Costa Rica has spent the last two decades building a reputation as one of the most trusted places in the Western Hemisphere for medical travel — and it's not hard to see why. Major procedures cost a fraction of US prices, the private hospitals hold Joint Commission International accreditation, and recovery happens somewhere with mountain views and two coastlines instead of a parking garage.
One of the companies at the centre of this is Medical Tours Costa Rica, founded in 2006. It doesn't employ surgeons itself; instead, it connects international patients — mostly from the US, Canada and the Caribbean — with a vetted network of specialists and handles everything around the operation. Patients send their medical records, MTCR routes them to the right doctor for a preliminary assessment, and from there the team coordinates consultations, the treatment plan, hospital admission, airport transfers, hotels and transport to every appointment. Nursing support and structured post-op care continue in your hotel or recovery residence, with follow-up calls after you fly home. The pitch is simple: nobody recovers alone in an unfamiliar city.
The specialist list is genuinely heavyweight. Orthopedic surgeon Dr Carlos Ovares Arroyo focuses on hip, knee and shoulder reconstruction, including the Direct Anterior Approach to hip replacement. Dr Jacobo Zafrani has performed more than 3,500 bariatric procedures, including gastric bypass and sleeve gastrectomy. Dr Carlos Escalante handles minimally invasive gynecologic surgery and menopause care, and neurosurgeon Dr Adrián Cáceres, dual-trained in pediatric and adult neurosurgery, specialises in minimally invasive spine surgery. Several of the network's surgeons trained at Harvard, Cornell, Northwestern or the University of Barcelona.
Procedure coverage runs wide: joint replacements and revision surgery, spinal fusion and disc replacement, SADI-S and other bariatric options, hysterectomy and myomectomy, hernia and gallbladder surgery, and a large dental programme — implants, full-mouth rehabilitation, All-on-4 and All-on-5 restorations. Costa Rica draws a steady stream of dental travellers in particular.
Surgery happens at two partner hospitals in the San José area. Hospital Clínica Bíblica, founded in 1929, is one of the country's oldest and most respected private institutions. Hospital CIMA San José, in Escazú, has held the JCI Gold Seal for the sixth consecutive time and is the only private hospital in Costa Rica or Central America with the ANCC Pathway to Excellence designation for its nursing environment. Medical teams at both are fully bilingual, so there's no language barrier to worry about.
The wider case for Costa Rica as a medical destination is straightforward: strong flight connections with North America, heavily trained doctors, and costs typically far below home-country prices. And unlike some medical tourism hotspots, the recovery phase is a genuine perk — a week or two of postoperative rest here is rainforest and beach time, not a hardship.
For anyone weighing surgery abroad, the practical takeaway is that the enquiry costs nothing and carries no obligation. The first conversation with a facilitator like MTCR usually clarifies which specialist, hospital and budget you're dealing with — which beats a month of anxious internet searching.