Every line of the international package: what it covers, what it leaves out, and what is quoted separately. The written quote governs.
The Living Taller international package is quoted from USD 15,000 to 16,000 for bilateral tibial or bilateral femoral lengthening with LON, a standard intramedullary nail with an LRS external fixator. It includes surgery, hospital, implants, anaesthesia, tests, a psychological assessment, supervised physiotherapy in Surat, accommodation and airport transfers. You stay in Surat for the whole lengthening phase, usually six to ten weeks per stage, with supervised physiotherapy; you fly home once lengthening is complete and the frame is off, and the bone consolidates at home with remote review. It excludes flights, meals, nail removal and physiotherapy at home. The written quote after your X-ray review is the figure that applies.
Reviewed by Dr. Aman Khanna, M.S. Orthopaedics, an orthopaedic surgeon. Limb lengthening is bone surgery, not physiotherapy.
For adults aged 18 and over whose growth plates have closed.
Price: from USD 15,000 to 16,000, for bilateral tibial or bilateral femoral lengthening. It is a range because the written quote that follows your X-ray review is the figure that applies to you. Consultation fee INR 10,000. Surgery fees are quoted after assessment.
This is the same list as the INCLUDED and NOT INCLUDED lists in the cost calculator, which also prices flights and meals as estimates you can edit. Techniques differ between centres (LON, motorised nails, external fixators), so prices are not like-for-like. The cost page explains what moves a quote, and the cost comparison sets out sourced figures from other countries.
The package covers the operation and the Surat stay. It does not cover the months of treatment that follow at home, and difficulties during lengthening are common, as the section on complications below sets out.
Lengthening over nail places an intramedullary nail in the bone and uses an external fixator, here the LRS, to lengthen the bone gradually. In a systematic review of 795 cosmetic patients, 31.8 percent were treated with LON, 33.6 percent with classic Ilizarov frames and 7.9 percent with implantable lengthening nails (PMID 32670567). The techniques differ in time in frame, cost and complication profile.
The operation, the theatre, anaesthesia and the hospital stay around surgery are in the package, together with imaging and monitoring while you are in Surat. Gains are stated as up to about 6 cm per segment and are decided from your X-rays, not promised in advance.
Pre-operative tests and a psychological assessment come before a date is fixed. Candidacy is decided at consultation, and not everyone who asks is suitable. A surgeon may decline to operate after assessment.
In a study of 32 patients having femoral lengthening with the Ilizarov method, knee flexion fell quickly in the latency period before lengthening and the loss continued during lengthening, so intensive physiotherapy was advised throughout (PMID 18564473). The package covers the supervised sessions during your Surat stay. You stay in Surat for the whole lengthening phase, usually six to ten weeks per stage, with supervised physiotherapy; you fly home once lengthening is complete and the frame is off, and the bone consolidates at home with remote review.
Follow-up consultations during the initial stay are included. You fly home once lengthening is complete and the frame is off. What happens after you fly is set out on the aftercare when you fly home page.
Accommodation for the Surat stay and airport transfers are in the package, so they add nothing to the totals in the cost calculator. Meals and flights remain yours to arrange.
These four items sit outside the package price. They belong in your budget.
Return flights and your meals are your own cost. The cost calculator lets you edit estimates for both, by country of residence.
Taking out the intramedullary nail is a second operation, done after the bone has healed. It is not in the package. It can be done on a second trip to Surat or by a surgeon in your own country, and its fee is separate either way.
Consolidation continues for months after you fly home, and cosmetic cases usually need 12 to 18 months of recovery in total. Local physiotherapy and clinic visits near you are arranged and paid for by you. We brief your physiotherapist with a written protocol; see aftercare when you fly home. Lost income during recovery is also yours to plan for, and no price list includes it.
Fitbone is a motorised internal nail with no external frame, and it is the only motorised internal nail we offer; the LON package uses a standard intramedullary nail with an external fixator. Choosing it instead of LON adds a surcharge, which is quoted at consultation. No figure for it is shown here and none is inside the USD 15,000 to 16,000 range. Other motorised nails exist on the market; they are mentioned only as context, and we make no claim that one is better than another.
Lengthening both the tibia and the femur is done in two stages, tibia then femur, with recovery between them. That is two packages, and the combined price is quoted at consultation. A second stage is advised only if your X-rays and health allow it.
Difficulties during limb lengthening are common, and they are the main reason a package price can change. Ask for the complication terms first.
Paley's classification separates problems, which resolve without an operation, from obstacles, which need an operation to resolve, and from complications, which are intra-operative injuries or problems still unresolved at the end of treatment (PMID 2403498). A systematic review of 795 cosmetic patients reports a mean of 0.78 problems, 0.94 obstacles and 0.15 complications per patient (PMID 32670567). A 2025 meta-analysis of 489 patients reports, for external fixation, problems in 56 percent, obstacles in 48 percent and complications in 10 percent, and for intramedullary nailing 37 percent problems and 42 percent obstacles with no significant complications reported (PMID 39801900). These are published cohorts using different techniques. They are not Living Taller results and not a prediction for you.
Each event can mean extra visits, extra nights or another procedure. In a small UK case series of seven patients who returned from limb lengthening abroad, all needed physiotherapy and two needed major corrective surgery (PMID 42229514). Your written quote states in plain words who pays for extra nights, accommodation and treatment if a complication keeps you in Surat longer or needs revision surgery. Ask for the complication terms first, in writing. The full risk picture is on the safety and risks page.
No package payment is taken before you have a written quote. The order below is the usual sequence.
You send your questions and X-rays by WhatsApp or email. A written quote follows the review. No package payment is taken at this stage.
A video consultation with the surgeon, then the psychological assessment. Candidacy is decided here, and either side can stop.
A reservation payment is taken to confirm a surgery date; the amount and schedule are stated in your written quote, which also says how it counts toward the package price.
The balance and its due dates are stated in your written quote, in the same currency as the quote.
Refund and cancellation terms are set out in your written quote, which you receive before any payment is made. Read them first. They should answer three questions: what happens to the reservation payment if you cancel, if the surgeon declines to operate after assessment, and if you cannot travel on the date reserved.
The package is quoted in US dollars, and the consultation fee is in Indian rupees. Your bank's exchange rate, card fees and transfer charges are yours and vary by day. The cost calculator uses fixed, dated exchange rates and says so; they are indicative, not a quote. Which currencies are accepted for payment, and when the rate is fixed, is stated in your written quote.
Ask each clinic for its list. Put these questions to every clinic you consider, including us, and ask for the answers in writing.
For the figures other centres publish, with sources and access dates, use the cost calculator. For the general approach to cost, see limb lengthening in India for international patients, and for your own country the United Kingdom and Gulf pages.
The package is quoted from USD 15,000 to 16,000 for bilateral tibial or bilateral femoral lengthening with LON. It includes surgery and anaesthesia, hospitalisation, the standard intramedullary nail and LRS external fixator, pre-operative tests, a psychological assessment, imaging and monitoring, supervised physiotherapy and follow-up consultations during the Surat stay, accommodation for that stay and airport transfers.
Flights, meals, nail removal, and physiotherapy at home during consolidation are not included. The Fitbone motorised nail is a surcharge quoted at consultation, and a two-stage plan (tibia, then femur) is two packages with a combined price quoted at consultation.
It is quoted as a range, from USD 15,000 to 16,000, because the written quote that follows your X-ray review is the figure that applies to you. Candidacy is decided at consultation, and not everyone who asks is suitable. Consultation fee INR 10,000. Surgery fees are quoted after assessment.
Difficulties during lengthening are common in published series (PMID 32670567), and some need further treatment. Your written quote states in plain words who pays for extra nights, accommodation and treatment if a complication keeps you in Surat longer or needs revision surgery. Ask for the complication terms first, in writing.
A reservation payment is taken to confirm a surgery date, after your X-ray review, video consultation and psychological assessment. The amount and schedule, the balance and its due dates are stated in your written quote. Refund and cancellation terms are also set out there, so read them before you pay.
Fitbone is a motorised internal nail with no external frame, and it is the only motorised internal nail we offer; the LON package uses a standard intramedullary nail with an external fixator. Choosing it adds a surcharge that is quoted at consultation, so no figure is shown on this page and none is included in the package range.
Yes, in two stages, not at once. A tibia stage and a femur stage are two packages, and the combined price is quoted at consultation. Whether a second stage is advisable is decided from your X-rays, with gains of up to about 6 cm per segment.
Price lines and inclusions were reviewed on 9 Oct 2026. Complication figures are from the published literature named above and are not Living Taller results.
Consultations are by WhatsApp video or in person in Surat. A written quote follows an X-ray review, and candidacy is decided at consultation.
dramankhanna91@gmail.com·Aftercare when you fly home·Cost calculator