Please find below the most frequently asled questions which might also provide some answers to you.

    Documentation for in-depth evaluation

    What documentation is needed to get an evaluation?

    We need your Patient Data Sheet, which you can download on this website (cervical or lumbar).

    For spinal surgeries, we need x-rays in four views (AP, lateral, flexion, extension) and an MRI (both not older than 6 months).

    For hip, knee or shoulder surgeries, we need x-rays (not older than 6 months).


    Send your images

    How can I send my images?

    You can send us your images via mail or email (images in Dicom format). Please contact your ICM for instructions how to export the images from discs.



    Will my insurance cover this procedure?

    We do not direct bill insurance companies. However, many patients have been successful in seeking reimbursement from their insurance companies. Upon request, we will be happy to assist you as much as we can in this process by providing you with appropriate documentation to submit to your insurance.



    What is an MRSA test and do I need one?

    An MRSA test is a simple nasal swab that checks for Methicillin resistant staphylococcus aureus, a type of staph bacteria that is resistant to most antibiotics. Without a negative test result, we cannot admit you into our hospital.


    Necessary items

    What should I bring with me?

    Please bring comfortable yet sturdy slippers you can wear in the hospital. You should also keep in mind, that you will need a converter for electrical equipment.



    Where do I stay after arrival and how do I get there?

    Our taxi will pick you up and bring you to your hotel.


    Stay of your companion

    Can my companion stay in my hospital room?

    Due to hygienic and insurance reasons, this is not possible. We can organize transportation and accommodation in one of our partner hotels nearby the hospital.


    length of stay

    How long do I need to stay in Germany for the surgery?

    Depending on the surgery and your personal well-being, you should plan on staying for at least two weeks.


    in-patient rehabilitation

    Will there be an in-patient rehabilitation in Germany?

    Depending on your individual case and our surgeons diagnosis, we also offer this. The majority of patients travel back home without in-patient rehabilitation.


    Follow-up care

    What about follow up care?

    We will remain in communication with you and provide follow up documentation to assist your local doctor in regards to medication and therapies. If you have any questions after your surgery, we are always just a phone call or an email away.



    LIVECAST REPLAY: Melanie Koehne & Sue Hart
    Tune in for a Q&A with Enande's local patient manager Melanie Koehne as she discusses her role with incoming patients and what to expect when traveling overseas to Enande's medical facility. You will also be able to meet Sue Hart, a former ADR surgery recipient and now an International Case Manager who's back to enjoying her favorite activity---horseback riding! Learn all about Sue's experience and more in this in-depth interview replay.

    LIVECAST REPLAY: Melanie Koehne & Sue Hart


    My trail to Dr. Ritter-Lang began August 1, 1997 after a car accident, which whiplash ruptured C4/5 disc and bulging discs C3/4 and C5/6. Seventeen months later I had a fusion plate (the US Gold Standard) surgery across C4/5/6. In the last 3 years my fingers were tingling, my arms lost strength, and pain was shooting down my arms and legs. In 2009 local surgeons said nothing could be done. In 2011 things were worse, I needed help fast...