For most international patients, the first real contact with a Medellín surgeon is a video call. It might last fifteen minutes or an hour. It might be with the surgeon, a coordinator, or both. Handled well, it is the most important filter in your whole search. Handled badly, it is a sales call with a medical backdrop. The difference often comes down to how you prepare and what you notice.
What a video consultation can and cannot do
A virtual consultation is good for a few things: getting to know how a surgeon thinks and communicates, sharing your goals and health history, getting a preliminary sense of whether your goals are realistic and learning what the surgeon would want to do in person. It is also how you judge whether this is someone you trust enough to fly to.
What it cannot do is replace a physical examination. A surgeon on a screen cannot feel skin quality, measure accurately, assess muscle separation or see you in three dimensions under good light. Any plan made over video should be treated as provisional, and a careful surgeon will say so. The NHS suggests having two consultations with the surgeon before surgery, with time to think in between (NHS, accessed 2026). For most Medellín patients, the video call is the first, and an in-person visit before surgery day is the second.
Before the call: a preparation file
Surgeons can only work with what you give them. Pulling together a short file before the call saves time and makes the conversation sharper.
Your health history, written down
- Current medications, with doses, including supplements, hormones and weight-loss drugs.
- Allergies, especially to medications, latex or adhesives.
- Previous surgeries, with approximate dates, and any problems with anesthesia.
- Chronic conditions, such as diabetes, high blood pressure, thyroid disorders or bleeding problems.
- Personal or family history of blood clots.
- Smoking, vaping or nicotine use, honestly reported.
- Recent weight changes and whether your weight is currently stable.
Translating this into a one-page summary means you are not trying to remember everything under pressure. It also gives the surgeon something to forward to the anesthesiologist.
Photos that actually help
Many clinics ask for photos before the call. Ask them which views they want, then take them carefully:
- Even, natural light, facing a window, with no harsh shadows.
- A plain wall behind you.
- The camera at the level of the area being photographed, not tilted from above.
- Front, both sides and angled views, plus any specific views the clinic requests.
- No filters, beauty modes or editing.
Before you send intimate photos, check how the clinic will store and share them. Ask whether they go to a clinic email or a personal phone, and who sees them. You are entitled to know.
Your goals, in your own words
Write two or three sentences about what bothers you and what you hope will change. If you have reference photos, choose a few that show results you like on bodies or faces similar to yours. Be ready to hear that some of what you want is not achievable, or not achievable in one operation.
During the call: what a good consultation covers
A thorough virtual consultation tends to follow a pattern, even if the surgeon does not name it.
| Part of the call | What you should hear |
|---|---|
| Your goals | Questions about what you want and why, not just a menu of procedures. |
| Your health | Specific follow-up on your medications, history and habits. |
| The proposed plan | An explanation of which procedure(s) the surgeon would consider and why, with alternatives. |
| Risks and limits | A real discussion of risks and of what the operation will not do. |
| Logistics | Where surgery would take place, who gives anesthesia, how long to stay and what follow-up looks like. |
| Next steps | What tests are needed, what happens at the in-person consultation and when you would get a written quote. |
The NHS describes what a surgeon should explain in consultation: the procedure, its limitations, alternatives and risks, along with before-and-after pictures. Use that as a mental checklist. If the call ends without risk ever being mentioned, that is information.
Who is on the call?
Many Medellín practices use coordinators to handle scheduling, travel and paperwork. That is normal and often helpful. But the coordinator is not the surgeon. Make sure you speak directly with the person who will operate on you before you pay a deposit, and note whether they seem engaged with your case or rushed. The NHS specifically advises insisting on meeting the surgeon rather than only sales staff.
Language
If the surgeon's English is limited, ask whether a professional interpreter can join. A family member or coordinator translating a conversation about anesthesia risks is not ideal. You need to understand, in your own language, what could go wrong.
Questions that reveal a lot in a short call
Keep these near your screen
- Based on what you see, what would you not recommend for me, and why?
- What might change your plan once you examine me in person?
- Where would the surgery be done, and who would give the anesthesia?
- How many days do you want me in Medellín after surgery, and how many follow-up visits?
- How do you handle complications that appear after I have flown home?
- Can you send me your full legal name so I can verify your registration?
The last question matters. You will need the surgeon's full legal name to check their specialty registration in Colombia. Our surgeon verification guide shows what to do with it.
Warning signs on a video consultation
- The surgeon never appears, or appears for two minutes at the end.
- A firm surgery date and price before any review of your health history.
- "You're a perfect candidate" without any questions about your health.
- No discussion of risk, or risks brushed off as "very rare, don't worry."
- Pressure to pay a deposit during or immediately after the call.
- Reluctance to say where the operation will take place.
- Promises about specific results, such as an exact measurement or a guaranteed look.
After the call: give yourself time
Write notes immediately afterwards, while you remember the details. What did the surgeon recommend? What did they say about risks? How long would you need to stay? Then ask the clinic to confirm the key points in writing, along with the written quote.
Then wait. The NHS points to a two-week cooling-off period as normal practice in the UK. You do not have to follow a UK rule in Colombia, but the reason behind it holds anywhere: big decisions made in the glow of a friendly call are not always the decisions you would make a week later. If you have consulted more than one surgeon, compare what each said about your case, not just the prices.
Bridging the call and the in-person visit
Once you decide to go ahead, the plan from the video call becomes a starting point. When you arrive in Medellín, expect the surgeon to examine you, review your lab results and, sometimes, adjust the plan. That is not a bait-and-switch; it is the point of an in-person consultation. What should not change without a clear explanation is the surgeon, the facility or the anesthesia provider you were told about.
Leave room in your schedule for that in-person visit to happen before surgery day, not in the pre-op holding area. And remember that you are still allowed to decide not to proceed after it.
Related from the network
- Medellín Cosmetic Surgery — packages, recovery, procedures (sibling)
- SCCP Verification — the step-by-step guide
- Anesthesia Safety in Colombian Clinics
- Clinic vs Hospital Operating Rooms: habilitación
- Malpractice & Legal Recourse in Colombia
- colombiamedical.co — Colombia medical tourism hub
- Colombia BBL — dedicated BBL resource
- Hair Transplant Medellín — dedicated hair resource
Frequently asked questions
Can a Medellín surgeon confirm I am a candidate over video?
A video call can give a preliminary opinion, but it cannot replace a physical examination. Any plan should be treated as provisional until the surgeon examines you in person and reviews your test results.
What photos should I send before a virtual consultation?
Ask the clinic which views it needs. Generally, use even natural light, a plain background, the camera level with the area, and no filters or editing. Ask how the clinic stores and shares the photos before sending them.
Is it normal to speak with a coordinator instead of the surgeon?
Coordinators often handle scheduling and logistics, which is normal. You should still speak directly with the surgeon who will operate before paying a deposit. The NHS advises insisting on meeting the surgeon, not just sales staff.
How long should I wait after a video consultation before booking?
There is no fixed rule in Colombia, but the NHS notes a two-week cooling-off period is normal in the UK. Taking time to compare surgeons and think it over is sensible for any elective operation.
What should I bring to a video consultation?
A written summary of your medications, allergies, past surgeries, chronic conditions, clot history and nicotine use, plus your goals in a few sentences and any reference photos. Having a list of questions ready helps too.
Getting ready for a video consultation?
Message the desk and we can help you organize your history, photos and questions so your first call with a Medellín surgeon is genuinely useful.