Limb Lengthening Surgery
A long, carefully controlled treatment that lengthens the thigh or shin bone.
Also known as: height surgery · leg lengthening · cosmetic limb lengthening
At New City Clinic, Limb Lengthening Surgery is performed in Istanbul by specialist physicians at partner hospitals licensed by the Turkish Ministry of Health.

Limb Lengthening Surgery in Istanbul: overview
In limb lengthening surgery the thigh bone (femur) or shin bone (tibia) is cut in a controlled way and gradually lengthened by about 1 millimetre a day, using a lengthening nail inside the bone or an external fixator. The body forms new bone in the gap; once lengthening stops, this bone takes months to harden. It may be done for a medical reason such as a leg-length difference, or to increase height for cosmetic reasons. It is a major treatment that puts strain on muscles, nerves and joints and requires regular physiotherapy and long follow-up. The orthopaedic surgeon decides on suitability and a realistic target after a thorough examination and imaging.
| Anaesthesia | General anaesthesia |
|---|---|
| Procedure time | 2–4 hours |
| Hospital stay | 3–5 nights |
| Stay in Türkiye | 60–90 days |
| Back to work | 30 days |
| Back to sport | 52 weeks |
| Final result | 12 months |
| Scar | Small incisions around the hip or knee; pin sites with an external fixator |
Who is it for?
Limb lengthening is considered for adults with a leg-length difference after an injury, infection or a congenital condition, and for healthy adults who want to increase their height for cosmetic reasons. Candidates need to have finished growing, have healthy bones, not smoke, and be ready for a long process with daily physiotherapy. A careful medical and psychological assessment is part of the decision, and the surgeon explains a realistic target length for your bones.
Your orthopaedic surgeon
Op. Dr. Gökhan Tolga AkbulutOrthopaedic and Trauma Surgeon · Orthopaedics, Hand Surgery and MicrosurgeryView CV How the bone is lengthened
Lengthening follows a set of phases:
- Surgery: the femur or tibia is cut in a controlled way and an internal lengthening nail or an external fixator is fitted
- Waiting period: about a week for healing to begin
- Distraction: the bone is lengthened by about 1 millimetre a day, with regular X-ray checks
- Consolidation: the new bone hardens over several months
- Removal of the device or nail once the bone is strong, usually in a later short operation
Risks you should know about
Limb lengthening is a demanding treatment. Possible problems include pain, joint stiffness, muscle and tendon tightness, nerve or blood vessel irritation, infection at pin sites, delayed bone healing and differences between the two sides. The rate of lengthening is adjusted at each check-up, and lengthening can be slowed or stopped if needed. Your surgeon explains your personal risks before you decide.
Time in Istanbul and follow-up
Because the lengthening phase needs frequent checks and daily physiotherapy, patients usually stay in Istanbul for about two to three months, depending on the target length. You walk with crutches during this period. After you return home, X-ray checks and physiotherapy continue with remote follow-up until the bone has fully consolidated.
Your journey in Türkiye, step by step
- 01
Free preliminary assessment: a physician reviews your photos and medical history and you receive a written plan and quote.
- 02
Day 1 – arrival in Istanbul: you are met at the airport and taken to your hotel.
- 03
Examination day: physician's examination, blood tests and anaesthesia assessment; the plan is finalised.
- 04
Procedure day: the procedure takes about 2–4 hours under general anaesthesia. Hospital stay: 3–5 nights.
- 05
Check-up: dressing change and follow-up examination after discharge.
- 06
Return: total stay in Türkiye is 60–90 days; your physician clears you to fly. Follow-up continues remotely.
New City Clinic health tourism services
- Airport welcome and hospital–hotel transfers
- Accommodation at partner hotels close to the hospital
- Support in English, Spanish, Italian, Portuguese and Turkish
- Scheduling of examination, tests and surgery
- Post-operative check-ups and remote follow-up once you are home
- Dedicated complication insurance for operations
Recovery
Hospital stay: 3–5 nights. Desk work is usually possible within 30 days and sport after 52 weeks; the final result appears in about 12 months.
What you should know
- Temporary swelling, bruising and tenderness
- Risk of infection and bleeding, as with any surgical procedure
- Results vary with individual anatomy and healing
Every medical procedure carries risk. Your physician will explain the risks specific to you during your examination.
Frequently asked questions
What is limb lengthening surgery?
In limb lengthening surgery the thigh bone (femur) or shin bone (tibia) is cut in a controlled way and gradually lengthened by about 1 millimetre a day, using a lengthening nail inside the bone or an external fixator. The body forms new bone in the gap; once lengthening stops, this bone takes months to harden. It may be done for a medical reason such as a leg-length difference, or to increase height for cosmetic reasons. It is a major treatment that puts strain on muscles, nerves and joints and requires regular physiotherapy and long follow-up. The orthopaedic surgeon decides on suitability and a realistic target after a thorough examination and imaging.
How much does Limb Lengthening Surgery cost in Turkey?
The cost depends on the scope of the procedure, the technique, the hospital and your accommodation choice. After a physician's assessment, New City Clinic sends you an itemised written quote; getting a quote is free.
What does an all-inclusive Limb Lengthening Surgery package include?
Your quote lists the hospital and physician fees, required tests, check-ups, airport–hotel–hospital transfers and, on request, hotel accommodation as separate items. Flights are not included; we can help organise them if you wish.
How long does Limb Lengthening Surgery take?
The procedure takes about 2–4 hours. Anaesthesia: general anaesthesia.
How long do I stay in hospital and in Turkey?
Hospital stay: 3–5 nights. The total stay in Türkiye is usually planned at 60–90 days; your physician confirms the exact length at your check-up.
Is Limb Lengthening Surgery in Turkey safe? What are the risks?
Every medical procedure carries risk: infection, bleeding, anaesthesia-related problems and healing that differs from what was expected are the main ones. To reduce risk, the procedure is performed by a specialist at a licensed hospital after pre-operative tests. Your physician explains the risks specific to you at your examination.
When can I go back to work and exercise?
Desk work is usually possible within 30 days and sport after 52 weeks. These times vary from person to person.
Will there be scars?
Small incisions around the hip or knee; pin sites with an external fixator. Scars are noticeable in the first months and fade with time; how they heal depends on your skin.
When will I see the result?
The first change is visible as swelling settles; the final result appears in about 12 months. Results vary from person to person and cannot be guaranteed.
Can I see before and after photos?
Out of respect for patient privacy and under healthcare regulations, patient photos are shared only with the patient's consent. In your consultation the physician explains what is realistic in your case.
How do I choose the best clinic for Limb Lengthening Surgery in Istanbul?
There is no single “best clinic” for everyone; for a safe choice, check these: a Health Tourism Authorisation Certificate, the name of the hospital and the operating surgeon, a written plan based on a physician's assessment, an itemised quote and aftercare. New City Clinic is an authorised intermediary registered with the Turkish Ministry of Health and HealthTürkiye; it publishes its authorisation, TÜRSAB and ISO certificates on this site and gives you all of this in writing with your quote.
How many centimetres can be gained?
The realistic amount depends on the bone, the method and how your muscles and nerves respond. Your surgeon sets a personal target after the examination; no specific gain can be guaranteed.
Is limb lengthening painful?
Pain and tightness are common during the lengthening phase and are managed by your care team. Daily physiotherapy is essential to keep the joints moving.
Can I work during treatment?
Desk work from home or a hotel is often possible after the first weeks, but physical work is not possible until the bone has consolidated.
Is Limb Lengthening Surgery in Turkey safe?
Like any operation, Limb Lengthening Surgery carries risks, and the risk depends far more on where and by whom it is done than on the country. The serious cases reported in the press have mostly involved unlicensed premises, non-specialists or too many procedures in one session. A safe choice means a hospital licensed by the Turkish Ministry of Health, a named specialist surgeon, an anaesthetist, pre-operative tests and a long enough stay. New City Clinic is an authorised intermediary registered with the Ministry of Health and HealthTürkiye, and you receive the hospital and surgeon details in writing before you travel.
Why is Limb Lengthening Surgery cheaper in Turkey than in the UK, Ireland, Australia or Malta?
The difference comes mainly from lower operating and staff costs and the exchange rate; implants, materials and techniques follow the same international standards. Even so, do not choose on price alone: check the hospital licence, the surgeon’s specialty and exactly what the package includes.
Travelling to Istanbul for Limb Lengthening Surgery from Australia, Malta or further away: what should I plan?
From Malta there are direct flights to Istanbul of around two and a half to three hours; from Australia the journey usually involves one connection and takes 20 hours or more. The longer the flight home, the longer you should stay in Istanbul after Limb Lengthening Surgery, so that your surgeon can check you before travelling. On a long-haul flight wear compression stockings, walk regularly and drink water. Your reports are prepared in English and a New City Clinic coordinator follows your recovery remotely once you are home.
Get your free quote today
Send your photos and questions; a surgeon’s assessment and your quote usually arrive within 24 hours. The consultation is free and without obligation.
- A surgeon’s assessment and quote, usually within 24 hours
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Guides on this procedure
Articles you may want to read before deciding.

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