FOR YOUR SAFETY, please follow these instructions from Dr. Lev when flying to Costa Rica on a flight that takes longer than 2 hours.

Patients need to get a prescription from their doctor for 28 pills of Xarelto 2.5 mg

Take 2 pills two hours before your flight to Costa Rica. Bring the rest of the pills with you to CR and Dr. Lev will give you further instructions about how to continue using the Xarelto pills post op.

This is a special blood thinner that leaves your system in 24 hours. This will help prevent embolisms from developing from long flights and sitting too long. (you may need your doctor to prescribe this for you). DO NOT use any other blood thinner but this one. Period.

Drink plenty of water during the flight.

Get up and walk around a little every hour of the flight. 

Every patient must arrive in Costa Rica at least 2 days prior to surgery. If you're coming from Europe, Asia, South America, Australia etc. you must arrive in Costa Rica 5-7 days prior to your surgery.

After you arrive, make sure to continue drinking plenty of water and walk around, getting your blood circulating before the surgery. You can't be too diligent about preparing your body for your surgery. Pulmonary embolisms are a serious result of dehydration and lack of movement. To counteract this please follow the above instructions to guarantee a safe and healthy experience in Costa Rica.

Safe travels!