How Much Does High Tibial Osteotomy Surgery Cost?
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Few UK private hospitals publish a price for a high tibial osteotomy (HTO). The one we found, checked on 31 Oct 2026, is £8,293 at The Droitwich Spa Hospital, on a knee surgeon's self-pay price guide [1]. Nuffield Health and Spire give a price only after a consultation [2] [3]. On the NHS an osteotomy costs nothing.
Written by Saher Shodhan. Every price on this page was checked against the provider's own page on 31 Oct 2026, unless a row says otherwise. Sources are numbered at the end.
What is a high tibial osteotomy?
The NHS describes an osteotomy as an operation "where the shape of your shin bone is changed to reduce pressure on the worn or damaged part of your knee" [4]. It lists it among the alternatives to a knee replacement.
On its osteoarthritis page, the NHS says it "involves your surgeon adding or removing a small section of bone either above or below your knee joint" [5]. Cromwell Hospital in London says "The most common form of knee osteotomy involves the shinbone" [6]. "Tibial" refers to the tibia, the shin bone.
Cost of High Tibial Osteotomy Surgery in the UK
| Provider | Hospital | Price | What the page says |
|---|---|---|---|
| Mr Andrew Pearse, consultant knee surgeon | The Droitwich Spa Hospital, Worcestershire | £8,293 | "Tibial Osteotomy" on his price guide for self-pay patients. The page does not say what the price includes. An in-person consultant assessment is £250 and a follow-up consultation £150. |
| Nuffield Health | Its UK hospitals | No price published | "For pricing information, please contact your local hospital." A fixed all-inclusive price is given after the first consultation. |
| Spire Healthcare | Its UK hospitals | No price published | None of the 36 Spire hospital price lists we checked gives a price for a high tibial osteotomy. |
| Cromwell Hospital (Bupa) | London | No price published | The knee osteotomy page gives no price. |
Providers' own pages, checked 31 Oct 2026 [1] to [3], [6].
Comparing options for your own treatment? Ask us, free →
One price to be careful with: Practice Plus Group lists an "Osteotomy" at £8,099, but under foot and ankle surgery, not the knee [7]. Ask any hospital to name the operation on the quote.
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How the price compares with a knee replacement
On the same price guide, the Droitwich Spa Hospital lists knee replacement surgery at £14,545, against £8,293 for a tibial osteotomy (checked 31 Oct 2026) [1]. Across UK private hospitals, a total knee replacement is listed from £13,799 to £20,995 on the hospitals' own pages, checked on 30 Oct 2026. Our knee replacement cost guide has each hospital's price.
What to ask about what the price includes
The one published HTO price does not say what it covers, so ask the hospital, in writing, whether these are in the price:
- The first consultation and any scans or X-rays before the operation
- The surgeon's and anaesthetist's fees
- The implants
- Nights in hospital
- Physiotherapy and follow-up appointments after you go home
Can You Get High Tibial Osteotomy Surgery for Free on the NHS?
Yes. NHS treatment is free, but you may wait. The latest published figure, for August 2026, shows 843,419 people waiting for trauma and orthopaedic treatment in England, with 61.1% waiting under 18 weeks and a median wait of about 14 weeks (13.8) [8] [9]. These figures cover all trauma and orthopaedic treatment, not osteotomies alone. NHS England publishes the September 2026 figures on 12 Nov 2026. Our guide to NHS high tibial osteotomy waiting times goes further.
If a GP refers you, the NHS says "in most cases you have the legal right to choose the hospital or service you'd like to go to" [10]. My Planned Care shows waiting times by hospital [11].
Cost of High Tibial Osteotomy Surgery Abroad
| Country | Price range | Behind the range |
|---|---|---|
| Poland | £2,431 to £3,092 | 3 hospitals' own price lists. One of the three charges the implants on top, from about £1,070, and one lists a general lower-limb bone osteotomy rather than an HTO by name. |
| Lithuania | £3,225 to £3,310 | 2 clinics' own price lists. Neither list says what the price includes. |
Thera Travel clinic price index, checked 6 Oct 2026, converted at the European Central Bank rate of 6 Oct 2026 [12].
Flights, hotel nights and anything a price leaves out come on top. Our guide to high tibial osteotomy cost in Poland goes through the Polish prices, and high tibial osteotomy abroad lists the hospitals we hold.
Before you pay a deposit
Make these checks yourself before any money changes hands:
- Find the hospital on its country's official register of healthcare providers, under the company name on the quote.
- Get your surgeon's name in writing, look them up where the country has a public register of doctors, and ask how many osteotomies they do each year.
- Get the quote itemised in writing, including the implant, physiotherapy and what is not covered.
- Ask what happens, and who pays, if you need help with the knee after you are back in the UK.
Our 15 questions to ask a hospital abroad give you the wording.
Clinics we hold, by country
Each has a free summary page: the register entry we found, the Google listings and any published prices. Thera is free for patients. No clinic can pay to change the prices we publish.
When this may not be right for you
On the NHS an osteotomy costs nothing, and you can ask to move to another hospital if you are likely to wait longer than the maximum time for your treatment [10]. A UK hospital keeps your surgeon and follow-up appointments close to home. Abroad, you travel back after the operation, and any follow-up and physiotherapy in the UK need planning before you go.
Frequently asked questions
How much does HTO surgery cost in the UK?
The one UK price we found published is £8,293 for a tibial osteotomy at The Droitwich Spa Hospital, checked on 31 Oct 2026 [1]. Nuffield Health and Spire give a price only after a consultation. On the NHS it is free.
How much does HTO surgery cost abroad?
Three Polish hospitals' own price lists put it at £2,431 to £3,092, and two Lithuanian lists at £3,225 to £3,310, checked on 6 Oct 2026 [12]. Check whether the implants are included: one Polish hospital charges them on top.
Sources
- Mr Andrew Pearse, consultant knee surgeon, high tibial osteotomy (HTO), price guide for self-pay patients, The Droitwich Spa Hospital: tibial osteotomy £8,293, knee replacement surgery £14,545, in-person consultant assessment £250, follow-up consultation £150. No date on the page. Checked 31 Oct 2026.
- Nuffield Health, high tibial osteotomy: no price published; pricing from the local hospital. Checked 31 Oct 2026.
- Spire Healthcare, high tibial osteotomy at Spire Portsmouth and the price lists of 36 Spire hospitals: no price for a high tibial osteotomy. Checked 31 Oct 2026.
- NHS, Alternatives to a knee replacement. Page last reviewed 9 September 2026. Read 31 Oct 2026.
- NHS, Osteoarthritis: treatment. Page last reviewed 20 March 2023. Read 31 Oct 2026.
- Cromwell Hospital, knee osteotomy: no price published; definition quoted. Checked 31 Oct 2026.
- Practice Plus Group, private patient prices: "Osteotomy" £8,099, listed under foot and ankle surgery. Checked 31 Oct 2026.
- NHS England, referral to treatment waiting times, August 2026, statistical press notice, table 1, Trauma and Orthopaedic Service (excludes 4 trusts that did not send data). Published 8 Oct 2026.
- NHS England, incomplete pathways by commissioner, August 2026, national sheet, Trauma and Orthopaedics median wait 13.8 weeks (an estimate from grouped data). Published 8 Oct 2026.
- NHS, Your choices in the NHS. Read 30 Oct 2026.
- NHS, My Planned Care. Read 30 Oct 2026.
- Thera Travel, clinic price index: hospitals' own published price lists, converted at the European Central Bank rate. Checked 6 Oct 2026.
Related: knee replacement cost in the UK, NHS high tibial osteotomy waiting times, high tibial osteotomy cost in Poland, the clinic price index.
This guide is general information, not medical advice.
Clinics UK patients look at
The four with the most Google reviews among the orthopaedic clinics we hold. Each has a free page with its records.
Apollo Hospitals, Greams Road, ChennaiChennai, India
KIMS-Sunshine Hospitals, BegumpetHyderabad (Begumpet), India
Yashoda Hospitals, SomajigudaHyderabad (Somajiguda, Raj Bhavan Road), India
Yashoda Hospitals, MalakpetHyderabad (Malakpet, Nalgonda X Roads), India
Written by Saher Shodhan
Saher Shodhan is the founder of Thera Travel, which publishes what the official records show about clinics abroad, each fact with the date it was checked, and answers patients' enquiries, free. More about Thera → How we write and check our guides →
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