Before you fly home, you’ll be given a packet that contains orders for new X-Rays (typically 3 months and 6 months post-op), a letter of medical necessity, and an itemized list of all medical services provided. After you return, your primary care doctor should order your X-Rays at the intervals requested by your surgeon and continue to prescribe pain medications (only if needed). In almost all cases, there is no need to return to Germany for follow up. The required X-Rays are typically all that’s needed for follow up care. Most issues can be addressed digitally over email.