Cost of Functional Endoscopic Sinus Surgery (FESS)

Dr. K. R. Meghanadh

What is FESS?

Functional Endoscopic Sinus Surgery, commonly known as FESS, is a surgical technique for treating sinus-related issues. This method was developed in the mid-1980s, and it has since revolutionized the field of sinus surgery.

FESS is based on the concepts proposed by Dr. Messerklinger. It is also known as Messerklinger's technique. The key concept behind FESS is to enhance the patient's sinus function while preserving the delicate mucosa and clearing blockages, if any, in the osteomeatal complex area.

The surgery aims to alleviate sinus problems and restore normal sinus function without the need for traditional open sinus surgery, which is more invasive and prone to scarring and disfigurement.

Although FESS doesn't require operating on all sinuses (typically focusing on 4 to 5 out of approximately 40), it boasts a success rate of around 30% in the long term, which is significantly higher than the preceding surgical methods. FESS surgeries typically take less than an hour, contributing to quicker patient recovery.

Cost of FESS Surgery

The all-inclusive cost of functional endoscopic sinus surgery(FESS surgery) in India typically ranges around 70,000 INR, approximately 840 USD.

FESS has become one of the most common sinus surgeries today. This advanced procedure is recognized for its effectiveness in treating sinus problems while minimizing scarring and disfigurement. However, the cost of FESS surgery can vary significantly depending on multiple factors.

Factors Influencing the Cost of FESS Surgery

When considering the cost of sinus surgery, it is crucial to consider various factors that can impact the overall expense. Here are some key factors that influence the price:

1. Infrastructure and Location: The infrastructure can significantly impact the overall expense of FESS surgery. Hospitals with better infrastructure tend to have higher fees, and the location of the hospital also plays a role. Tier 1 and Tier 2 cities may have different pricing.

2. Surgeon's Fees: The fees charged by the primary surgeon may not be the only expense. Surgeons often work with a team of medical professionals, and their charges can include the entire surgical team's fees. A competent and skilled surgical team is vital for successful surgery and post-operative care.

3. Medical Staff Expertise: The expertise and experience of the medical staff, including nurses, also affect the cost. Highly skilled and experienced medical personnel can identify and manage complications more effectively, ensuring better patient care. Consequently, they typically command higher salaries, which can contribute to the overall cost.

4. Surgeon's Technique: FESS is loosely defined. Different surgeons may employ unique variations of the technique. These variations could affect the cost, success rate, and patient experience.

5. Safety Mechanisms: Hospitals require extensive safety mechanisms, mainly surgical and intensive care units. This includes backup generators and uninterrupted power supply (UPS) systems. Using online UPS ensures continuous power, reducing the risk of surgery interruptions and data loss. Even though these mechanisms are costly, they are essential for patient safety and quick recovery.

6. Room Package: The type of room you choose for your stay at the hospital can impact the total cost of the surgery. Upgrading to a private or deluxe room often comes with additional charges, which can add to the overall expense. You might need to stay for 2 to 5 days, depending on your procedure and doctor.

Functional Endoscopic Sinus Surgery (FESS) is a widely used and less invasive procedure for treating sinus conditions. Various factors influence FESS surgery costs. When comparing the cost of FESS surgery, it's essential to inquire about other associated charges. These may include bed fees, nursing charges, operation theater fees, anesthesia charges, the cost of medications, and reusables used in surgery. Understanding the full scope of expenses can help patients make informed decisions and avoid unexpected costs.

Dr. K. R. Meghanadh