Costs, Insurance Coverage, and What Makes the Difference
What does treatment cost – and what can be reimbursed? This page answers both questions honestly and completely. Including a little-known option that few people are aware of.
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Anyone who goes to a doctor with a diagnosis of Peyronie's disease often receives a clear recommendation: a Nesbit procedure or a similar shortening technique. Health insurance covers the cost. The matter seems settled.
And then comes the question: is this really what I want? A procedure that leaves the plaque untreated and shortens the healthy side – for a condition that has already shortened me through scarring?
Many men who come to us are not looking for a cheaper alternative. They are looking for a better one. This page explains what insurance covers, what we offer – and why this difference comes with a price that can be explained.
What Statutory Health Insurance Covers
German statutory health insurance (GKV) recognizes Peyronie's disease (Induratio Penis Plastica) as a condition requiring treatment. Procedures such as the Nesbit operation or the Essed-Schröder technique are frequently covered by statutory insurance – because they are technically simple, cost-effective, and widely used.
What insurance funds is a functional improvement in the sense of straightening. What it does not fund is the more far-reaching goal: length preservation, biological reconstruction, microsurgical precision.
This is not due to a lack of willingness among physicians, but to budget constraints: the funds allocated for this condition are simply not enough for a complex reconstructive operation. Physicians trained within the statutory system have therefore often had no opportunity to gain experience with more demanding techniques.
Treatment Costs at a Glance
All prices include examination, initial consultation, surgery, anesthesia, aftercare, and medical supervision. No hidden costs.
| Procedure | Cost (approx.) |
|---|---|
| Microsurgical plaque removal with biological reconstruction | from approx. €14,500 |
| Corrective surgery following a plication procedure performed elsewhere | from approx. €18,500 |
| Second opinion consultation / diagnostics | on request |
The higher price for corrective surgery reflects the significantly greater effort involved: correcting a plication procedure is not simply reversing a plication suture, but a double reconstruction. The plication procedure has permanently damaged the originally healthy erectile tissue – both sides now need to be reconstructed.
Private Health Insurance – What Is Actually Possible
Many privately insured patients assume that their insurance covers treatment at a private clinic. The reality is more complex.
Most private health insurers in Germany only reimburse costs if treatment takes place in the private ward of a statutory hospital – not in a standalone private clinic. The operating room, staff, and often the senior consultant there are the same as in the statutory sector. There is often no meaningful difference in treatment quality – but there is a difference in reimbursement options.
This is not a criticism of physicians or patients – but there is no point in raising false hopes.
The European Solution – A Little-Known Option
We were not willing to accept that patients are sold insurance policies that don't cover what they believe they cover. That's why we developed a solution based on European law.
As European citizens, patients have the right to receive treatment in other EU countries. Because European law takes precedence, the following applies: patients who choose to be treated at our facility in Spain can – depending on their insurance policy – receive a substantial reimbursement of up to 90%. This sometimes applies even to patients who would receive little or no reimbursement in Germany. Unfortunately, this European route only works for privately insured patients and also requires some patience.
This option is not widely known – which is unfortunate. Please feel free to ask us about it if you are interested in reimbursement. We will support you through the process.
Frequently Asked Questions About Costs
No. We exclusively perform microsurgical plaque removal with biological reconstruction. That is a deliberate decision: we are convinced that a treatment which directly addresses the underlying condition and aims to preserve length offers greater value for our patients. Anyone who wants or needs a standard procedure is in the wrong place with us – we say that openly.
In practice, no. There are almost no genuine comprehensive private policies left in Germany that would cover all costs.
Yes. We offer flexible payment arrangements. Please ask us about this during your consultation.
Schedule a Consultation
Whether, and which, treatment makes sense for you – and what it costs – we clarify in a personal conversation. Transparent, with no pressure, and no obligation.
The first step isn't surgery – it's clarity.
Updated on July 31, 2026
