Medical Fees

Patients from Germany with general Health insurance

The Proktologische Praxis München is fully licenced for the treatment of  patients with general health insurance in Germany. This applys as well to diagnostic as to therapeutic procedures and operations.


Pit Picking, microsurgical excision und Karydakis-Operation are techniques for the removal of pilonidal fistulas, regardless of the minimally-invasive approach. Inquiries regarding reimbursement of costs by local health insurances should always use the term "excision of pilonidal fistula", otherwise insurance officials not familiar with details of pilonidal surgery will not know what eg. "pit picking" means and deny permission.


I am convinced that treatment with epilation laser technology prior to surgery bears advantages for the following period of wound healing. As a specialty of my practice, the first treatment session can be performed prior to surgery on the same day which allows the application of high energy without pain.

Procedures not covered by General Health Insurance (IGeL-Procedures)

Completing of permanent hair removal by repeated treatment with the diode laser further improves long-term healing rates. Usually, 4 to 10 treatment sessions (average six sessions) are needed at intervals of six weeks. This treatment is not covered by general health insurance; the amount payable is 69,94 € per session according to No. 2440A regulated by the German Scale of Medical fees (GOÄ).


Our standard method of pit picking accompanied by minimal invasive fistulectomy does not require single-use material. In some conditions (long and slim fistula tract, patient's preference of ultrashort downtime) sophisticated laser probes (FiLaC, ELVES) are needed, which are quite cost intensive. These procedures require full coverage by the patients with a range of 800 to 1500 € depending of the kind of probe needed and the complexity of the procedure.


Patients from other countries of the European Union (EU)

Citizens of the European Union, who have General Health Insurance in their home countries, can apply for permission of outpatient surgery in Germany and will then receive a document called S2-Form. With this certificate you have to contact a german health insurance (AOK, TK) to achieve full coverage for the operation.


When an insurance coverage by AOK or TK is presented on the day of the operation, the patient does not have to make any payments and is treated equally to a member of German Health insurance. Alternatively, he can pay the fee in advance and apply for reimbursement by his home insurance. In this case, the full refund is not guaranteed. Further information is found on the web, e.g.,

For inpatient procedures, permission by the insurance should be requested in any case to avoid high fees for hospital and anesthesia.

Patients with private health insurance 

You get an invoice according to the German Scale of Medical fees (GOÄ) with a maximum factor of 3.5 fold increase, which can be paid preferably by bank card (EC, Maestro) or Credit Card, Paypal or cash. Bank transfer is only acceptable if proof of a permanent place of residence in Germany is provided.


Some elements of the procedure are not regulated by the scale, the reimbursement is calculated with the so-called analogous method. In detail this applies to Laser depilation, surgery enhanced by magnifying devices and high-resolution endoscopy of the fistula tract.


Single-use material includes

Bare-Fiber Laser probe, Fa. biolitec 200.- € + 19 % VAT
FiLaC Laser probe, Fa. biolitec 290.- + 19 % VAT

Dr. Hofer Facharzt für Chirurgie, Viszeralchirurgie, Proktologie und Spezialist für Steißbeinfisteln in München Dr. Bernhard Hofer, Chirurg und Proktologe. Leitender Arzt des Behandlungszentrums für Steißbeinfisteln.

2044 Patienten

mit Steißbeinfistel haben die Behandlung in unserer Praxis gewählt (Stand 11.04.17).

European Pilonidal Center

Zentrum zur Behandlung der Steißbeinfistel

Dr. B. Hofer

Brienner Str. 13

80333 München


Allgemeine Chirurgen
in München auf jameda

Warum ein "Zentrum" zur Behandlung der Steißbeinfistel?

In Deutschland werden im Jahr etwa 20.000 Patienten an einer Steißbeinfistel operiert.

Die herkömmliche Therapie der Steißbeinfistel ("Metzger-Methode") führt nicht selten zu einem Monate bis Jahre langen Krankenstand.

Die meisten Patienten sind im jungen Erwachsenenalter, so daß Schule, Ausbildung, Studium und Start ins Berufsleben leiden können. Auch (Leistungs-) Sportler können und wollen sich eine Trainingspause nicht leisten.

Seit 2001 haben wir uns als einer der wenigen Ärzte in Europa auf die Behandlung des Sinus pilonidalis spezialisiert und in über 1200 Operationen seit Gründung der Praxis in München 2013 die Technik des Pit Picking weiterentwickelt. Nach Pit Picking, Laser-OP (FiLaC) und minimal tubulärer Exzision (Fistulektomie) wird Arbeits- und Sportfähigkeit wenige Tage nach einer Operation erreicht. Die Rate primärer Heilung liegt über 90 %.

Die OP des Pilonidalsinus ist schmerzfrei in örtlicher Betäubung möglich.

Die Nachbehandlung nach Pit Picking - OP ist einfach, Duschen, Baden und Schwimmen sind ohne Einschränkung möglich ab dem zweiten Tag nach der OP.

Dr. Hofer Spezialist für Steißbeinfisteln in München Dr. Hofer, Facharzt für Viszeralchirurgie und Proktologie
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