World-class spine surgery
with someone who
speaks your language.

Yes. PA Ananya Mahajan is a fully credentialed Physician Assistant who sees patients independently at this practice. She conducts initial clinic evaluations, reviews imaging, manages pre-operative coordination, and handles post-operative follow-up — all independently, and all in Hindi when that is the patient’s preference. This is genuinely rare in US spine practices. Telemedicine consultations with PA Mahajan in Hindi are available from India or anywhere in the US. She coordinates directly with Dr. Katsevman on all surgical planning and cases.

Almost certainly — because the alternatives simply do not exist in India yet. TOPS, which achieved 77% clinical success versus 24% for fusion in the FDA randomized controlled trial, is not available at any Indian hospital. Cervical and lumbar disc replacement (Simplify, ProDisc-C, ProDisc-L) — which produce significantly better long-term outcomes than fusion for appropriate single and two-level disease — are not approved or available in India. Barricaid annular closure, which reduces reherniation after discectomy by 81%, is not available in India. Indian surgeons who recommend fusion are not withholding information — they are recommending the best available option from what is accessible to them. A telemedicine second opinion from a surgeon who has access to all three of these technologies determines whether your anatomy is a candidate for any of them before you commit to fusion.

International patients pay cash-pay — full transparent pricing covering surgical fee, operating room, and anesthesia is provided before any commitment. No hidden costs. For Indian patients traveling specifically for surgery, the total cost of the procedure plus travel and recovery in Florida often compares favorably with international pricing at private US hospitals. Some international health insurance policies (Cigna Global, AXA International, Allianz) cover procedures performed in the US — check your policy. The practice provides complete medical documentation to support insurance reimbursement claims. NRI patients with US insurance are billed through standard insurance channels.

For most minimally invasive procedures at this practice, flying home within days to a couple of weeks after surgery is appropriate and routinely done without complications. The specific timing depends on the procedure, your individual recovery, and the length of the flight — Dr. Katsevman provides specific air travel clearance as part of discharge planning. Deep vein thrombosis prophylaxis instructions — compression stockings, hydration, movement during the flight — are included in discharge instructions for all patients. For the long international flight back to India, business class or a seat with adequate legroom is recommended. Most patients find the flight home significantly more comfortable than the flight to Florida given that their spine pain has resolved.

Yes — evaluating patients who have had prior spine surgery without adequate relief is a specific focus of this practice. Bring your operative report from the Indian hospital, all post-operative imaging (MRI, CT), and a description of your current symptoms and how they have changed since surgery. The evaluation identifies which of the four failure modes applies: wrong diagnosis, wrong procedure, technical execution issue, or misaligned expectations. In most cases there is a specific and addressable cause that has not been found. An initial telemedicine consultation with PA Mahajan in Hindi is available from India — upload your imaging before the appointment and Dr. Katsevman reviews everything personally before the visit.