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From Canada · Orthopedics & Joint Replacement

Joint replacement and spine surgery in India for Canadian patients

You have been told that a knee, a hip or a section of your spine will need surgery, and the date you have been given is far enough out that you have started doing arithmetic: what the joint costs you in working days, in sleep, in the things you have quietly stopped doing. Choosing to pay for it yourself somewhere else is a reasonable response to that, and Canadians make the choice every year. It still deserves an independent orthopedic opinion before anyone books a flight, because a specialist reading your images may tell you that surgery is not your next step, or that this particular case belongs at home. This page covers what changes when a Canadian orthopedic case moves to India: which images can be read remotely, where money hides inside a joint-surgery quote, and who picks up your rehabilitation once you are back.

We take no commissions from hospitals. Our fees are paid by you, published upfront, and itemized separately from your hospital bill. Full details on the Fees page.

A family in Canada with documents and luggage, beginning a planned medical journey to India.

Published fees, same from every country

  • Remote consultation (teleconsult) $50
  • Written independent second opinion $150
  • Full journey coordination $1,000

INR equivalents are approximate, at about ₹86 per US dollar. The USD figure is the fee.

Every fee is credited in full to the next step: the $50 consultation fee comes off the $150 second opinion, and the $150 second-opinion fee comes off the $1,000 full journey fee. You never pay twice for moving forward.

Your imaging decides most of this, so start by getting copies

An orthopedic opinion is built on pictures, which makes the first practical task getting yours out of the Canadian system and into a file a surgeon can open. Weight-bearing X-rays of a knee or hip, an MRI report for a spine, and the consult note from whoever put you on the list give a specialist enough to work with: whether the advised operation is the reasonable one, whether a different procedure suits your anatomy better, and what a second reading is worth in your case. You can request copies of your records from your providers, and it is worth starting early. Release is rarely same-day, and discs and patient portals each carry their own delays. The question then gets settled by a $50 video consultation or a $150 written opinion, while you are still at home. If the conclusion is that travelling would not change your treatment, you will hear it from us before you have spent anything further on the idea.

The implant is the line that decides an orthopedic quote

In joint replacement the largest single variable in a quote is the implant, and it should never reach you folded into an undifferentiated package price. Every quote we obtain is itemized by the hospital with the implant named and priced on its own line, so that if the make or the bearing surface changes, the number changes visibly rather than quietly. The other lines worth reading before you agree to anything: the length of stay the price assumes and what a day beyond it costs, whether physiotherapy sessions during admission are counted in or billed separately, what happens to the figure if a revision component turns out to be needed, and, where both sides are under discussion, whether you are being quoted for a bilateral procedure or for one joint with the second staged later. Implant selection is a clinical decision made with your surgeon. Knowing exactly which one is proposed, and what it costs, is yours.

The flight home is part of the surgical plan, not an afterthought

Nonstop services link Toronto and Vancouver with Delhi at around fourteen hours, and for joint and spine surgery the return leg is a clinical question rather than a booking preference. Your operating team decides when you are fit to fly, and we build the schedule around that date instead of around a fare. Tripcuro, our travel arm, holds the flights and the accommodation near the hospital so that a delay costs a change fee rather than the whole ticket. Schedules between North America and India have shifted in recent seasons with airspace and capacity constraints, so confirm timetables when you book. It is also why we ask early what stay your surgeon expects: an orthopedic recovery runs well past discharge, and the visa paperwork, the accommodation and the flights all have to match the estimate your surgeon gives rather than one a website gives.

Visa, OCI, and surgery timed to a trip you were making anyway

Canadian citizens apply online for the e-Medical visa; OCI cardholders need no medical visa at all, for any length of stay, which removes the question entirely for a fair number of orthopedic patients. E-visa services operate as of mid-2026, though they were briefly suspended in late 2023 and later restored, so confirm the current position on the official Indian visa portal and leave slack in your dates. The invitation letter an application needs can only come from the hospital that has accepted you; we handle that correspondence and give you the document checklist that goes with it. The decision itself, and how long it takes, rest with the Indian authorities, and we will not pretend to have any influence over either. Elective orthopedic surgery is also the case most often folded into a trip that was already happening: a winter visit to family, a wedding, a long-planned month in India. Because you are setting the date rather than waiting for one, the calendar is yours to arrange.

Who runs your rehabilitation once you are back in Canada

Rehabilitation is the part of orthopedic travel that goes wrong, and it goes wrong at home rather than in India. Before you fly back you receive your complete records, a discharge bill audited against the rates locked in writing before you travelled, and a written follow-up plan addressed to whoever will supervise your rehabilitation in Canada. The honest advice is to identify that person before you leave, not after you land. Not every Canadian has a family doctor to hand a plan to at the moment, and a physiotherapy clinic will want an operative note and a written protocol rather than your account of what happened. Teleconsult follow-ups with the operating team stay available once you are home, which covers the questions that only surface in week three, but they supplement local care rather than substitute for it.

Conditions we coordinate care for

  • Advanced osteoarthritis of the knee and hip
  • Rheumatoid arthritis with joint damage
  • Degenerative spine disease (disc herniation, canal stenosis)
  • Ligament and meniscus injuries (ACL, PCL, meniscal tears)
  • Shoulder disorders (rotator cuff tears, recurrent dislocation)
  • Complex fractures and non-unions

Procedures & services we coordinate

  • Total knee replacement, including bilateral and revision surgery
  • Total hip replacement and hip resurfacing evaluation
  • Arthroscopic ACL reconstruction and meniscus repair
  • Spine surgery: microdiscectomy, decompression, fusion
  • Shoulder arthroscopy and shoulder replacement
  • Post-operative physiotherapy planning for your stay and for home
The full Orthopedics & Joint Replacement page

What to prepare

  • Recent weight-bearing X-rays of the affected joint, plus any MRI or CT report. Request copies from your imaging provider early, since release is rarely same-day
  • The name of the operation that has been advised and who advised it; a surgeon's consult note carries far more than a referral date does
  • A current medication list with doses, including anything you take for pain or inflammation, and the clinic or pharmacy that can print it
  • An honest functional note in your own words: how far you can walk now, what stairs do to you, and whether the joint wakes you at night
  • Who in Canada will run your rehabilitation (a physiotherapist, a family doctor, or a clinic you have yet to find), because the follow-up plan is written to be handed to them
  • Your passport, and your OCI card if you hold one, since that decides whether a medical visa is part of your timeline at all
  • A realistic date window: this is self-funded elective surgery, so the calendar is yours to set around work, family and any India trip already in the diary

Orthopedics & Joint Replacement from Canada: FAQs

Can a surgeon really advise on my knee or hip from images alone?
For most joint replacement questions, largely yes: the reasoning rests on weight-bearing X-rays, your symptoms and your function, and all three transfer well. An orthopedic specialist in our network reads them alongside your history and gives you a view on the advised operation, on what else is reasonable for that anatomy, and on what to raise with the surgeon who placed you on the list. If the case cannot be settled without an examination or another scan, that is what you will be told, rather than sold a flight.
Will my provincial plan reimburse a hip or knee replacement done in India?
Assume not. Provincial coverage does not extend to planned surgery abroad in the ordinary case, so an orthopedic journey is out of pocket from the first consultation through to the last physiotherapy session. Confirm the rules for your own province, as we do not give insurance or financial advice. Being self-funded is precisely why the quote is the product here: itemized before travel, locked in writing, paid to the hospital on its own invoice, and audited line by line against the discharge bill before you fly home.
How long should I plan to be away?
Longer than the operation itself, and the figure comes from the operating team rather than from this page. Before you book anything we get a stay estimate for your own case in writing, then build the accommodation and the return flight around it with room to move. For joint and spine work that estimate has to cover the early rehabilitation your surgeon wants supervised, not merely the days between admission and discharge, which is why we ask for it in writing rather than in conversation.
I hold an OCI card and go to India most winters anyway. Does that change anything?
It removes the visa step and it makes the timing easier; it changes nothing about the medical part. OCI cardholders travel to India and take treatment without a medical visa and without a hospital invitation letter, for any length of stay. Confirm current guidance on the official Indian government pages before you travel. Everything else on this page still applies: an independent read on your images first, an itemized quote with the implant on its own line, and a rehabilitation plan somebody in Canada has agreed to pick up.
My cousin can get me in to see a surgeon in India. Why would I pay you?
If your family network is current and reaches orthopedics, use it. We will tell you so. A relative usually produces one surgeon's opinion at one hospital, which is exactly the situation in which an implant line and a length-of-stay assumption go unexamined. We compare itemized quotes across hospitals and cities with nothing pulling us toward any of them, and you get one accountable contact for the surgery, the accommodation and the rehabilitation handover instead of a chain of favours stretched across time zones.

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