Pediatric Spina Bifida Surgery in India
Also known as Spina bifida repair, myelomeningocele repair, meningocele repair, spinal defect closure, spina bifida surgery for children
The short answer
Pediatric spina bifida surgery in India costs between $3,500 and $8,000, against $60,000 to $150,000 in Western countries. The surgery closes the opening in the spine present at birth, usually within 24-48 hours of delivery, to protect the exposed spinal cord and nerves and reduce the risk of infection and further damage.
About Pediatric Spina Bifida Surgery
Spina bifida is a birth defect that occurs when part of the spine and spinal cord do not develop or close properly during early pregnancy, leaving an opening in the back. It ranges in severity, from spina bifida occulta, a mild form often causing no symptoms, to myelomeningocele, the most severe form, where the spinal cord and its coverings protrude through the opening in a visible sac on the baby's back.
What surgery can and cannot do
Surgery to close the spinal opening is done to protect the exposed spinal cord and nerves from infection and further injury, and is considered essential, usually within the first day or two of life, for babies with myelomeningocele. It is important for families to understand that surgery closes and protects the defect; it does not reverse nerve damage that has already occurred. The degree of mobility, bladder and bowel function a child goes on to have depends on the level and extent of the spinal cord involvement, which varies from child to child.
Postnatal vs prenatal repair
Most spina bifida surgery is done after birth, within 24-48 hours of delivery. In some centres and specific cases, fetal (prenatal) surgery, performed between roughly 19-26 weeks of pregnancy, is an option, and has been associated in research with a lower rate of later shunt placement and improved motor outcomes compared to postnatal repair, though it carries its own risks for mother and baby and is only suitable for carefully selected cases. Whether prenatal surgery applies to your situation depends on gestational timing and detailed evaluation, and is a separate discussion from postnatal repair pricing.
Hydrocephalus and shunt placement
Many babies with myelomeningocele also develop hydrocephalus, a buildup of fluid in the brain, which is treated separately with a shunt, a thin tube that drains excess fluid. Not every child needs a shunt, and if one is required, it is usually placed either at the same time as the spinal closure or shortly after, once the medical team has assessed the need.
Why patients choose India for this
The same spinal closure technique used in leading Western neonatal centres is available in India at a small fraction of the cost, without compromising on the surgical standard.
Our partner hospitals work with paediatric neurosurgeons who manage spina bifida repair and its related complications, including hydrocephalus, as part of a structured neonatal neurosurgery program, not as an occasional case.
Spina bifida care involves neurosurgery, urology and orthopaedics working together; partner hospitals coordinate this team so families get a full picture of expected function, not just the surgery itself.
Because spinal closure is usually needed within 24-48 hours of birth, our team prioritises rapid review of your baby's case and expedited hospital coordination.
Pediatric Spina Bifida Surgery cost
| Country | Indicative cost |
|---|---|
| India — with Nobel Medi Assistance | $3,500 – $8,000 |
| United States | $60,000 - $150,000 |
| United Kingdom | $38,000 - $63,000 |
| UAE / Middle East | $30,000 - $50,000 |
| Singapore | $35,000 - $55,000 |
Figures are indicative for international patients and depend on the hospital, the surgeon and your reports. Your exact cost is confirmed in writing after a specialist review — free, and with no obligation.
What the estimate covers
Included
- Paediatric neurosurgeon and surgical team fees
- Operation theatre and anaesthesia charges
- NICU and hospital stay for the planned duration
- Routine medicines during the hospital stay
- Neonatal nursing and post-operative wound care
- Pre-discharge assessment of the surgical site
- Initial evaluation for hydrocephalus (imaging)
Not included
- Diagnostic workup and prenatal/postnatal imaging done before arrival in India
- Flights, visa and travel insurance for the baby and accompanying parent(s)
- Accommodation once discharged from hospital
- Shunt placement surgery, if hydrocephalus is confirmed and treatment is needed
- Ongoing urology, orthopaedic or rehabilitation care after the initial surgery
- Long-term follow-up visits after returning home
How Pediatric Spina Bifida Surgery is done
- Urgent consultation and reviewA paediatric neurosurgeon reviews available imaging and case details remotely, as soon as possible given the time-sensitive nature of the condition, to confirm the plan.
- Pre-operative assessmentOn arrival, imaging and a physical assessment confirm the extent of the defect and check for related conditions such as hydrocephalus.
- Anaesthesia and positioningUnder general anaesthesia, your baby is carefully positioned to allow the surgeon safe access to the spinal opening.
- Closing the defectThe exposed spinal cord and nerves are carefully repositioned, and the surrounding tissue and skin are closed in layers to protect the spinal cord going forward.
- Assessing for hydrocephalusYour baby is monitored for signs of fluid buildup in the brain; if present, shunt placement is planned separately as needed.
- NICU recoveryYour baby is moved to the NICU for close monitoring of wound healing, feeding and neurological status in the days following surgery.
- Discharge and follow-up planYou go home with wound care instructions and a follow-up schedule with neurosurgery, urology and orthopaedic teams as relevant to your baby's needs.
Recovery and what to expect
- First 24-48 hoursMonitored closely in the NICU; your baby is generally kept lying on their stomach or side to protect the surgical site while it begins healing.
- Days 3-5Wound healing is checked regularly; feeding and general recovery are monitored alongside any signs of hydrocephalus.
- 5-7 daysDischarged from hospital once the surgical site is healing well and your baby is feeding and stable.
- 1-2 weeksContinued recovery at your accommodation in India, with a wound check before flying home.
- OngoingLong-term care, including monitoring for hydrocephalus, mobility, and bladder/bowel function, continues as a lifelong multidisciplinary process managed with your home care team.
Specialists who perform this

Dr Naresh Trehan
Cardiovascular & Cardiothoracic Surgeon 👑 45+ years
Dr. Z S Meharwal
Cardiac Surgery 👑 38+ years
Dr. Yugal Kishore Mishra
Cardiac Surgery 👑 43+ years
Dr. Udgeath Dhir
Cardiac Surgery 👑 18+ years
Dr. Rajneesh Malhotra
Cardiac Surgery 👑 34+ years
Dr. Sameer Mehrotra
MBBS, MD (General Medicine), DM (Cardiology), IBHRE-Certified Cardiac Device Specialist (CCDS) 👑 24+ years
Dr. Surendra Nath Khanna
Cardiac Surgery 👑 34+ years
Dr. Nikhil Kumar
Cardiology 👑 39+ yearsWhere it is done
Frequently asked questions
Will this surgery reverse my baby's nerve damage?
How urgent is this surgery?
Will my baby also need a shunt?
Is prenatal (fetal) surgery an option?
What kind of life can my child expect?
Can I stay with my baby during the hospital stay?
How long do we need to stay in India?
What would your Pediatric Spina Bifida Surgery cost?
Send your reports and a senior specialist sends back a written plan with costs within 24 hours. Free, with no obligation.



