Independent by structure, not by promise
Keep your doctor. Get the plan checked.
We review the plan against the evidence and tell you in writing whether we agree, and if we do not, exactly why. Most of the time, we agree.
Why ours is worth asking for
Everyone you can ask for a surgical or oncological opinion owns an operating theatre, a radiation machine or a day-care unit. None of them are ours to fill.
Most of the time we agree with the plan you already have. We say that up front, an opinion service that disagrees most of the time is selling something. When we agree, you proceed with more confidence. When we do not, that is a conversation worth having before treatment starts rather than after.
Nobody here, consultant, navigator, telecaller or representative, may suggest that a patient leave their treating doctor. It is a disciplinary matter, not a guideline. If you decide to transfer your care, you initiate that in writing and your doctor is informed before your first appointment.
How it works
How it works
It starts with a free call, not a payment
Fifteen minutes with a navigator, at no cost, before you decide anything. If a second opinion will not help you, we will say so on that call and you will not have paid us.
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Free
Book the orientation call
Pick a slot on the calendar or ring the front desk. No payment, no form, no card.
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Free
We listen, then explain the service
A short history of your situation, then what a second opinion here would actually involve, which of the nine formats fits, what it costs and how long it takes.
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Free
You get a written summary of that call
The recommended format, the fee, the records we need, and what we think it will and will not change. Take it away and decide in your own time.
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Only now do you pay
One fee for one format, stated before you commit. Assays, imaging and retrieval are billed by the provider that performs them.
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Send what you have, we chase the rest
Photographs of paper are fine. We tell you exactly what is missing within one working day, then retrieve blocks, slides and reports on your authorisation.
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Pathology first, then the plan
The diagnosis is re-read independently before anyone looks at the treatment plan. Where molecular work is needed, a named oncologist selects the tier, signs the order and signs the interpretation back, through
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The panel sits on your case
Oncology, pathology, genomic interpretation and counselling on one file, at one table. The quorum rule means no case is decided with a seat empty.
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Your written opinion arrives
Usually five working days from a complete record set, faster if it is urgent, say so and we will tell you what is achievable. Emailed to you, and to your consultant if you want that.
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A call to talk it through
Not a document dropped on you. Your navigator walks you through what was recommended, what was rejected and why, and what to do on Monday morning.
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Chargeable
Six months of continued support, if you want it
Your situation changes, scans change, lines of treatment change. For six months your navigator can stay on the case, re-running trial searches, answering questions between appointments, and re-listing you at the board when something material shifts. This is a separate service with its own fee, quoted when your opinion is delivered. It is never added to your invoice unless you ask for it.
Choose the format
Nine opinion formats
Different questions need different work. The desk will tell you which one actually answers yours.
| Format | What you receive | Turnaround | Fee |
|---|---|---|---|
| Standard second opinion | Agreement or disagreement with the current plan, the reasoning, and what we would do differently. | 5–7 working days | ₹5,000 – ₹8,000 |
| Molecular second opinion | The above plus interpretation of existing molecular testing and the biomarker-matched option set. | Faster where testing exists | ₹12,000 – ₹18,000 |
| Comprehensive board opinion | The board's signed recommendation in full, options, evidence tiers, rejected alternatives, costed course, trial search, plus a plain-language version. | Next board + 72 hours | ₹20,000 – ₹30,000 |
| Pathology second opinion | Independent review of histopathology and immunohistochemistry, with adequacy assessment for molecular testing. | 3–5 working days from block receipt | ₹4,000 – ₹7,000 |
| Surgical second opinion | Whether the operation is necessary, the alternatives, and what happens if it is deferred. Cancer and non-cancer alike. | 3–5 working days | ₹3,500 – ₹5,000 |
| Radiation planning opinion | Indication, modality and dose-fractionation opinion, and sequencing against systemic therapy. | 3–5 working days | ₹5,000 – ₹8,000 |
| Treatment strategy review | A whole-course review where the question is sequencing and strategy rather than a single decision. | 5–7 working days | ₹8,000 – ₹15,000 |
| Rare / complex case review | Complex & Rare Case Board review with invited sub-specialists, and trial and expanded-access search. | Next rare-case board | ₹20,000 – ₹30,000 |
| NRI / international review | Written opinion, optionally with a video consultation, or a full board review and treatment plan. | Per tier chosen | USD 300 – 1,200 |
Indicative bands for our own professional services, effective 1 September 2026, taxes extra. A rapid tier (48–72 hours) is available on any format at a stated premium. Molecular assays, imaging, pathology processing and retrieval costs are billed separately by the provider that performs them. Full price card →
What you actually receive
A written opinion stating whether we agree, the reasoning, and what we would do differently, plus a plain-language version you keep.
You may take it to anyone, including a doctor who disagrees with us.
Who reads your case
The reviewing panel
Every opinion carries a name, a registration number and a signature. No opinion is issued by a desk, a coordinator or a template.
A named signatory
The consultant who signs is named on the document, with their registration number. You can verify them.
Quorum, or no decision
Oncology, pathology and genomic interpretation must all be present. A case is not decided with a seat empty.
Dissent is recorded
Where the panel disagreed, the disagreement is in your document. A unanimous-sounding report that hid a split would be worth less.
Declared interests
Any reviewer with an interest in a recommended provider or product declares it and steps out of that decision.
How a case reaches the panel
Your navigator assembles the record, our onco-pathology desk confirms the diagnosis and
whether your tissue can support molecular testing, and only then is the case listed.
Where genomic interpretation is needed it comes through , ordered and signed
by the oncologist who will use it, never by a portal.
The rule that makes this worth having
An opinion given on incomplete records is a guess with a letterhead
Cases are not accepted until the minimum record set is present. This protects you, the reviewing consultant and your own doctor at the same time.
What we need
- Histopathology report and, for a pathology opinion, the block or slides
- Staging imaging reports, with images where possible
- Current treatment details what, when, at what dose, and the response
- Prior molecular testing, if any
- Current medications and other conditions
- For a surgical opinion: the operative recommendation and the imaging it was based on
If something is missing
Your case is held, not opined on, and you are told precisely what is missing, with real help getting it, not a phone number.
- Block and slide retrieval from the originating hospital, we do the chasing. ₹2,500 – ₹5,000 per retrieval.
- Records digitisation your full history scanned, ordered and returned as a portable summary you own.
- Direct requests to the treating institution on your behalf, with your written authorisation.
If you have severe symptoms, breathlessness, uncontrolled bleeding, a high fever during chemotherapy, chest pain or a sudden neurological change, go to your nearest emergency department now. Do not wait for a written opinion.
Questions
The honest answers
How it works, and the things people hesitate over. Both sets are here rather than scattered down the page.
Before you book
Fifteen minutes, and it can run to twenty-five if your situation needs it. We take a brief history so we understand where you are, explain what a second opinion here involves, and tell you which format fits and what it costs. You leave with a written summary. Nothing is charged and nothing is committed.
An Navigator, experienced in cancer pathways, records and cost, and trained to explain the service accurately. Navigators are not doctors. The orientation call is not clinical advice and does not replace your oncologist or surgeon. The clinical opinion itself is written and signed by a named consultant.
Five working days from a complete record set for most formats; the per-format table above gives the specific turnaround. The clock starts when the records are complete, not when you pay, and assembling them is usually the slow part, which is why we do it rather than you. If it is urgent, say so at the free call: expedited handling is available on any format at a stated premium.
You book a call with your navigator to talk it through, what was recommended, what was rejected, and what it means for the next appointment you have. With your consent, your navigator will also speak or write to your own consultant directly. The document is yours: take it anywhere, including to someone who disagrees with us.
Continued navigator support is available for six months after your opinion as a separate, chargeable service: re-running the trial search as new studies open, answering questions between appointments, and re-listing you at the board if a scan, a progression or a new line of treatment changes the picture materially. It is quoted when your opinion is delivered and is never added unless you ask for it. A fresh opinion on a genuinely new clinical question is a new opinion and is charged as one, and we will tell you plainly which of the two you are asking for.
No. Most people who take an opinion here are treated somewhere else, often by the doctor they already have. The opinion is written to be used by whoever is treating you. Where a procedure is needed, we find you the options and the rates that fit your situation, and you choose.
What people hesitate over
They will find out only if you want them to, but we would encourage it, and here is why. A second opinion sent to your treating doctor is far more useful than one kept in a drawer, because they are the person who can act on it. In our experience careful clinicians welcome it; it is corroboration, and occasionally it is a catch they are glad of.
We will never contact your doctor without your instruction, and we will never suggest you leave them.
Most opinions agree with the plan in front of them, and we say that before you pay rather than after. A service that disagreed most of the time would be selling something.
What changes more often than the headline plan is the detail around it, a missing test, a sequencing decision, a cheaper equivalent medicine, a trial nobody looked for, or a pathology report that was not adequate to build on. Those are the findings that make the exercise worth doing, and they are far more common than a wholesale disagreement.
The written opinion is designed to be complete without you being in the room, it works on records, which is exactly why it travels. Where an examination genuinely changes the answer, we will tell you that instead of writing an opinion we cannot stand behind.
Then the useful questions change, and so does the opinion. Instead of "is this the right plan", it becomes: is the response being assessed properly, is the dose right, is toxicity being managed or tolerated, what is the plan at progression, and should anything be re-tested. Do not stop any treatment while waiting for an opinion.
Say so. The desk will tell you which format actually answers your question, including when the cheaper one is the right one, which is often. Where an OnKommon Decipher interpretation already exists for your case, every opinion is charged at half the published fee.
Hardship is handled through a documented assistance policy with a named approver. See all opinion fees →
The promise, stated plainly
One opinion. Every next step.
You do not need to know which service you need. Bring the problem, we work out what it is, and we are equipped to point you in the right direction whatever the answer turns out to be.
We say so
And you leave with a written note saying why, and what would change it.
A schedule, with triggers
Surveillance with written triggers and structured recall, we contact you, so watching does not become forgetting.
The whole plan, costed
Options, evidence tiers, rejected alternatives, total course cost and a trial search, before anything starts.
We route you anyway
Including to an institution that is not a partner, if that is where you should be. The recommendation follows the evidence, not the address.
Cancer and non-cancer. Surgery and the decision not to operate. 56 treatment modalities, twenty-one clinics, six clinical boards, molecular testing through OnKommon, and a partner network for everything physical. One opinion opens all of it, and none of it requires you to be treated here.
Watch
What the free call actually sounds like
Fifteen minutes, no payment, no obligation. Here is the shape of it.
Send us the case
Upload or bring what you have. We will tell you which format answers your question, what it costs, what is missing and how long it will take, before you pay for anything.