in Ireland's public hospitals held 6,565 adults at the end of September 2026, and 1,755 of them had waited beyond six months.
National Treatment Purchase Fund, inpatient and day-case waiting list by specialty, September 2026
Eight steps from the first conversation to your refund. You commit at step 4, not before.
Before you commit
Stop at any time, at no cost
You
Schedule a free call, by video or phone, at a time you pick. We answer your questions and tell you how the route works for ovarian cyst removal.
You · about 15 minutes
Your details and documents, uploaded securely. You need a referral from your GP or from a public gynaecologist saying the cyst should be removed, or a letter showing you are on the public gynaecology list, with your recent scan report if you have it.
Ablement · within 1 to 2 working days
You get a clear yes or no on whether you are eligible for ovarian cyst removal in Spain.
Ablement · within 5 working days of a complete file
We ask the hospitals and send you one written proposal: the hospital, the surgeon, the price of your operation, the dates and your expected refund.
After you commit
We stay with you to the refund
The hospital
The hospital confirms your date in writing within 10 working days of your acceptance, and then you book your travel. Whether you stay a night in hospital depends on your operation and your surgeon; the hospital's written plan says how long you will be away.
The hospital
If you stay overnight, you meet your surgeon in person before you are admitted, as the HSE requires; for a day case you can talk by video or phone before you travel, where the hospital offers it. Then you have your operation and fly home when the surgeon says you are fit to fly. You pay the hospital directly and send us the documents for your claim.
Ablement · within 5 working days of your return
We send your signed claim to the HSE and follow it until you are paid. The HSE paid in 45 days on average in 2024.
Your GP
Your GP and the public system take over, as if you had the operation at home. Your GP receives the discharge report and arranges any follow-up scan.
One contact person, from the first conversation to the refund.
Easy to reach at every step. A family member can join every call.
Nothing. The hospital that treats you pays us a referral fee.
One fixed price for your operation, in writing before you commit. You pay the hospital directly, before the HSE pays you back.
Pays you back up to what the same keyhole operation costs in the Irish public system, at the rate for the setting it would have had in Ireland, a day case or an overnight stay, in 45 days on average (2024).
Where the Irish public system would remove the cyst, the HSE pays back the cost up to what that keyhole operation costs at home, or the invoice if it is lower. The HSE pays at the rate for the setting the operation would have had in Ireland, as a day case or with an overnight stay, whatever your stay abroad; your proposal shows the expected refund. The refund comes to your own account after the treatment and covers neither travel nor a hotel nor a companion. The hospital's price is fixed in writing before you accept, and if no hospital offers a price within the refund, we show you the gap in writing and you choose.
What is paid back, and when
Kaare Beck-Fischer, Chief Executive Officer
No commitment and no documents needed.
Free · no commitment · no documents · by video or phone, at a time you pick
An ovarian cyst is a fluid-filled sac on the ovary. Most go away on their own, but one that is large, painful or looks unusual on a scan is removed. The operation is usually keyhole surgery under a general anaesthetic: through a few small cuts in the abdomen, the surgeon frees the cyst from the ovary and removes it, keeping the ovary wherever possible. If the cyst is very large or the ovary cannot be saved, the ovary is removed with it; you agree the plan with the surgeon beforehand. The cyst is sent for examination under the microscope.
The cuts are small and most people are up the same day and back to normal activity within a couple of weeks. The aim is an end to the pain and the worry, with the ovary and your fertility kept where the cyst allows.
Short answers to what people ask us most. Open a question to read the answer.
All frequently asked questionsYour question isn't here?
Ask us in the chat Or send us a message from the Contact pageYes, when the public system would remove the cyst for you and the usual rules are met: a referral, a consultation before the operation and payment from your own account. Your written proposal puts the hospital's price beside the expected refund, so you see whether the refund covers it before you commit, and we tell you plainly if there is a gap.
That depends on the cyst and on you, and it is for the surgeon to decide with you. The surgeon explains the plan at the consultation, and you can ask your GP about it before you travel.
How quickly you recover differs from woman to woman, so ask the surgeon about lifting, driving and work before you leave. Your GP takes over your care, receives the discharge report and arranges any follow-up scan in the public system.
No. The HSE's rules do not ask you to leave the list to use the scheme, and you stay on it until you have been treated. Once your operation is done abroad, you let the Irish hospital know, so it can take you off the list. If you change your mind before then, nothing has changed at home.
Yes. You pay the hospital directly, and the HSE pays you back afterwards, in 45 days on average in 2024. Some people use savings, help from their family or a credit union loan. We do not lend money or arrange loans, and no money of yours passes through us.
You see the hospital and the surgeon's name in writing before you decide anything, and you have a consultation with the surgeon before the operation. Every hospital we work with must be registered with its country's health authorities, use surgeons who specialise in the operation, give its price and its terms on complications in writing, and give you an English-speaking contact person. The hospital that treats you is responsible for your care, and it must have a complaints procedure. We help you deal with the hospital, and at home your GP takes over as after any operation.
There is no catch. The hospital that treats you pays us a referral fee; you never pay us anything, and the hospital's price is fixed in writing before you accept. You can stop at any time before you sign with the hospital.
The Cross Border Directive is EU law, and the HSE paid 2,266 claims from Irish patients in 2024 alone. The refund is yours when the paperwork is right: the referral, the consultation, the itemised invoice and your receipt. We prepare the claim with you, and before you travel you can send the HSE a prior notification, which tells you in advance whether you are eligible and gives an indication of the amount.
Yes. A family member can join every call and meeting, be named on your Consent Form and travel with you. Their travel and hotel are your own cost.
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