Medical Tourism Nicaragua: Quality work can pay for your tropical beach vacation!

Medical Tourism Nicaragua

Looking to get some medical work done, save a ton of money, and pay for a great Nicaraguan vacation?Hospital Metropolitano

Due to its world-class, high-quality hospitals with regional accreditation and low cost, many searchers for medical tourism services choose to visit Nicaragua as their destination of choice. For some, that means staying before and after your surgery or other treatment/procedure in the Managua area.


But most people do not come to Nicaragua to stay at a chain hotel similar to what you have in your hometown. You would prefer to stay in the best-TripAdvisor rated lodging in Managua that has a true Nicaraguan flavor with first-world comforts and customer service.

Farmstay El Porton Verde is a small bed and breakfast located five minutes drive from Hospital Metropolitano Las Pellas, the best-run and most modern hospital in the country. The Farmstay is nested in the breezy hills south of Managua approx. 2 km off of kilometer 10.5 of the Road to Masaya (Carretera a Masaya). With our outstanding views, four-star quality guest rooms, and gorgeous swimming pool, we offer a quiet and fresh alternative to the airport- and downtown-area chain hotels and small inns. Our motto is: “we are located in Managua, but being here feels like a world away…” but the only way to really appreciate it is to be here for yourself. We invite you to visit and stay with us at the farm.

Your host Mike, in addition to welcoming you with personalized service and attention to detail that the most discerning travelers can appreciate, can help you arrange a wide range of health care services, from elective cosmetic surgery to a much-needed hip or knee replacement. (Basically any treatment or surgery done in Nicaragua costs nor more then 1/3 the price of what it would cost back home!)

As an example, the Farmstay recently received a visitor who is living in Costa Rica and he saved over $3,000 in his gall bladder removal compared to the price he would have paid in the neighboring Central American country! And he was thrilled by the quality of care, the concierge service, and the English-speaking doctors and other health professionals with whom he was in contact.

For those a bit nervous due to this being your first visit to Nicaragua, much less a visit to a foreign hospital, we hope to help you have a relaxing stay here in Nicaragua from the moment you leave the customs area at MGA airport to the moment you pass through security on your way back home. For those first-time visitors, here is a link to my blog about What’s the drill? What to expect when arriving at MGA Managua’s Augusto Sandino International Airport

We work and live on a small (eight acre) organic permaculture farm located in the breezy hills south of Managua, overlooking Ticuantepe and Masaya, Nicaragua. We enjoy the views, peace and tranquility here so much, we decided to share it with a select group of travelers…if are you one of those who want a unique Nicaraguan vibe from your first to your last night in-country, then we are the right place for you!

As part of the medical lodging and transportation services we offer, we can take you to and from doctor’s visits, tests, and consultations, surgeries, treatments, physical therapy, etc. As needed, on-site aftercare by nurses or other health professionals can be arranged.

Need quality medical work done? Like a “free” vacation in Nicaragua?.

My latest advertisement on

5 tips for crossing the border

5 tips for crossing the border.

5 tips for crossing the border by bus

Doing the Passport Shuffle: a Tica Bus driver shuffles through his passengers’ passports at the border, trying to remember who’s who (photo/ Katie Jackson)

By Katie Jackson/ guest blogger

March 26, 2013 


  • Come prepared. Obviously you’ll need your passport, but also have a pen handy to fill out forms. Sharing is caring, but it’s more efficient if you bring your own.

  • Know your number. At some point the bus driver will collect your passport, and sometimes he does this before you fill out your forms. Have a copy of your passport on hand and/or memorize your passport number. Otherwise you have to track the bus driver down and try to get it back from him. Yes, the bus driver WILL take your passport, but he will give it back!

  • Cash is king. You’ll need to have cash to pay the entry fees. To enter into Nicaragua, we paid 8,000 colones (about $16) each, and the American couple sitting in front of us paid in USD. The bus driver should have plenty of change in both currencies as well as cordobas. The mysterious part is theamount you pay seems to vary according to the source. Try to have at least $20 or the equivalent in local currency easily accessible.

  • There’s a reason it’s called hand luggage. Keep your hand luggage in your hands at all times. Even if you unload the bus and are told to leave your big bags below, always carry your hand luggage with you. Never leave it on the bus unattended.

  • Be prepared to be bombarded. “Cambio, cambio?” men will yell as soon as you step off the bus. Although they’re offering to change money for you as you wait, they may be ripping you off if you don’t know the current exchange rate, or even what the currency looks like. Also, your first welcome is likely to come from the many vendors who approach you. They sell everything from snacks to sandals and cellphone cards. Others will straight up ask you for money, providing a toothless grin in return. As we understand, the men wearing navy blue vests are authorized to search your luggage, but they too can be aggressive and demand tips if they help you carry it.

Good useful information for anyone who is coming across the Costa Rica/Nicaraguan border via bus. Thanks to Katie Jackson of Green Travel!

Nicaragua to Costa Rica – 90 day tourist visa border run – How to Guide: « Surf Ranch & San Juan Del Sur – NEWS

Nicaragua to Costa Rica – 90 day tourist visa border run – How to Guide: « Surf Ranch & San Juan Del Sur – NEWS.

border crossing nica costa

I have been living in San Juan Del Sur for 3 years now only on a 90 day tourist visa.  This may sound familiar to everyone reading this.  Every 90 days you must leave the country and get your passport re-stamped, or get it re-stamped at the Metro Centro mall in Managua.  You can get it stamped at the mall, but 90 days later you have to leave the country.


The fastest way from San Juan Del Sur is obviously going to the Nicaraguan/Costa Rican Border.


Now for those of you who have done it multiple times, you know it sucks, it’s completely disorganized, filled with beggars and corruption.  It’s not a fun place to be.


I have not found any info on the internet on how to make this process easier for people, so below I am giving you all the info and a basic map, and what you have to do to cross for only 30min – 1 hour and return.

Very useful article for those who need to do a visa run from Nicaragua into Costa Rica every 90 days. Thank goodness I have residency so I can avoid this, but for those who have to go, this is a good guide to help you with the process, includes a map, all the steps, etc.

Good luck and just remember if you need to stay overnight in Managua come stay with us!


New low-cost airline announces flights to Costa Rica / The Tico Times

New low-cost airline announces flights to Costa Rica / News Briefs / Current Edition / Costa Rica Newspaper, The Tico Times.

Air Canada Rouge, The new airline will flight to Juan Santamaría Airport (San José) and Daniel Oduber Airport (Guanacaste). Courtesy of Air Canada Rouge

Hello Canada? Yes, thanks so much for your attention. COME TO NICARAGUA! And Air Canada Rouge, are you thinking about opening up a similar route to Managua? Please do, CANADIANS Welcome!

How I chose Nicaragua as my new home |

How I chose Nicaragua as my new home |

Interesting comments from someone who has recently lived in both Costa Rica and Nicaragua.  Good basis for comparison!

Living in Costa Rica was an adventure but it wasn’t doing much for my personal development. It was expensive and I got caught up in the party scene. I was spending just as much money or more than I was spending in the US. If you want to live cheaply you can but you can also do that in the US. I lived in Jaco Costa Rica for 6 months then Heredia for 3 months and that was pretty cool. I had been to Nicaragua a couple times for a Visa run and also to visit and I thought it was ok but did not really explore. Costa Ricans always had bad things to say about Nicas so most of my time in CR I had no intension of moving to Nicaragua. I even went to stay in Panama for a while to compare it to Costa Rica and even Panama was considerably cheaper but I did not like the culture.

I will put nica360 on my blogroll, don’t know how I missed them!


Nicaragua is not Costa Rica

Nicaragua is not Costa Rica.‘Nicaragua is not Costa Rica’

“Nicaragua is NOT the New Costa Rica.” 

This quote by Nicaraguan Tourism Minister Mario Salinas flies in the face of an oft-repeated saying by tourists, expatriates, and other observers of Central America. I confess, I used to say the same thing a few years back. But Minister Salinas has a point, and that is what I decided to explore.

First of all, what are others saying recently about the comparison of the two countries? Travel Age West opined, “Currently Nicaragua is more like Costa Rica 20 years ago. Nicaragua may be the next best, if not the more authentic alternative to travel to Costa Rica.” A Costa Rica vacation planning site observed that, “Costa Rica does not feature a wide variety of cultural or historical attractions.” And Minister Mario Salinas pointed out “… we have a diversity of offerings – a culture and a history that Costa Rica never had.”

Yes, there are similarities, but also differences between the two countries. 

More at link above. Now let’s get this straight once and for all, repeat after me “Nicaragua is not the next Costa Rica.” 🙂

Actually, it does make sense for the first-time tourist or those (as in my case) that went to Costa Rica years and years ago (~20 years ago was the one and only time I have traveled to C.R.) and then in more recent years I began to visit Nicaragua.

From a visitor’s perspective, the two countries do have many similarities, but the differences are revealed the more time you spend in Nicaragua. When I went to Costa Rica so many years ago, my now ex-spouse, a friend who is not my friend anymore, and I had a pretty good time checking out the capital, the Caribbean coast, and the Pacific coast (from Guanacaste in the north all the way to Golfito in the south).

The biggest comparison for me personally was that during that trip, we had a scoop on a beach front property just down the road from a great surfing point called Pavones.  It had a lower section across the dirt road from the beach and a virgin hillside behind it with a spring that provided both drinking water and a means to setup a micro-hydroelectric system to provide electricity. If I recall correctly, the gentleman who owned it wanted $35,000.

I was a little sketchy about investing abroad, and by the time we reached LAX, my friend and I weren’t friends anymore, so there went my investment partner. So I took a pass on the opportunity. That type of property is certainly very valuable and the price if it were to be for sale today would certainly be in the hundreds of thousands if not more.

Anyway, I always regretted that decision as well as the loss of the friend. So when I first came to Nicaragua, I had the same feeling I did in Costa Rica so many years ago, and was determined not to let opportunity pass me by this time. It is pretty rare that you get a do-over in life, wouldn’t you say?

So in that sense I do totally get the whole comparison on a personal basis. However, in the macro sense of things, especially now that I am here, I do feel that the culture is unique as are the people, so the comparisons don’t exactly line up for me anymore.

But really the bottom line for me is that I hope that Nicaragua does not want to be the next Costa Rica.

I like that Nicaragua is rough around the edges, that there is no Four Seasons hotel that costs $600+ dollars a night, that the roads to the beach can be bad, and that the surf is relatively unspoiled if you know where to go. The last thing I want is to feel like I’m surfing in a tropical version of Huntington Beach pier or Trestles on a head high south swell (i.e. crowded with stupid hassles and other stuff that is not enjoyable going on).

I would be interested if anyone else has any thoughts on the subject.

Why are so many baby boomers retiring in Central America? / Nicaragua / Region / Costa Rica Newspaper, The Tico Times

Why are so many baby boomers retiring in Central America? / Nicaragua / Region / Costa Rica Newspaper, The Tico Times.Retiring

The above-linked article isn’t really very recent but it is worth repeating that in the next 15 years, 250,000 baby boomers will be retiring and moving to Central America. Many consider Costa Rica to be rather gringo-fied at this point, and there are only between 25,000 and 50,000 there currently.

Think what impact to Nicaragua 100,000 retirees would be! As the economic conditions caused by the banksters continue to become worse over time, I expect a big wave to come specifically to Nicaragua due to the low cost of living. I would rather they come for the culture, the landscapes, and most importantly, the Nicaraguan people.



Finca Bellavista – Business Insider

Colorado Couple Builds A Treehouse Village In Costa Rica

Finca Bellavista – Business Insider.

Erica and Matt Hogan never intended to walk away with 600 acres of wild rainforest when they went shopping for a little piece of Costa Rica to call their own in 2006. 

They happened upon a slice of land that was marketed as a potential harvesting site (i.e.: prime for deforestation) and decided to save it from the chopping block.

“[The land] felt really sacred from the get-go and we felt like this would be a travesty to let this be deforested,” Erica told Business Insider.  “It was bigger than what we were intending to purchase

initially. And one night I just thought, well there are some really cool trees on that property. What if we built treehouses?”

The idea became Finca Bellavista, an epic undertaking that’s become a thriving treehouse village, where the locals bounce door-to-door on ziplines and dinner is grown in everyone’s backyard.

“It’s a labor of love and it’s more than just our business,” she says. “It’s our life.”

The entire land is pretty remote. The closest town is 1.5 miles away, which "contains a school, a church, a pulperia, a bus stop, a handful of houses, and (of course) a soccer field. That’s it. No souvenir shops, no mini-malls, and no rowdy bars," according to the Hogans.

Talk about amazing places to see! I just had to share this story about a couple who started building treehouses and now they have a little community of treehouses and treehouse dwellers. The residents and visitors go from house to house on ziplines, and they live a sort of communal life that many apparently are interested in sharing. Very cool stuff going on this little blue marble!

Vacation Destination – Costa Rica vs Nicaragua | Nicaragua Magazine Online

Nicaragua Magazine’s article on a few of the pluses and minuses of choosing either Costa Rica or Nicaragua as your next vacation destination or even for retirement/relocation. For the attention deficit folks…you can’t go too wrong either way, just a matter of what you like to do and how you want to do it!

Vacation Destination – Costa Rica vs Nicaragua | Nicaragua Magazine Online.

Costa Rica Magazine