Phuket, Thailand

Plastic surgery and medical procedures in Thailand: Why more of us are doing it

TRAVELLING for medical procedures is a growing industry but what’s it really like? 

The changing face of healthcare in Australia.

Australians are racing overseas for cheap medical and cosmetic surgeries, after a long pause amid the COVID-19 pandemic.

From dental surgery to face lifts and Botox, these surgeries are generally considered to be much cheaper in locations such as Indonesia, Malaysia and Thailand, and are often coupled with relaxing, resort-style vacations.

Now you know a medical procedure you needed could be done at the same quality but half the price internationally, would you jump on a plane to have it done?

Prior to covid- it was estimated that around 15,000 Australians are heading overseas for nip tuck holidays every year, spending a total of $300 million on medical procedures — some of them life saving.

It’s called medical tourism, and it’s having a significant impact on global healthcare, including in Australia, where our health system is straining under the weight of an ageing population and long waiting lists for elective surgery.

Pre-covid Thailand was leading the world as a medical tourism destination. Of the 26.5 million people who visited Thailand in 2013, 2.5 million came purely for medical reasons. That number has been growing at an average of 15 per cent a year over the past decade.

“It’s changing the landscape in terms of price; in any facet of our life people want value for money,” says one Sydney based plastic surgeon.

“Medical tourism has been around forever when people would travel for procedures not available in their country. Now people are going to underdeveloped countries for things that are offered in Australia because it’s cheaper,” he says.

So what are the risks involved when travelling to a foreign country for medical treatment? And why is the Australian Medical Association and Society of Plastic Surgeons staunchly against it?

“The biggest risk I think is the post operative care. You might get two to four weeks of care overseas but in Australia you would see your plastic surgeon at least four to six times over the following 12 months,” says Dr Rizk.

However Thailand is changing this image dodgy backyard jobs and unqualified surgeons by offering a select group of world class hospitals, state of the art technology and internationally trained physicians.

And then there’s the value. A trip to the dentist for a filling in Australia will set you back around $150, in Thailand it’s $30. Breast implants will cost at least $8000 at home, compared to around $3000-$4000 in Thailand. It is this reality that is changing the medical landscape, as Australians and travellers worldwide are lured by cheaper costs, no wait lists and technology often better than what they’d find at home.

The hospitals — what they’re really like

The two biggest hospitals targeting medical tourists are Bumungrad International Hospital and Bangkok Hospital Group, both located in the country’s largest city.

The impressive private hospitals look more like hotels, which is important when they’re trying to cash in on the huge business of medical tourism.

Bumungrad International Hospital treated more than one million patients in 2013. Forty per cent of these were international patients, including around 8500 Australians.

The country’s move into medical tourism started as a survival strategy in 1998, after Thailand was hard hit by the Asian financial crises. It has transformed the way they deliver healthcare.

The 9/11 attacks were a big turning point, as Middle Eastern patients who once travelled to the US for surgery found it harder to get a visa, so they turned to Asia. Primarily Thailand.

Bumungrad hospital went from treating 10,000 Middle Eastern patients each year pre 9/11 to more than 120,000 today.

Walking into the hospital today like PPSI, you’ll feel like you’ve stepped into a five-star hotel rather than a hospital ward. Lounge areas offer free (non alcoholic) drinks, check-in desks look more like civilised bank tellers, in-house travel agents organise visa extensions and a whole wing is dedicated to interpreters offering translator services for its international patients.

Then there’s the hospital rooms. The top of the line rooms are like small apartments with a living room, bathroom and kitchen all tastefully decorated, offering Wi-Fi, and room for partners or family to stay.

Yes, this is actually a hospital room.

All the comforts of home and room for visitors.

Bumungrad has invested heavily in technology, there’s even a pharmacy robot that dishes out medication into pre made packs to reduce the chance of human error.

Bangkok Hospital tells a similar story. It treated 800,000 patients in 2013, of which 200,000 were medical travellers, including around 2600 Aussies.

Australians and Russians are the biggest customer groups for this service,” Bangkok Hospital Phuket’s director Dr Narongrit Havarungsi.

They can combine the trip to the service with a stay in a four- or five-star hotel,” Narongrit said.

More than 1,000 people, most of them foreigners, visit the Bangkok Hospital Phuket each year for breast augmentation.

The service costs between Bt120,000 and Bt170,000.

He believed foreigners come to his hospital for the service because it was relatively low in cost and good in quality.

People travel here for more than cosmetic surgery. Chronically ill patients are hoping an operation in Thailand could save their life.

A revolutionary Novalis Shaped Beam Surgery is used for cancer treatment, and a less invasive form of open heart surgery, known as OPCAB is also successfully treating patients.

An entire wing is dedicated to sports injuries, where Australian soccer players, AFL stars. and boxers have been treated.

Attached to a shopping mall, it is anything but clinical. Ironically, both hospitals even have a McDonalds to cater for their international visitors.

Cancer patients are choosing Thai hospitals for their revolutionary equipment.

The anti-gravity treadmill treats our injured sports stars.

Then there’s the patient nurse ratio. In Australia the patient to nurse ratio is 8:1, in Thailand it’s 4:1. “The only time the nurse didn’t come was when their buzzer had broken,” said Jackie, a 31 year old professional from the Hunter Valley in NSW who travelled to Thailand for a breast lift, construction and augmentation.

Costs — why is it so much cheaper?

Thailand’s medical procedures are around 30 to 40 per cent cheaper than we’d pay in Australia and up to 50 to 70 per cent less than in the US. While there’s no difference in the cost of medical technology and drugs, it’s the difference in labour costs that make it so competitive.

A nurse can expect to be paid around $17,000 in Thailand compared to $70,000 in Australia. Doctors earn around $50,000 in Thailand compared to $150,000 plus at home. Malpractice premiums are far less too. Doctors may pay around $1000 in Thailand, compared to the US where annual premiums have sky rocketed to $100,000. Then there’s the competition that keeps prices low, as the market battles for the international tourist dollar.

Surgery costs: Australia v Thailand

Breast implants: Australia — $8,000-$12,000, Thailand — $3,000-$4,000

Facelift: Australia — $9,000-$10,000, Thailand — $4,000-$5,500

Tummy tuck: Australia — $7,000-8,000, Thailand — $5,000-$5,200

Dental implant Australia — $3,500-$7,500, Thailand -$2,300

Knee/hip replacement in Australia — $20,000, Thailand — $12,000 -14,000

Fees in Thailand do not include airfares or hotel accommodation (needed for recovery once patients are discharged).

Why are Australians choosing Thailand?

Every patient news.com.au spoke to had a different story for why they are sitting in a five star Bangkok hotel waiting for surgery or recovering from a procedure.

“It’s like the Athlete’s Foot of the boob,” said Michelle, a 33 year old media professional from the Hunter Valley in NSW who had breast implants, teeth whitening and fillings.

Michelle says her experience in the Bangkok medical system was better than anything she had at home. From the doctor patient interaction to the compassion and care of the nurses, the biggest difference was the after-care. She spent three days in hospital and eight days in a five-star hotel after her procedure. She compares this to a friend at home who paid $12,000 for breast implants and was discharged from hospital the same day.

Michelle post breast implants and dental work.

Then there’s 30-year-old Calli from Subiaco in Western Australia, who flew over for rhinoplasty and breast implants. After having her nose fractured twice when she was 19, she booked her surgeries 12 months ago after hearing about it from a couple of friends.

“There’s a get ‘em in, get ‘em out attitude in Australia,” she says. “After one night I wouldn’t have even be able to lift a glass to have a drink of water,” she added, relieved she had longer to recover in a Thai hospital.

From breast implants to whole body transformations, patients range in age from early 20s to 60s.

The end result was worth all the pain for Calli.

Jaye, a 20-year-old recruitment manager from Bunbury in Western Australia paid $2000 for veneers and to have her wisdom teeth removed, and says she is finally confident to smile again.

Tracy, a 51-year-old Australian mother, googled “cosmetic surgery in Thailand” and two hours later it was a done deal. Recovering from an arm, face and neck lift, as well as a tummy tuck and liposuction she paid $20,000 after being quoted more than $80,000 at home.

“It’s been a confidence lift, I did it to make myself feel better,” she said. Two surgeries and seven days in hospital, she said the support has been unbelievable. “They are more interested in what your expectations are here compared to Australia.”

Jaye, a 20-year-old recruitment manager from Bunbury in Western Australia paid $2000 for veneers and to have her wisdom teeth removed, and says she is finally confident to smile again.

Tracy, a 51-year-old Australian mother, googled “cosmetic surgery in Thailand” and two hours later it was a done deal. Recovering from an arm, face and neck lift, as well as a tummy tuck and liposuction she paid $20,000 after being quoted more than $80,000 at home.

“It’s been a confidence lift, I did it to make myself feel better,” she said. Two surgeries and seven days in hospital, she said the support has been unbelievable. “They are more interested in what your expectations are here compared to Australia.”

Michelle can’t stop smiling after having her teeth whitened for a quarter of the cost in Thailand.

Her friend agreed” You’ll forget you’re in a hospital!”

“I’d go back to the hospital just for the service, it was like a hotel,” said Jackie.

“It was the best experience of my life.”

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