Questions to ask a provider
A checklist of questions to put to every provider on a shortlist — surgical team, method, rehabilitation, follow-up, complications, travel, costs and medical records — drawn from published patient guidance.
By LimbAtlas editorial team
- Reading time
- 6 min
- Sources
- 8
- Last reviewed
- Updated
Key points
- Asking every provider on a shortlist the same questions produces answers you can compare — and shows when a question has not been answered.
- The questions cover the surgical team and facility, technique and device, rehabilitation, follow-up, complications, travel, costs, emergencies and records.
- No answer is presented as the correct one; what suits you depends on your own clinical situation.
Why a structured list helps
It is easy to ask different questions of different providers depending on what their website happens to emphasise, which makes comparison harder. Published research suggests the gaps can be significant: in a 2025 study in which researchers contacted 27 orthopaedic practices offering elective stature lengthening with the same scripted questions, only 3 answered all of them, and eligibility criteria and potential complications were frequently omitted. Asking every provider on a shortlist the same questions produces answers that can be compared side by side — and makes it visible when a question has not been answered.
The questions below draw on patient guidance from the American Academy of Orthopaedic Surgeons (AAOS), the U.S. Centers for Disease Control and Prevention (CDC) and the American Medical Association, and on published descriptions of how limb lengthening is carried out. This guide lists questions only. It does not suggest what a good answer looks like, because the right answer depends on your individual clinical situation.
The provider and surgical team
A published review of limb lengthening notes that results are significantly affected by the surgeon's clinical experience, and AAOS guidance on treatment abroad suggests researching both the clinician and the facility.
Provider and surgical team5 items
- Who will perform the surgery, and who is responsible for my care at each later stage?
- What are the surgeon's specialty qualifications and professional society memberships?
- How much experience does the team have with the specific method and treatment area proposed for me?
- Which hospital or facility will the surgery take place in, and how is it related to the provider?
- Is that facility accredited — if so, by which organisation?
The treatment method
The American Medical Association's Code of Medical Ethics describes informed consent as covering the nature and purpose of a recommended intervention and the burdens, risks and expected benefits of all options, including not having treatment.
A technique and a device are different things: the same frame can serve several techniques, and one technique can use several named systems. The guide Understanding limb lengthening devices explains the difference.
Treatment method6 items
- Which technique is proposed for each bone, and why?
- Which device or system would be used, including which model or generation?
- What happens if the planned device changes, for example because it is not available on the planned date — and how would I be told?
- What alternatives exist, including not having surgery, and what are the burdens, risks and expected benefits of each?
- How is the lengthening carried out and monitored, and who makes adjustments?
- Does the treatment plan include later procedures, such as removing hardware?
Rehabilitation
AAOS patient information describes limb lengthening as requiring extensive rehabilitation, including physical therapy and home exercise, and Hospital for Special Surgery patient information notes that the surgeon gives specific weight-bearing instructions.
Rehabilitation5 items
- Where does rehabilitation take place — on-site, at the surgical hospital, at a linked facility, remotely, or not at all?
- Who plans and oversees rehabilitation, and how is joint range of motion monitored?
- How often is physiotherapy provided, and how is that decided for each patient?
- Who gives weight-bearing instructions, and how will changes be communicated?
- If rehabilitation continues at home, what information will a local physical therapist receive?
Follow-up
Patient information from AAOS and Cleveland Clinic describes regular follow-up visits and X-rays to check how the new bone is forming. AAOS guidance on treatment abroad suggests arranging follow-up care before travelling.
Follow-up5 items
- What happens after discharge from hospital, and where will I be during lengthening?
- How often are follow-up visits and X-rays planned, during lengthening and afterwards?
- How long will I need to stay near the provider?
- Who provides follow-up after I return home, and is that arranged before I travel?
- Is there a named point of contact for follow-up questions?
Complications and revision
The CDC suggests discussing the plan for addressing complications with both the treating provider and your own doctor at home before treatment abroad.
Complications and revision4 items
- Which complications does the team discuss with patients for this method?
- What is the plan if a complication occurs during treatment, and who manages it?
- If further surgery is needed, where would it take place and who would perform it?
- Which costs of treating a complication or revision are included, and which are not?
Travel, accommodation and communication
AAOS guidance suggests deciding in advance how you will communicate with the care team if you do not speak the local language.
Travel, accommodation and communication5 items
- Is accommodation included or arranged, and does it cover a companion?
- Is transport arranged — to and from the airport, and to appointments?
- Is there a named patient coordinator, and how do I reach them?
- What languages can the team communicate in directly, and is an interpreter available?
- When does the team expect it to be appropriate for me to travel home, and what do they advise about the journey?
Costs and what is included
LimbAtlas does not show prices. The 2025 study mentioned above found that cost information varied widely between practices, and AAOS notes that follow-up or emergency care after treatment abroad can carry costs that health insurance may not cover.
Costs and what is included3 items
- What exactly does the provider's cost estimate include — surgery, hospital stay, devices, rehabilitation, follow-up visits, accommodation?
- What is not included, and how are additional costs handled?
- Would any part of treatment or follow-up be covered by my health insurance?
Emergency contact
The CDC advises travellers not to delay seeking medical care if they suspect a complication during travel or after returning home.
Emergency contact3 items
- Whom should I contact urgently during treatment, including outside working hours?
- If I suspect a problem after returning home, whom should I contact first?
- How will the provider share information with a doctor or hospital treating me at home?
Medical records
AAOS suggests bringing copies of existing records and imaging to the treating provider, and obtaining copies of all records before returning home. The CDC, writing for travellers from the United States, suggests requesting records in English so that doctors at home can use them.
Medical records3 items
- Which records and imaging does the provider need from me in advance?
- Will I receive copies of my operative notes, imaging and discharge records before I leave?
- In which language will those records be provided?
Using the answers you collect
Once you have gathered comparable answers across a shortlist, the remaining decision is a personal and clinical one. This guide does not weight any answer as more important than another, and it does not recommend any specific provider — it is a research tool, not a decision on your behalf. LimbAtlas does not contact providers for you; each provider profile links to the provider's own official website.
Sources
- 1.Information Transparency for Elective Stature Lengthening Surgery: A Secret Shopper Study (external site, opens in a new tab)
Strategies in Trauma and Limb Reconstructiondoi.orgPublished Accessed
Shenoy DA, Santamaria G, Gomez-Alvarado F, Sabharwal S. 2025;20(1):31–36.
- 2.Informed Consent (external site, opens in a new tab)
American Medical Associationcode-medical-ethics.ama-assn.orgAccessed
AMA Code of Medical Ethics, Opinion 2.1.1.
- 3.What To Know About Medical Tourism (external site, opens in a new tab)
OrthoInfo, American Academy of Orthopaedic Surgeonsorthoinfo.orgAccessed
- 4.Medical Tourism (external site, opens in a new tab)
CDC Yellow Book, U.S. Centers for Disease Control and Preventioncdc.govPublished Accessed
- 5.Limb lengthening history, evolution, complications and current concepts (external site, opens in a new tab)
Journal of Orthopaedics and Traumatologydoi.orgPublished Accessed
Hosny GA. 2020;21(1):3. Narrative review.
- 6.Lower Limb Length Discrepancy (external site, opens in a new tab)
OrthoInfo, American Academy of Orthopaedic Surgeonsorthoinfo.orgAccessed
Patient information on limb length discrepancy; cited here only for its general description of lengthening methods, follow-up and rehabilitation.
- 7.Limb Lengthening Surgery: Procedure, Process & Recovery (external site, opens in a new tab)
Cleveland Clinicmy.clevelandclinic.orgAccessed
- 8.Height Surgery (Leg Extension Surgery) FAQs (external site, opens in a new tab)
Hospital for Special Surgeryhss.eduAccessed
Cited only for general statements about rehabilitation and weight-bearing instructions, not for any institution-specific figures.
About this guide
- Status
- Published — checked against the sources listed; not clinically reviewed
- Written by
- LimbAtlas editorial team
- Published
- Last reviewed against sources
- Last updated
LimbAtlas provides educational information and does not replace advice from a qualified medical professional. This guide does not recommend a specific provider or method; discuss any medical decision with a clinician who can assess your individual situation.
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