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Information Transparency for Elective Stature Lengthening Surgery: A Secret Shopper Study
Devika A Shenoy1, Gabriel Santamaria2, Francisco Gomez-Alvarado3
1School of Medicine, Duke University, Durham, North Carolina, United States of America.
Strategies in Trauma and Limb Reconstruction
|September 22, 2025
Summary
Online information on elective stature lengthening (ESL) is inconsistent. This study found significant variability in cost and recovery details, highlighting a need for better transparency in height-increasing surgery resources.
Area of Science:
- Orthopaedic surgery
- Medical information dissemination
Background:
- Elective stature lengthening (ESL) is increasingly popular for height increase.
- Online resources for ESL often lack consistent and transparent information.
- Prospective patients need clear data on costs, recovery, and complications.
Purpose of the Study:
- To evaluate the quality and comprehensiveness of online information for elective stature lengthening.
- To assess the clarity of communication regarding costs, recovery, and potential complications.
Main Methods:
- A secret shopper methodology was employed, contacting 27 orthopaedic practices offering ESL globally.
- Standardized scripts were used via email and phone calls to gather information.
- Responses were analyzed for data depth and variability on key surgical and recovery aspects.
Main Results:
- Only 11% of practices answered all scripted questions.
- Cost estimates for ESL varied widely ($15,000 to $150,118).
- Reported recovery times showed significant variability (2 to 365 days), with crucial details often omitted.
Conclusions:
- There is a critical need for improved transparency and standardization in online ESL resources.
- Consistent communication guidelines are essential for patient trust and informed decision-making.
- Addressing information gaps can enhance patient satisfaction in elective height-increasing procedures.

