30,000+ hernia procedures
Cumulative experience through 2025.
International Medical Service
Joshua Hernia Surgery Center has long served hernia patients from around the world, offering minimally invasive surgery, natural-tissue reconstruction, and mesh-free treatment options. From online consultation and pre-arrival evaluation, through the day of surgery, to remote post-operative follow-up, we guide international patients through each step.

Why international patients choose Taiwan
For international patients, the greatest source of stress in cross-border care is usually not the operation itself, but uncertainty. Am I a candidate to travel? How many days do I need to stay? What will happen on the day of surgery? Will language be a barrier? What if there is a problem after I return home? Without clear answers, even excellent technique cannot fully reassure a patient. Our international medical service is designed not simply to bring patients to Taiwan, but to break the care journey down into a sequence that can be understood, scheduled, and followed. We begin with online consultation to clarify symptoms, hernia location, prior surgical history, and expectations. Upon arrival in Taiwan, the physician performs an in-person evaluation to determine whether minimally invasive surgery or another approach is appropriate. After surgery, we maintain remote follow-up as recovery progresses. The core of international medicine is not "fly in to have surgery." It is making sure that, even in an unfamiliar country, the patient always knows the next step.
Joshua's international hernia care positioning
Joshua Hernia Surgery Center has long focused on hernia surgery, caring for patients from Taiwan and from around the world. The center has accumulated more than 30,000 hernia procedures and has treated patients from 52 or more countries. International patients generally do not travel solely for lower cost. They travel for specific reasons: the option of repair without synthetic mesh; the ability to avoid general anesthesia; same-day discharge; a smaller incision with natural-tissue reconstruction; and access to a physician focused on hernia care. The Joshua minimally invasive procedure is built on natural-tissue reconstruction, paired with IV sedation without intubation, a 2–3 cm micro-incision, and a day-surgery workflow — offering many international patients an alternative to conventional mesh repair.
Cumulative experience through 2025.
Including Japan, Germany, Hungary, and the United States.
Mesh-free, minimally invasive, day-surgery workflow.
English-language communication, pre-operative guidance, and remote follow-up after return home.
When an international evaluation is appropriate
Not every patient requires cross-border surgery, and no single technique fits every hernia. International patients are welcome to begin with online consultation by sharing a symptom description, photographs, prior surgical information, and any medical reports. Our team will help determine whether further in-person evaluation in Taiwan is appropriate. Patients who continue to experience pain, foreign-body sensation, or recurrence after prior mesh repair particularly benefit from a complete history and imaging review to determine candidacy for advanced management. Please note: online consultation supports only an initial assessment. Final diagnosis, surgical recommendation, and candidacy for travel still require in-person physician evaluation.
Patients seeking to understand mesh-free options.
Patients who prefer local anesthesia with IV sedation.
Day-surgery workflow with same-day discharge for most patients.
Cases requiring simultaneous bilateral evaluation or reassessment after prior surgery.
Complex cases requiring thorough evaluation and advanced management.
Those interested in natural-tissue reconstruction options.
English-language support during care and remote follow-up after return home.
International patient care pathway
Cross-border surgery is most stressful when the unexpected occurs. We have structured the international patient journey into clear stages so that patients and families know broadly what to expect before they depart.
Describe your symptoms via our online form or a messaging app, and share photographs, prior surgical records, or medical reports if convenient.
Our team helps organize your history and basic information so the physician can determine whether to schedule an in-clinic evaluation and surgery in Taiwan.
Confirm probable length of stay, clinic visit and surgery dates, and accommodation and transportation recommendations.
After arrival, the physician performs a physical examination and any necessary evaluation to confirm the most appropriate treatment plan.
Where appropriate, most patients undergo minimally invasive hernia surgery under local anesthesia with IV sedation, with same-day discharge to home or hotel after observation.
Our team monitors wound healing, activity, and recovery instructions. After you return home, follow-up continues remotely.
What happens on the day of surgery
On the day of surgery, patients complete check-in, verification of records, and pre-operative preparation. The physician reconfirms the surgical site and plan, and the anesthesia team administers local anesthesia with IV sedation. Minimally invasive hernia surgery is typically performed through an approximately 2–3 cm incision. The procedure focuses on resolving deep pressure sources and performing 3D natural-tissue reconstruction. Most patients then rest in the observation area; once vital signs, mobility, and the wound are stable, they are discharged home or to their hotel. For patients with recurrent hernia, prior mesh issues, large incisional hernia, or other complex situations, the operative workflow and length of stay may differ and are planned individually. Typical day-of-surgery workflow: check-in and pre-operative verification → local anesthesia with IV sedation → minimally invasive hernia surgery or individualized surgical plan → post-operative observation and nursing education → discharge once condition is stable → post-operative follow-up and remote reporting. The workflow may be adjusted based on individual circumstances, surgical complexity, flight schedule, and physician evaluation.
Why international patients care about "no mesh"
Many overseas patients have already learned about mesh repair in their own country before contacting us. Synthetic mesh is a common and effective treatment, but some patients — whether for personal preference, prior experience, or concerns about permanent implants — wish to explore mesh-free alternatives. The Joshua minimally invasive procedure is not a rejection of mesh in principle. It returns the focus to the structure of the abdominal wall itself. Through natural-tissue reconstruction, deep pressure resolution, and 3D overlapping suture, we aim to restore the wall closer to its native load-bearing state. Features of Joshua Hernioplasty: no synthetic mesh, natural-tissue reconstruction, IV sedation without intubation, micro-incision (2–3 cm), and a day-surgery protocol. Clinical note: candidacy for mesh-free repair depends on hernia size, tissue quality, recurrence status, and physician evaluation.
Planning your stay
International patients commonly ask how long they need to remain in Taiwan. The actual length of stay depends on individual circumstances, flights, surgical complexity, and post-operative recovery. First-time hernia patients suitable for day surgery generally do not require extended hospitalization, but we recommend reserving sufficient time in Taiwan for post-operative observation and any necessary follow-up visits. Recurrent hernia, prior-mesh management, and complex abdominal wall reconstruction typically require a longer stay, planned individually by the physician. A general stay plan: complete online consultation and document preparation before departure → in-clinic evaluation and pre-operative confirmation after arrival → day surgery and post-operative observation → short-term follow-up and pre-departure confirmation → remote follow-up and wound reporting after returning home. Please confirm the likely medical itinerary with our international patient service before booking flights or accommodation.
Language, transportation, and accommodation support
Language and daily logistics are often more stressful for cross-border patients than the medical condition itself. Our international patient service offers English-language communication and clear explanations of clinic and surgical workflows, along with accommodation and transportation guidance. Patients can choose accommodations based on budget, length of stay, and family needs. Our goal is not to handle every travel detail, but to make sure patients know what to prepare in advance, what information to share early, and which logistics affect surgery and recovery.
Full English-language support and clear pre-operative information.
Assistance in assembling necessary medical history and documents.
Recommendations for lodging and transportation near the clinic.
Continued follow-up via remote reporting once you are home.
International patient stories
Patient stories are among the most important sources of trust on an international medical page. For anyone considering cross-border surgery, hearing from patients with a similar background is often more persuasive than technical detail alone. Some originally planned to be treated in Europe before choosing Taiwan; some came through a physician friend's referral; others searched for an alternative after multiple prior mesh procedures.
Frequently asked questions from international patients
Ready to discuss your hernia case?
If you are seeking a mesh-free minimally invasive hernia repair, or if you continue to experience recurrence, pain, or foreign-body sensation after prior hernia surgery, please contact us online. Share a description of your symptoms, the location of the hernia, your prior surgical history, your current country of residence, and your expected travel timeframe. Photographs and prior medical records, if available, help our team perform an initial review. You do not need to commit to traveling for surgery up front. Begin by clearly describing your situation; the physician can then help you plan the next step.