Hernia repair abroad for public patients in the EU

Covered by your country's public health service under the Cross Border Directive.

A hernia is a bulge where part of the inside of your belly pushes through a weak spot in the muscle wall, often in the groin, and it can ache when you lift, cough or stand for a long time.

Your hernia repaired without the public wait: a fixed price in a private hospital in another EU country, paid back by your public health service. 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

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Your right under EU law since 2011

290,000claims paid back to patients across Europe in 2024

Your rights under the scheme

How long you wait for a hernia repair depends on where you live: waiting times differ widely between EU countries, and between regions within a country. We look at your own wait with you.

Your own public health service's published waiting times; no single European figure is quoted here

Your hernia repair in another EU country, step by step.

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

  1. Talk to us

    You

    Schedule a free call, by video or phone, at a time you pick. We check your country's rules with you and tell you how the route works for a hernia repair.

  2. Fill in the Consent Form

    You · about 15 minutes

    Your details and documents, uploaded securely. You usually need a referral for a hernia repair from your own doctor, or a letter showing you are on a public waiting list for it; we tell you what your country asks for.

  3. We determine your eligibility

    Ablement · within 1 to 2 working days

    You get a clear yes or no on whether you are eligible for a hernia repair in another EU country, checked against your country's rules.

  4. We find a private hospital

    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 hernia repair, the dates and your expected refund.

After you commit

We stay with you to the refund

  1. Your date is confirmed

    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.

  2. Your treatment abroad

    The hospital

    You meet your surgeon before the operation, by video before you travel or in person at the hospital, as your country's rules and the hospital allow. 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.

  3. We claim your refund

    Ablement · within 5 working days of your return

    We send your signed claim to your public health service and follow it until you are paid. How long the decision takes depends on your country; we tell you before you decide.

  4. Your aftercare at home

    Your own doctor

    Your own doctor and the public system take over, as if you had the operation at home. Ask the surgeon about lifting before you leave; your own doctor follows up from there.

One contact person, from the first conversation to the refund.

Easy to reach at every step. A family member can join every call.

Read the full steps

What a hernia repair costs you

  1. Our service

    Nothing. The hospital that treats you pays us a referral fee.

  2. The hospital

    One fixed price for your hernia repair, in writing before you commit. You pay the hospital directly, before your public health service pays you back.

  3. Your public health service

    Pays you back up to what a hernia repair costs in the public system at home, under your country's own rules.

The detail for a hernia repair

Your country's public health service pays back the cost of your hernia repair up to what that operation costs in the public system at home, or the hospital's invoice if lower, under your country's own rules; your proposal shows the expected refund. You receive it after the treatment, into your own account; it does not pay for travel, a hotel or a companion. Whether your country asks for permission in advance, called prior authorisation, we check with you on the call. The price is fixed in writing before you accept, and if no hospital offers one the refund covers, we put the gap in writing and you choose.

What is paid back, and when
Portrait of Kaare Beck-Fischer, Ablement

Find out in one free call if a hernia repair in another EU country can work for you

Kaare Beck-Fischer, Chief Executive Officer

No commitment and no documents needed.

Schedule a free call

Free · no commitment · no documents · by video or phone, at a time you pick

Illustration of the lower abdomen and groin, where a hernia usually appears

What a hernia repair involves

A hernia is a bulge where part of the inside of the abdomen pushes through a weak spot in the muscle wall, most often in the groin. In a hernia repair the surgeon pushes the bulge back into place and closes the weak spot, usually with a thin mesh that strengthens the wall and reduces the chance of the hernia coming back. It can be done through one cut over the hernia (open repair) or by keyhole surgery through a few small cuts, under a local, a spinal or a general anaesthetic; the surgeon decides which with you.

The operation usually takes well under an hour. You walk the same day, and the main rule afterwards is no heavy lifting for some weeks while the repair heals. The aim is an end to the ache and the bulge, and a wall that holds.

Questions about a hernia repair

Short answers to what people ask us most. Open a question to read the answer.

All frequently asked questions

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Is a hernia repair a day case or an overnight stay?

Either is possible. Your surgeon decides which applies to you, and the hospital's written plan says how long you will stay. The refund follows your country's own rules for the operation, and the written proposal says what the price covers and what you can expect back.

Keyhole surgery or open surgery?

Both are used. The surgeon decides with you at the consultation which is right for you. The written proposal states which operation the price covers.

When can I fly home and carry bags?

Usually within a few days, when the surgeon has checked the wound and says you are fit to fly. Ask the surgeon for instructions about lifting for the weeks after, and it helps to have someone with you to carry the luggage.

Will I lose my place on the waiting list at home?

No. The Cross Border Directive does not ask you to leave a waiting list to use it, and you stay on it until you have been treated. Once your operation is done abroad, you let your hospital at home know, so it can take you off the list. If you change your mind before then, nothing has changed at home.

Do I have to pay up front?

Yes. You pay the hospital directly, and your public health service pays you back afterwards; how long that takes depends on your country, and we tell you before you decide. Some people use savings or help from their family. We do not lend money or arrange loans, and no money of yours passes through us.

Is it safe, and what if something goes wrong?

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 own doctor takes over as after any operation.

Why is your help free? What's the catch?

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.

Will my health service really pay me back?

The Cross Border Directive is EU law, and 290,000 claims were paid back across Europe in 2024 alone. The refund is yours when your country's rules are met: usually a referral, any permission your country asks for in advance, the itemised invoice and your receipt. We check your country's rules with you before you pay anything, and we prepare the claim with you.

Can a family member come with me, or join the calls?

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.

Find out if this route can work for you

One free call, by video or phone. No commitment and no documents.

Kaare Beck-Fischer

by video or phone, at a time you pick

Schedule a free call

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