“I've been told I'm too old for this operation.”
The board decides on function, not birth year. Where risk is real, we say so in writing — and often spend weeks optimising you with the Metabolic institute before deciding at all.
Senior surgeons for replacement, sports injury and spine — with the operation, rehabilitation, home programme and two-year review written into one fixed plan before anything is booked.

Joint replacement, sports-medicine surgery, complex and minimally-invasive spine, hand and upper-limb reconstruction. Surgery is never the end of the plan — the operation, the rehabilitation, the home programme and the long-term review are written in a single document before anything is scheduled.
Hip, knee and shoulder replacement — robotic-assisted where it changes the outcome — with the rehabilitation and review scheduled before the operation.
Arthroscopy, ACL reconstruction, meniscal repair, rotator-cuff and cartilage techniques, with a defined return-to-activity assessment.
Endoscopic and minimally-invasive spine surgery for disc and stenosis, complex correction held jointly with Physiotherapy.
Microsurgery, congenital and post-traumatic reconstruction, paediatric scoliosis and hip dysplasia, with fine-motor function as the endpoint.
If one of these is sitting in your head, read its answer. Then ask us the harder version — a human replies in minutes.
The board decides on function, not birth year. Where risk is real, we say so in writing — and often spend weeks optimising you with the Metabolic institute before deciding at all.
The rehabilitation, home programme and two-year review are written before the operation is scheduled. A medically-trained case-manager holds all of it, for years.
Your written plan states the stay to the day — and exactly what continues from home through protected video reviews with your physiotherapist.
Nothing. The board's first review is free, and the quote that follows is fixed and written — surgery, rehabilitation and reviews in one figure.
The surgery is one day. The plan around it runs from the first reading to the two-year review.
Every international case is read in full by a senior consultant, then presented to the relevant board. The board returns a written, named clinical opinion — sent to the patient and, where requested, to the referring physician.
One named case-manager, medically trained — not a logistical coordinator — holds the case across institutes for the entire pathway. The connective tissue between Neuro, Ortho, Physio and Metabolic for as long as the relationship lasts.
A replaced joint lives in Orthopedics, Physiotherapy and often Metabolic at once.
Send what you have — scans, letters, or just the story so far. A senior consultant first-reads within 24 hours; the board answers in writing within 72 hours of your records being complete — free, before you commit to anything.