OATS cartilage transplant surgery

OATS / autograft cartilage transplant

Cartilage transplant cost in the UK

Cartilage transplant at London Cartilage Clinic, delivered as OATS (Osteochondral Autograft Transfer). A cylindrical cartilage and bone plug is taken from a non-weight-bearing zone of your own knee and transplanted into the cartilage defect, in a single operation, with no donor tissue and no cell-culture wait. Performed by Professor Paul Lee at an ICRS Teaching Centre of Excellence.
  • ICRS Teaching Centre of Excellence
  • Single-stage, your own tissue
  • 173+ verified patient reviews
ICRS Teaching Centre of ExcellenceSingle-stage, your own tissue173+ verified patient reviews

At a glance

How much does cartilage transplant cost in the UK?

Cartilage transplant cost at London Cartilage Clinic is £14,000 all-inclusive of theatre, the surgical fee, the consultant anaesthetist and post-operative follow-up. The procedure is OATS (Osteochondral Autograft Transfer), a single-stage cartilage plug transplant that uses your own tissue rather than donor tissue. It suits smaller focal cartilage defects and is the autograft alternative to OCA replacement at £28,000.

Inclusive price

£14,000

All-inclusive of theatre, the consultant anaesthetist, the surgical fee and a twelve-month follow-up programme. No donor-tissue surcharge because the cartilage transplant comes from your own knee.

Last reviewed April 2026. Price in £ GBP, including all clinic, theatre and surgical fees, plus the consultant anaesthetist.

Cartilage transplant cost in the UK explained

OATS is a single-stage cartilage transplant using your own tissue. There is no donor cost, no laboratory cost, and no second operation. What the price covers is the theatre time (typically ninety minutes to two hours), the consultant anaesthetist, the surgeon’s time on the day, the surgical disposables and the precision instrumentation needed to harvest and seat the cartilage plugs. Recovery instructions and the twelve-month outcome review are included.

Cartilage transplant at LCC is £14,000, sitting between simpler cartilage repair (from £9,800) and donor-allograft replacement (OCA at £28,000). The price reflects what the procedure does: transplant healthy cartilage rather than regenerate it. Because the tissue is your own, there is no human-tissue regulatory framework to add, which is why OATS is meaningfully cheaper than OCA replacement for the patients in whom it is technically possible.

What is included in the price

Included in the price

  • Pre-operative consultation with Professor Lee (60 minutes)
  • Pre-admission anaesthetic review
  • Theatre fee, surgical disposables and anaesthetic agents
  • OATS instrumentation and precision plug harvest and delivery system
  • Operating surgeon’s fee
  • Consultant anaesthetist’s fee
  • On-the-day medications
  • Bracing and walking aid where required
  • Two post-operative consultations (typically week 2 and week 6)
  • Twelve-month outcome review
  • Direct line to the surgical team for post-operative concerns

Not included, quoted separately

  • MRI imaging at £450 where pre-operative mapping is needed and not already available
  • Pre-operative bloods if not already available
  • Onward physiotherapy, quoted separately by your physiotherapist
  • Travel and accommodation for international patients

Why cartilage transplant at LCC

  • ICRS Teaching Centre of Excellence

    LCC is recognised by the International Cartilage Regeneration and Joint Preservation Society as a Teaching Centre of Excellence. Surgeons from other centres train here on cartilage transplant techniques.
  • Your own cartilage, single operation

    OATS uses tissue from your own knee, eliminating any risk of immune rejection or disease transmission. The transplanted cartilage plug contains your own living cartilage cells on a bone scaffold, which integrates naturally with the surrounding tissue.
  • A regenerate-first conversation

    Cartilage transplant is the right answer for small to medium focal defects. For larger defects, OCA replacement is the better technique. We tell you, at consultation, which conversation is the right one for your knee, and we do not push the wrong technique to fit a price point.
  • The surgeon you see is the surgeon who operates

    Pre-operative consultation, surgery and post-operative reviews are with Professor Lee. There is no transfer to a registrar or to another consultant.

Your cartilage transplant journey

  1. 1

    Discovery call (free, 15 minutes)

    A clinical coordinator confirms that cartilage transplant is a sensible conversation, books the consultation if so, and answers cost questions.
  2. 2

    Consultation with Professor Lee (£350, 60 minutes)

    Imaging review, examination, and a written treatment plan. We confirm that OATS is the right operation, or whether a different cartilage option would suit better.
  3. 3

    Pre-operative preparation

    Bloods, anaesthetic review and consent. Imaging-based plug-size planning where indicated. Typically two to four weeks before surgery.
  4. 4

    Day of surgery

    Admission at our partner hospital on Weymouth Street, central London. Cartilage transplant takes ninety minutes to two hours of theatre time. Most patients are home the same day or after a single overnight stay.
  5. 5

    First six weeks

    Weight-bearing is restricted while the cartilage plug integrates. Range of motion exercises begin early. Direct line to the surgical team for any concerns.
  6. 6

    Weeks 6 to 16

    Progressive return to function with your physiotherapist. Two follow-up consultations included with us.
  7. 7

    Twelve-month review

    Outcome assessment with the operating surgeon. Cartilage integration matures over twelve to eighteen months, and the long-term review is part of the price.

Funding, insurance and payment

Self-pay

£14,000 for cartilage transplant (OATS), settled by bank transfer or card before surgery.

We can discuss finance options on request rather than promoting a specific finance partner.

Private medical insurance

London Cartilage Clinic is a private-pay practice and does not work with UK insurance panels. The published price is the price you pay; there are no shortfall surprises after surgery.

If you are insured and would still like to be treated here, we can provide an itemised invoice for you to submit to your insurer for reimbursement.

International patients

Many of our cartilage patients travel from outside the UK. We can coordinate consultation, imaging, surgery and follow-up into a focused visit; travel and accommodation are arranged separately.

Outcomes after cartilage transplant

Most cartilage transplant patients are walking unaided by week six and progressing through low-impact activity from three to four months. Higher-impact sport returns from six to nine months depending on progress. Because the transplanted tissue is your own living cartilage, the biological repair is mature rather than provisional, and the long-term outcomes on well-selected defects are durable.

We measure progress at each follow-up rather than relying on time alone, and the data feeds into our published outcome database. The right defect for cartilage transplant is small to medium, focal, and contained: where those criteria fit, OATS is one of the highest-quality cartilage solutions available.

Frequently asked questions

How much does cartilage transplant cost in the UK?

Cartilage transplant at London Cartilage Clinic is £14,000 all-inclusive, delivered as OATS (Osteochondral Autograft Transfer). The price covers theatre, the surgical fee, the consultant anaesthetist, the surgical disposables, two follow-up consultations and the twelve-month review.

What is OATS and how does it relate to cartilage transplant?

OATS stands for Osteochondral Autograft Transfer. It is the technical name for the cartilage transplant procedure: a cylindrical plug of cartilage and bone is harvested from a non-weight-bearing area of your own knee and transplanted into the site of the cartilage defect. The terms are used interchangeably in this context.

Why is cartilage transplant cheaper than OCA replacement?

Cartilage transplant via OATS uses your own tissue (autograft); OCA uses donor tissue (allograft). The human-tissue regulatory framework, donor sourcing and tissue preparation that OCA requires add cost. OATS at £14,000 is the right answer for smaller focal defects where autograft is realistic; OCA at £28,000 is the right answer for larger defects.

What size of defect can a cartilage transplant treat?

OATS is best suited to small and medium focal cartilage defects, typically up to around two square centimetres. For larger defects, multiple plugs can be used in a technique called mosaicplasty, though very large areas are usually better served by OCA replacement.

Does the donor site cause problems later?

The plugs are harvested from a non-weight-bearing area of the knee, typically the edge of the femoral condyle or the intercondylar notch. Most patients have no long-term symptoms from the donor site, though temporary stiffness or mild discomfort can occur during early recovery.

Can I claim cartilage transplant on private medical insurance?

LCC is a private-pay practice and does not contract with UK PMI panels. If you have insurance and prefer to be treated here, we can provide an itemised invoice for you to submit for reimbursement, but you settle the bill with us directly.

Does the price include the anaesthetist and the instrumentation?

Yes. The £14,000 cartilage transplant price includes the consultant anaesthetist’s fee and the OATS instrumentation. Some private clinics quote the surgical fee alone and add the anaesthetist or instrumentation separately; we do not.

How long is recovery after a cartilage transplant?

Weight-bearing is restricted for four to six weeks while the cartilage plugs integrate. Range of motion exercises begin early. Return to low-impact activity is expected from three to four months, with higher-impact sport from six to nine months depending on progress.

Where will the surgery happen?

The consultation is at 66 Harley Street. The surgery itself is performed at our partner private hospital on Weymouth Street, central London.

Can I be treated here from outside the UK?

Yes. We coordinate consultation, imaging, surgery and follow-up into a focused visit. Travel and accommodation are arranged separately by you and are not included in the surgical price.

Ready to talk

Two paths from here

For when you want to talk first, the discovery call costs nothing. For when you have decided you want to be assessed, book a consultation with the operating surgeon. Either way you can learn how the procedure works on the cartilage transplant page.

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