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International Referrals

The physicians of Barnes-Jewish and St. Louis Children's Hospitals are always interested in extending treatment to patients from countries outside the United States. We ask patients to coordinate their requests for second opinions or treatment through their personal physician or sponsoring organization. This is because a thorough review of records is necessary before we can determine if we can help the patient before any costs are incurred.

Physicians, please contact us by email, with a short summary of the patient's diagnosis and your initial treatment plan. We will forward this summary to the right department for review and follow-up. Although English is preferred, you may email in your own language.

If we can be of help to you by seeing your patient here at Washington University Medical Center, coordination of physicians appointments is made through our Washington University Care Coordination office. Both Barnes-Jewish Hospital and St. Louis Children's Hospital have excellent Patient and Guest Services who can help with interpreters, short and long-term housing for family members, and other local requirements.


The Centers of Excellence listed below are the most frequently used by international patients.

Heart Care Institute
  • Complex Cardiac Surgery
  • Marfan Syndrome


  • Liver Disease Center
  • Serious Liver Disease - Hepatitis, Cirrhosis, Tumor
  • Living Donor Kidney Transplantion
  • TIPS (transjugular intrahepatic portosystemic shunt)
  • Living Donor Liver Transplantation


  • Lung Center
  • Chronic Obstructive Pulmonary Disease
  • Lung Transplantation
  • Lung Volume Reduction Surgery


  • Pediatrics
  • Bone Marrow Transplant Program
  • Cerebral Palsy Surgery- Selective Dorsal Rhizotomy
  • Cleft Palate and Cranio-Facial Deformities
  • Cochlear Implants
  • Congenital Club Foot
  • Genetic Disease Center


  • Siteman Cancer Center
  • Bone Marrow and Stem Cell Transplant
  • Breast and Breast Cancer Surgery
  • Colorectal Cancer
  • Endocrine Cancer Treatment
  • Gynecologic Cancer
  • Head and Neck Cancer
  • Lung Cancer
  • Prostate Cancer
  • Hepatobiliary - Pancreatic, Bile Duct, Complex HPB-GI


  • Neuroscience Center
  • Cerebral Aneurysms
  • Parkinson Disease Center
  • Sleep Disorders
  • Spinal Cord Injury Restorative Treatment
  • Stereotactic Surgery / Gamma Knife


  • Orthopedic Center
  • Bone Cancer
  • Complex Spinal Disorders
  • Major Upper Extremity Surgery, including Hand, Elbow and Shoulder
  • Pediatric and Adult Spinal Deformities
  • Reconstruction Following Major Trauma
  • Sports Medicine


  • Vascular Surgery Center
  • Aneurysms (Including EVAR)
  • Vascular and Endovascular Surgery
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    Copyright 2009 Washington University School of Medicine