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Smile Eye Surgery in Spain

Safe, Affordable & Performed by Experts

SMILE eye surgery in Spain represents the latest advancement in laser vision correction, offering a minimally invasive, bladeless alternative to traditional LASIK. SMILE (Small Incision Lenticule Extraction) uses cutting-edge femtosecond laser technology to reshape the cornea through a tiny 2-4mm incision, correcting myopia (short-sightedness) and astigmatism without creating a corneal flap. This procedure is ideal for patients seeking freedom from glasses and contact lenses, particularly those with active lifestyles, dry eye concerns, or thin corneas who may not be suitable LASIK candidates.

Spain has become a premier destination for SMILE laser eye surgery due to its exceptional combination of world-class ophthalmology expertise, state-of-the-art technology, and significantly lower costs compared to the UK, Ireland, and North America. Spanish refractive surgeons are internationally trained and certified, many holding fellowships from leading European institutions. The country's private eye clinics invest heavily in the latest laser platforms, ensuring patients receive the same advanced care available in any top-tier facility worldwide. With English-speaking specialists readily available in major cities like Madrid, Barcelona, Malaga, and Valencia, international patients experience seamless communication throughout their treatment journey.

Cost savings represent a compelling advantage, with SMILE eye surgery Spain prices typically ranging from €3,000-€4,500 for both eyes—40-60% less than comparable procedures in other Western countries. This affordability stems from Spain's lower operational costs, not compromised quality. Many clinics offer all-inclusive packages covering pre-operative assessments, the procedure, medications, follow-up appointments, and sometimes accommodation, making budget planning straightforward.

Proximity and accessibility further enhance Spain's appeal. With numerous direct flights from the UK, Ireland, and North America, patients can reach major Spanish cities within hours. The recommended 3-5 day stay allows for the procedure and essential post-operative check-up before returning home, with many patients combining treatment with a relaxing Mediterranean recovery experience.

The SMILE procedure itself takes just 10-15 minutes per eye, with most patients experiencing rapid visual recovery within 24-48 hours. The minimally invasive nature means less corneal nerve disruption, significantly reducing dry eye risk and enabling faster return to normal activities compared to LASIK.

Ready to take the next step? Scroll down to explore our top-rated clinics for SMILE eye surgery in Spain.

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By Abdulaziz Ali - Medically reviewed by Prof. Akif Ozdamar, on Nov 05, 2025

Smile Eye Surgery in Spain: Your Complete Guide to Advanced Vision Correction

Deciding to undergo vision correction surgery is a significant step towards a life free from glasses and contact lenses. In recent years, an increasing number of individuals are choosing to travel abroad for medical procedures, a trend known as medical tourism. In fact, the global medical tourism market is projected to grow significantly, driven by the pursuit of high-quality, affordable care. Spain has emerged as a leading destination for ophthalmic surgery, offering state-of-the-art technology, world-renowned specialists, and competitive pricing, making it an ideal choice for your SMILE eye surgery.

The Benefits of Smile Eye Surgery in Spain

Choosing Spain for your vision correction journey offers a unique combination of medical excellence and an enriching travel experience. You gain access to some of Europe's top ophthalmology experts while enjoying the benefits of a world-class destination.

Advanced Laser Technology and Expertise

Spain's private eye clinics are renowned for investing in the latest advancements in ophthalmology. When you opt for SMILE laser eye surgery in Spain, you are treated with next-generation laser technology operated by highly experienced refractive surgeons. Spanish ophthalmologists are rigorously trained and often contribute to international research, ensuring you receive care that meets the highest European standards.

Significant Cost Savings Without Compromising Quality

One of the most compelling reasons to consider Spain is the affordability. The cost of SMILE eye surgery in Spain can be substantially lower than in countries like the UK, Ireland, or the US. This price difference is not due to a lower quality of care but rather the lower operational and living costs in Spain. You can access the same premium procedure for a fraction of the price.

Minimally Invasive Procedure with a Faster Recovery

The SMILE (Small Incision Lenticule Extraction) procedure is a revolutionary form of bladeless laser eye surgery. Unlike LASIK, it does not require creating a large corneal flap. This minimally invasive approach results in less disruption to the eye's surface, a lower risk of dry eye syndrome post-surgery, and a remarkably quick recovery, allowing you to enjoy your new vision sooner.

Combine Your Treatment with a Relaxing Getaway

Imagine recovering from your procedure while enjoying the beautiful Spanish sunshine. Many patients appreciate the opportunity to turn their medical trip into a holiday. Whether you choose a clinic in a vibrant city like Madrid or Barcelona, or a coastal destination like Malaga or Alicante, you can spend your recovery period in a relaxed, stress-free environment.

The Cost of Smile Eye Surgery in Spain

The financial aspect is a key consideration for many. You will find that SMILE eye surgery Spain prices are highly competitive. On average, the cost for the SMILE procedure in Spain ranges from €3,000 to €4,500 for both eyes. This often represents a saving of 40-60% compared to what you might pay in other Western European countries.

What Is Included In The Cost?

Most reputable laser eye clinics in Spain offer comprehensive packages to ensure a seamless experience for international patients. A typical SMILE eye surgery Spain package usually includes:

  • Initial consultation and all pre-operative diagnostic tests.
  • The SMILE laser vision correction procedure for both eyes.
  • All necessary medications, including eye drops for post-operative care.
  • The surgeon's and clinical team's fees.
  • One or more post-operative follow-up appointments.
  • Some clinics may also offer packages that include accommodation and airport transfers.

The Best Candidate For Smile Eye Surgery

SMILE is an excellent vision correction option, but it is not suitable for everyone. An experienced eye surgeon in Spain will conduct a thorough evaluation to determine your candidacy. Generally, you are a good candidate if you meet the following criteria:

  • You are at least 18 years old (ideally over 21).
  • You have had a stable glasses or contact lens prescription for at least one year.
  • You are seeking treatment for myopia (short-sightedness), with or without astigmatism.
  • Your cornea is of sufficient thickness and in good health.
  • You are in good general health and do not have any eye diseases such as glaucoma, cataracts, or keratoconus.
  • You have realistic expectations about the outcomes of the procedure.

The Next Steps If You Plan To Have Smile Eye Surgery in Spain

Planning your treatment abroad can feel daunting, but with the right approach, it can be a smooth and rewarding process. Here are the essential steps to take:

  • Research Clinics and Surgeons: Look for top SMILE eye surgery clinics in Spain with a strong reputation. Focus on centers in cities like Madrid, Barcelona, Valencia, or Malaga. Read SMILE eye surgery Spain reviews and look for patient testimonials.
  • Verify Credentials: Ensure your chosen eye surgeon is a board-certified ophthalmologist with specific experience in SMILE and other refractive surgeries. Reputable clinics will have this information readily available on their website.
  • Seek English-Speaking Staff: For international patients, especially those from the UK and Ireland, choosing a clinic with an English-speaking doctor and support staff is crucial for clear communication and comfort.
  • Prepare a List of Questions for Your Doctor: During your consultation (which can often be done remotely at first), have a list of questions ready. Ask about their experience with SMILE, the technology they use, what is included in the price, and their protocol for follow-up care.
  • Request a Detailed Quote: Ask for a comprehensive, all-inclusive quote that clearly outlines all costs. This will help you avoid any unexpected expenses and compare different SMILE eye surgery Spain offers.

What is Smile Eye Surgery?

SMILE (Small Incision Lenticule Extraction) is the latest advancement in laser vision correction. It is a minimally invasive and bladeless procedure designed to correct refractive errors, primarily short-sightedness (myopia) and astigmatism. During the procedure, a highly precise femtosecond laser creates a tiny, lens-shaped piece of tissue (called a lenticule) inside the cornea. The surgeon then removes this lenticule through a very small incision (typically less than 4mm), which reshapes the cornea and corrects your vision. This modern eye surgery offers a gentle alternative to traditional methods.

Smile Eye Surgery Recovery Timeline

The recovery from SMILE is known for being exceptionally fast and comfortable. Here is a general timeline of what you can expect:

  • How long will the recovery take? Initial visual recovery is very rapid. Most patients notice a significant improvement within the first 24 hours. Your vision will continue to sharpen and stabilize over the following weeks.
  • How long will you need to stay in Spain? Most clinics recommend staying in Spain for 3 to 5 days. This allows for the procedure and at least one post-operative check-up before you fly home.
  • When can you return to work? Many patients feel comfortable returning to desk work within 2-3 days after the procedure.
  • When can you return to exercise? You can typically resume light exercise like walking within a few days. Strenuous activities and contact sports should be avoided for 2-4 weeks.
  • When will the final results be visible? While your vision will be dramatically better almost immediately, it can take 1-3 months for your eyesight to fully stabilize and reach its final, optimal level.
  • What type of activities to avoid? For the first week, you should avoid rubbing your eyes, swimming, using saunas, and wearing eye makeup.
  • What type of diet should you expect after the surgery? There are no specific dietary restrictions. However, staying hydrated and maintaining a healthy diet can support your body's healing process.

How Does Smile Eye Surgery Procedure Work

The entire process is designed to be efficient, safe, and comfortable for you. It is typically broken down into four key stages.

Consultation

Your journey begins with a comprehensive consultation with a vision correction specialist in Spain. During this appointment, your eyes will be thoroughly examined using advanced diagnostic equipment. The ophthalmologist will measure your prescription, assess your corneal thickness and shape, and check your overall eye health. This is your opportunity to discuss your goals and ask any questions you have about the SMILE procedure in Spain.

Before the surgery

If you are deemed a suitable candidate, you will receive instructions on how to prepare. This typically involves stopping the use of contact lenses for a period before the surgery (usually one week for soft lenses and longer for hard lenses). On the day of the procedure, you should avoid wearing any makeup, perfume, or lotion.

The surgery

The SMILE laser treatment itself is very quick, usually taking less than 15 minutes for both eyes. You will lie down comfortably while anaesthetic eye drops are applied to numb your eyes completely. The surgeon will use the femtosecond laser to create the lenticule and the small incision. You will be asked to look at a target light while the laser works. The surgeon then gently removes the lenticule, and the procedure is complete. You will not feel any pain.

Follow up

After a short rest at the clinic, you will be able to go back to your accommodation. A follow-up appointment is typically scheduled for the next day. During this visit, your surgeon will examine your eyes to ensure they are healing properly and will provide you with a schedule for using your prescribed eye drops.

Price Comparison

The cost advantage of having your procedure in Spain is significant, especially when compared to the UK and Ireland.

Procedure Spain (EUR) United Kingdom (EUR) Ireland (EUR)
SMILE Eye Surgery (Both Eyes) €3,000 – €4,500 €4,500 – €6,500 €5,000 – €7,000

Note: Prices are estimates and can vary based on the clinic, surgeon, and specific patient needs.

Side Effects of Smile Eye Surgery Procedure

SMILE is considered a very safe procedure with a low risk of complications. However, like any surgery, there are potential side effects, which are usually mild and temporary. These can include:

  • Dry eyes
  • Light sensitivity
  • Halos or glare around lights, especially at night
  • Blurry or fluctuating vision during the initial healing period
  • A feeling of mild irritation or foreign body sensation in the eye

Smile Eye Surgery Results

The results of SMILE eye surgery are outstanding and permanent. The procedure has a very high patient satisfaction rate. Studies have shown that over 98% of patients achieve 20/20 vision or better after the SMILE procedure. The correction to your vision is permanent, as the tissue removed from the cornea does not grow back. You can expect to enjoy clear, natural vision without the daily hassle of corrective eyewear.

How to Prepare for Smile Eye Surgery

Proper preparation is key to a successful outcome. Your clinic will provide detailed instructions, but here are some general guidelines:

  • Stop Wearing Contact Lenses: Discontinue wearing soft contact lenses at least one week before your surgery and hard lenses for at least three weeks.
  • Arrange for a Companion: You will not be able to drive immediately after the procedure, so arrange for someone to accompany you to and from the clinic.
  • Avoid Alcohol: Refrain from consuming alcohol for at least 24 hours before your surgery.
  • Dress Comfortably: Wear comfortable, loose-fitting clothing on the day of your procedure. Avoid any clothing that may shed lint or fibres.
  • No Eye Makeup: Do not wear any eye makeup, creams, or lotions on the day of your surgery to ensure the area around your eyes is clean.

Frequently Asked Questions (FAQs)

What is the main advantage of SMILE vs LASIK in Spain?

The main advantage is that SMILE is less invasive. It does not create a corneal flap, which leads to a stronger corneal structure post-surgery, a lower risk of dry eye, and a faster return to activities like contact sports.

Is the SMILE eye treatment in Spain painful?

No, the procedure is not painful. Your eyes will be completely numbed with anaesthetic drops. You may feel a slight pressure sensation, but there is no pain.

How long does the SMILE laser vision correction take?

The laser portion of the procedure takes only about 25-30 seconds per eye. The entire process in the operating room is typically completed in under 15 minutes for both eyes.

Can SMILE for astigmatism be performed in Spain?

Yes, SMILE is highly effective at correcting myopia (short-sightedness) and astigmatism. Your surgeon in Spain will confirm if your specific prescription falls within the treatable range.

Is SMILE for long sight (hyperopia) available?

Currently, SMILE is primarily approved for the treatment of myopia and astigmatism. It is not yet widely available for the correction of long-sightedness (hyperopia).

How do I find the best SMILE eye surgery clinics in Spain?

Research clinics in major cities like Madrid, Barcelona, or Malaga. Look for clinics with extensive experience, positive patient reviews, and accreditation from relevant health authorities.

Are there English-speaking eye surgeons in Spain?

Absolutely. Many top Spain SMILE eye specialists and their clinical staff are fluent in English to cater to the large number of international patients they treat.

Why is the cost of SMILE eye surgery in Spain lower?

The lower cost is due to Spain's overall lower cost of living and operational expenses for medical facilities, not a compromise on quality, technology, or surgeon expertise.

Are there all-inclusive SMILE eye surgery Spain packages?

Yes, many clinics that cater to medical tourism offer all-inclusive packages. These may include the surgery, accommodation, airport transfers, and local support to make your trip hassle-free.

Can UK and Irish patients easily travel to Spain for surgery?

Yes, Spain is a very accessible destination for patients from the UK and Ireland, with numerous direct and affordable flights to major Spanish cities.

What is ReLEx SMILE in Spain?

ReLEx SMILE is the full name for the procedure. "ReLEx" stands for Refractive Lenticule Extraction, and "SMILE" stands for Small Incision Lenticule Extraction. The terms are used interchangeably.

Will I need glasses after my SMILE eye operation?

The goal of SMILE is to eliminate your need for glasses for distance vision. The vast majority of patients no longer need them. However, as you age, you will likely still need reading glasses due to presbyopia, a natural age-related condition.

How soon can I fly after the SMILE procedure?

You can typically fly 24-48 hours after your procedure, once you have had your first post-operative check-up with your surgeon.

What qualifications should a Spanish refractive surgeon have?

Look for an ophthalmologist who is a registered member of the Spanish Society of Implant and Refractive Ocular Surgery (SECOIR) or an equivalent European board. They should have specific fellowship training in refractive surgery.

Is financing available for SMILE eye surgery in Spain?

Some clinics may partner with financing companies or offer payment plans. It is best to inquire directly with your chosen SMILE surgery center in Spain about their payment options.