Limb Lengthening surgery by PRECICE Methodology

Intramedullary Nailing System

Limb Lengthening surgery by PRECICE Methodology is one of the most comfortable and safe leg-lengthening surgical methods, currently available. One of the major differences between the external and PRECICE methods is that PRECICE method does not require any external fixator, because the intramedullary nail is electromagnetic and motorized, thus allows for bone extensions with just a remote control; providing the patient more comfort and less pain.

Precice 2.2 nail is internally embedded into the patient’s bone through a small incision and the cuts are stitched and closed, and this minimizes any risk of infections.  Soon after, the lengthening process is realized with the help of an electromagnetic remote control device; hence there is no device or fixator, visible on the patient’s body.

Limb Lengthening surgery by PRECICE Methodology
Limb Lengthening Surgery: PRECICE 2

Here is a brief step by step summary of the whole limb lengthening procedure with Precice 2.2:

-lengthening begins after 4-5 days since operation
-lengthening takes 2-3 months (usually 1 mm/day. For example, 6 cm takes 2 months, and 7 cm takes 70 days) depending on lengthened amount
-patients have to use wheelchair during lengthening because Precice 2.2 internal nail mechanisms can be damaged if they bear weight
-after lengthening is over, patients can begin walking again. At first, a supporting device such as walker or crutches are needed. In approximately 1-1.5 months, with patients efforts in physiotherapy and daily individual exercises, it can be possible to walk without support.
-in approximately 1-1.5 yrs from the time of surgery, the internal nails can be removed. They can be removed at a later time or be left inside the bones based on patient’s request. Precice nails are biomechanically designed and can remain inside the leg without causing discomfort. Also, they do not beep at security checks.

It must be noted that worldwide, these surgical operations are currently performed by a limited number of doctors. All surgeons are required to participate in an intensive training program at the “Center of Excellence”. We work with well-trained surgeons in Turkey, who have enough experience with internal limb lengthening methods.


Electromagnetic device used for daily leg lengthening with PRECICE
Limb Lengthening Surgery: PRECICE 2

How many scars can appear after surgery?

Limb Lengthening surgery by PRECICE Methodology has been proven to be the most advantageous method in terms of post-op scarring, as the scars are minimal and even invisible on most skin types.

How much does it cost?

At the moment, the cost for a single bilateral ( Both Legs ) surgery, either on the “Femoral” or “Tibial” bones for Limb Lengthening surgery by PRECICE Methodology is currently priced at around: 38,000(€) 35 250 Euros. (Please note that the listed discounted prices are valid till the end of global COVID-19 pandemy, unless otherwise mentioned)

Please note: For a double Limb Lengthening surgery by PRECICE Methodology; first on the femoral bones and later on the tibia bones or vice versa ( with a 6 months consolidation period between both the surgeries ); the price will be calculated as two separate surgeries. THUS; (€) 35,250 Euros multiplied by 2 surgeries: (€) 70,500 Euros.

Single leg lengthening surgery cost, either Femur or Tibia; with Precice 2 Method is (€) 18,000

Furthermore, for a completely healthy and smooth Limb Lengthening surgery by PRECICE Methodology; experience, we provide the following facilities, which are included in the total price:

  • Meeting and greeting our patients at the airports, including transportation to the hotel & hospitals
  • Accommodation in a 5-star hotel (1 day)
  • An English-speaking caretaker who will assist our patients 24/7 during hospital stay
  • Complimentary Istanbul tour, including historical and touristic visits, boat tour and meals in our famous Turkish restaurants
  • All necessary medical examinations and tests before the surgical operation
  • 5 days of hospitalization
  • Physiotherapist’s assistance and all medications are covered, during the patient’s hospitalization
  • Walker, crutches & wheelchair
  • Transportation to the airport upon departure
  • FREE consultation with doctors and consultants whenever the patient’s needs, even after lengthening process has been completed
  • Internal nail removal costs 750 eur and is NOT included in the surgery cost

The price also includes the following expenses related to the surgery:

  • All hospital charges associated with the operating room and recovery room.
  • Surgeon’s fees.
  • Anesthesiologist’s fees.
  • Surgical assistant’s fees.
  • Hospitalization fees (Internal medicine doctors will be available during the entire hospitalization period).

Get a free voucher up to 1000 euros on Physiotherapy!

* If you will stay in Istanbul during the distraction phase after the surgery you can get free physiotherapy service once every two
days during 2 months

* If you will leave Turkey after the surgery you can get a voucher up to 1000 euros for physiotherapy in your home country.
Furthermore, you can contact our patient consultants, at your convenience, for a detailed discussion regarding the procedures and any information that you may require with the procedures, medical teams, prices, and any available discounts.

How many centimeters can I gain with Leg Lengthening (LL)?

According to the surgical guidelines and medical recommendations, lengthening varies from 6 to 8 cm in a single surgical procedure and it is not preferable to lengthen over 6 to 8 cm per bone section. If you wish to grow even taller (for example, 12 to 15 cm) it can be achieved by lengthening both lower and upper legs (lengthening in both the Femur and Tibia bones). Thus, if a patient desires to lengthen their legs by around 12 to 15 cm, it is preferable to do 6 to 7 cm lengthening on “Tibia” bone and after complete recovery and consolidation; another surgical procedure on the “Femur” bones, for additional height gains of 6 to 8 cm; independently rather than to lengthen, for example, 10 cm on a singular bone section in one surgical session. It is important to note that the flexibility of your legs is a very important factor. The more flexible your legs are, the more relaxed you will be during the lengthening process

Limb Lengthening Surgery: PRECICE 2
Limb Lengthening Surgery Methods: PRECICE 2

When can I get back to my Pre-Surgery Health?

Limb lengthening surgeries, including the intramedullary nail method, may take some time, but eventually, you can get back your pre-surgery health and do any sports you want after doctor’s permission. It all depends on the methodology adopted by our patients and how much time they spend in recovery and consolidation phases. To facilitate speedy and complete recovery, the patients must perform physiotherapy and other prescribed exercises, regularly.

Can I see some images of your patients?

Limb lengthening progress with Precice. X-rays taken after 2, 5 and 10 weeks since the operation.
Limb Lengthening Surgery Methods: PRECICE2


7 cm height increase with Precice method. Bone and newly formed bone tissue in red circles. That part of the bone became smoother and stronger with time.
Limb Lengthening Surgery Methods: PRECICE2


The PRECICE® System:


Learn more about the PRECICE® System


Diaries of some of our “PRECICE” patients:


Martin’s Journey From The USA to Become Taller With Precice

My reflection for having Precice limb lengthening surgery (Michael from Australia)


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