Hysterectomy abroad for public patients in the EU

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

Heavy bleeding, fibroids or pelvic pain can affect your work, your sleep and your daily life for every month you wait for a hysterectomy.

Your hysterectomy 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

A woman around fifty walking with a rolled yoga mat under her arm

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 hysterectomy 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 hysterectomy 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 hysterectomy.

  2. Fill in the Consent Form

    You · about 15 minutes

    Your details and documents, uploaded securely. You usually need a referral for a hysterectomy 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 hysterectomy 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 hysterectomy, 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. Plan to be away for your nights in hospital and a few more days nearby; the hospital's written plan says how many.

  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. Recovery usually takes some weeks; ask the surgeon about lifting, driving and work before you leave.

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 hysterectomy costs you

  1. Our service

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

  2. The hospital

    One fixed price for your hysterectomy, 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 hysterectomy costs in the public system at home, under your country's own rules.

The detail for a hysterectomy

For a hysterectomy, your country's public health service pays back the cost of the treatment up to what the operation costs in the public system at home, or the hospital's invoice if lower, under your country's own rules. It reaches you after the operation, paid into your own account, and it leaves out travel, accommodation and a companion. Whether your country asks for permission in advance, called prior authorisation, we check with you on the call. Before you accept, the hospital's price is fixed in writing; if no hospital offers a price the refund covers, we show you the gap in writing and the decision is yours.

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

Find out in one free call if a hysterectomy 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 pelvis with the womb and the ovaries

What a hysterectomy involves

A hysterectomy is an operation to remove the womb. Depending on the reason for it, the surgeon may also remove the cervix, the fallopian tubes or the ovaries, and you agree beforehand what will be taken and what will stay. It can be done through a cut in the lower abdomen, through the vagina with no outside cut, or by keyhole surgery through small cuts; which is best depends on the size of the womb and the reason for the operation. It is done under a general or a spinal anaesthetic.

Periods stop and pregnancy is no longer possible. If the ovaries are removed before the menopause, the menopause starts straight away, which the surgeon discusses with you in advance. Recovery takes some weeks, with no heavy lifting while the inside heals. The aim is an end to the bleeding or pain that led to the operation.

Questions about a hysterectomy

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

All frequently asked questions

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Which kind of hysterectomy?

A hysterectomy can be done through a cut in the abdomen, through the vagina, or by keyhole surgery. Which is right for you is for the surgeon to decide with you at the consultation. Your written proposal names the method the price is for.

How long will I be away?

That depends on the hospital's plan for you, which you see in the written proposal before you accept: the nights in hospital, then some days of rest close to the hospital before the surgeon says you can fly. The surgeon decides for each patient.

What about recovery at home?

Recovery usually takes some weeks. You bring home the hospital's discharge report and its advice on rest and activity; ask the surgeon before you leave about lifting, driving and going back to work. Your own doctor takes over your care and arranges any follow-up in the public system at home in the usual way.

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, by video or in person as your country's rules require. 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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