Question 1

Is my consultation confidential?

Accepted Answer

Absolutely. Every consultation is strictly private and we never share patient information. Our centres are designed so you never feel exposed or judged.

Question 2

Do I need a referral?

Accepted Answer

No — walk-ins and direct bookings are welcome at all 5 centres.

Question 3

Can I do a video consultation first?

Accepted Answer

Yes. Many patients prefer a tele-consult before the first in-person visit, particularly international patients.

Question 4

What should I bring to the first visit?

Accepted Answer

Any past reports, MRI scans (for fistula cases), current medication list and your insurance card if applicable.

Question 5

How long is the first consultation?

Accepted Answer

Typically 20–30 minutes including history, examination and discussion of treatment options.

Question 6

Can I bring a family member?

Accepted Answer

Yes — companions are welcome. Patients under 18 must be accompanied by a guardian.

Question 7

Do you treat both men and women?

Accepted Answer

Yes — we treat patients of all genders, with female nursing staff available for women's examinations.

Question 8

Is parking available?

Accepted Answer

Yes at all centres. Hospital parking at Apollo Spectra (Tardeo, Chembur) and Surya Hospital (Santacruz/Bandra). Paid parking near Dadar and Parel.

Question 9

Is laser piles surgery painful?

Accepted Answer

No — laser energy precisely targets piles tissue under anaesthesia. Most patients report minimal post-op pain and resume routine in 2–3 days.

Question 10

What grade of piles needs surgery?

Accepted Answer

Grade 1 piles often resolve with diet. Grades 2-4 typically need laser or in-clinic treatment for lasting relief.

Question 11

How long does laser piles surgery take?

Accepted Answer

20–40 minutes as day care.

Question 12

Will piles come back after laser surgery?

Accepted Answer

Recurrence is rare (under 5–7%) when post-op diet and lifestyle guidance is honoured.

Question 13

Can I avoid surgery for piles?

Accepted Answer

Early-grade piles often respond to fibre, fluids and topical treatment. Grade 3-4 piles usually need a procedure for lasting relief.

Question 14

Will I be incontinent after piles surgery?

Accepted Answer

No — laser preserves sphincter tissue, so continence is preserved in the vast majority of patients.

Question 15

Is bleeding during stool always piles?

Accepted Answer

No. Bleeding can also indicate fissure, polyps or rarely colorectal cancer — proctology examination rules these out in minutes.

Question 16

Can fissures heal without surgery?

Accepted Answer

Acute fissures often heal with diet, sitz baths and topical medication within 4–6 weeks. Chronic fissures (over 6 weeks) usually need laser sphincterotomy.

Question 17

Is laser sphincterotomy safe?

Accepted Answer

Yes — it preserves continence and is far gentler than traditional surgery.

Question 18

How long is fissure recovery?

Accepted Answer

Most patients return to routine in 2–3 days and report significant pain relief within the first week.

Question 19

Is fissure surgery covered by insurance?

Accepted Answer

Yes — most major insurers cover laser fissure surgery at our Apollo Spectra centres.

Question 20

Why is Dr Laxman known for fistula?

Accepted Answer

He hosted Fistulacon 2023 & 2026 — India's National Proctology Conferences — and has treated some of Mumbai's most complex fistula cases.

Question 21

Will I become incontinent after fistula surgery?

Accepted Answer

Sphincter-saving laser techniques (FiLAC, VAAFT) preserve continence in the vast majority of patients.

Question 22

Do I need an MRI for fistula?

Accepted Answer

Yes — MRI fistulogram is essential for complex or recurrent fistulas to map the tract before surgery.

Question 23

Why didn't my previous fistula surgery work?

Accepted Answer

Recurrence often happens when the internal opening or branches are missed. Dr Laxman specialises in re-do fistula cases using MRI-guided planning.

Question 24

How long does fistula treatment take?

Accepted Answer

30–90 minutes depending on complexity. Day-care discharge for most cases.

Question 25

Is open surgery still needed for pilonidal sinus?

Accepted Answer

Rarely. EPSiT and laser have replaced traditional excision in most cases at our centres.

Question 26

Will rectal prolapse return after surgery?

Accepted Answer

Modern laparoscopic rectopexy has very low recurrence when performed by an experienced colorectal surgeon.

Question 27

What is ODS?

Accepted Answer

Obstructive Defecation Syndrome — difficulty evacuating despite the urge, often due to pelvic floor dysfunction or rectocele. Often improves with biofeedback therapy.

Question 28

Can amputation be avoided with diabetic foot?

Accepted Answer

With early intervention and tight diabetic control, the vast majority of cases avoid amputation.

Question 29

Is stapler circumcision painful?

Accepted Answer

Performed under local or short anaesthesia — discomfort is minimal and recovery is dramatically faster than conventional surgery.

Question 30

Do you accept cashless insurance?

Accepted Answer

Yes — we are empanelled with all major insurers and TPAs via Apollo Spectra and Surya Hospital.

Question 31

Is laser surgery covered?

Accepted Answer

Most leading insurers cover laser proctology procedures including piles, fistula and pilonidal sinus.

Question 32

How is cost decided?

Accepted Answer

Cost depends on grade/complexity, centre and room category. Our team gives a transparent quote upfront.

Question 33

How long does pre-authorisation take?

Accepted Answer

Usually 24–48 hours once we have your documents.

Question 34

What if my plan is new?

Accepted Answer

Most plans have a 30-day waiting period for non-emergency surgeries. Our team will check your eligibility upfront.

Question 35

Do you accept ECHS / CGHS?

Accepted Answer

Empanelment is being finalised. WhatsApp our team to confirm current status.

Question 36

What payment methods do you accept?

Accepted Answer

Cash, all major cards, UPI, NEFT/IMPS, EMI on cards. Cashless for empanelled insurers.

Question 37

How soon can I return to work?

Accepted Answer

Most patients return in 2–3 days after laser proctology. Hernia, fistula and prolapse may take a little longer.

Question 38

Can I travel after surgery?

Accepted Answer

Short local travel from Day 3. Long flights generally from Day 7. International patients receive a fit-to-fly letter.

Question 39

What diet should I follow after surgery?

Accepted Answer

High fibre, plenty of fluids, no straining. Our dietician shares a written plan after every procedure.

Question 40

When do I need a follow-up?

Accepted Answer

Standard follow-ups are at Day 7, Week 4 and Month 3. Video follow-ups available for outstation patients.

Question 41

Are sitz baths really helpful?

Accepted Answer

Yes — warm sitz baths 2–3 times daily are one of the most effective post-op comfort measures.

Question 42

What if I have pain after going home?

Accepted Answer

Call the centre or WhatsApp us at any time. Mild discomfort is normal; severe pain or fever needs immediate review.

Question 43

Which centre is best for me?

Accepted Answer

It depends on where you live and your insurance. Use our Plan Your Surgery page or WhatsApp us with your area and policy.

Question 44

Is 24/7 emergency available?

Accepted Answer

Yes — Apollo Spectra Tardeo and Chembur offer 24/7 emergency cover.

Question 45

Do you offer home blood collection?

Accepted Answer

Yes — across Dadar, Parel, Bandra, Chembur and most central/western Mumbai areas. See our Pathology page.

Question 46

Are international patients welcome?

Accepted Answer

Yes — we have a dedicated international patient coordinator, free pre-arrival video consultation and multilingual support.

Question 47

Will my employer know?

Accepted Answer

Never. We share no information with employers without your explicit written consent.

Question 48

How are reports shared?

Accepted Answer

Direct to your WhatsApp or email, password-protected. Printed copies handed over personally.

Question 49

Are camera or recording allowed?

Accepted Answer

Patients can record their own consultations. Our staff do not photograph or record any patient.

50+ questions, answered clearly

Consultation & Booking