Get the diagnosis and indication in writing
Ask the surgeon to identify the diagnosis, level or levels involved, symptoms the surgery is intended to improve, and the reason surgery is recommended now. If the plan is based on imaging alone without a clear clinical explanation, consider obtaining another opinion.
Know whether the operation includes fusion
A decompression-only procedure and a fusion are not the same operation or recovery. AAOS material on lumbar stenosis notes that fusion adds stabilization with bone graft and often rods and screws. Ask what hardware is planned, why fusion is necessary, and whether hardware costs are included.
Compare surgeon experience with your specific procedure
The relevant question is not simply how many years someone has practiced. Ask how often the surgeon performs the proposed operation, what kinds of patients they typically treat, and at which hospital they operate. Verify authorization to practice through ReTHUS and independently confirm the facility.
Ask about neurologic and emergency backup
Spine surgery can involve nerves, blood vessels, anesthesia, and the possibility of unplanned admission. Ask what monitoring is used when appropriate, who is available if a neurologic issue occurs, and how the facility handles complications.
Understand the recovery and walking plan
AAOS guidance notes that patients are often encouraged to begin walking early after lumbar procedures, while recovery varies substantially by the operation. Ask when you are expected to sit, walk, climb stairs, shower, and travel, and whether a brace is part of your plan.
Do not make the return flight the clinical deadline
Long-distance travel after surgery raises additional clot and mobility questions. Keep the return flexible, discuss sitting tolerance and medication with the surgeon, and know the urgent symptoms that should delay travel and trigger evaluation.
Want help comparing Colombia orthopedic options?
Send the procedure you are considering, the city you prefer if you have one, and whether you already have imaging. We can help you organize the questions for an itemized provider quote.
Message on WhatsAppQuestions to send before you pay a deposit
- What is the surgeon's full legal name and exact specialty?
- At which hospital or surgical facility will the procedure occur?
- What diagnosis and records are being used to recommend this procedure?
- What implant, graft, or hardware is expected, if any?
- What is included and excluded from the written quote?
- How many in-person follow-up visits are expected before travel?
- Who manages rehabilitation after you return home?
- What symptoms or complications would delay your flight?