International Gamma Knife Program - Koto Memorial Hospital

1）From World-Leading MVD to Gamma Knife

Delivering Global Neurosurgical Expertise to Patients Everywhere Dr. Takuro Inoue, trusted by patients from over 30 countries for microvascular decompression (MVD), now leads a certified Gamma Knife team delivering the same world-class precision and care.

2）Why Choose Us

• Global Trust Built Through MVD - Led by Dr. Takuro Inoue, who has welcomed patients from over 30 countries for hemifacial spasm and trigeminal neuralgia, our team understands the unique needs of international patients.
• Expanding Excellence with Gamma Knife - A non-invasive treatment for brain tumors, AVM, and trigeminal neuralgia, provided by an experienced, certified team.
• Elite Surgical Collaboration - Over 20 years of collaboration with the late Dr. Takanori Fukushima, a legendary neurosurgeon, combining advanced skull base surgery with Gamma Knife radiosurgery.
• Proven Results & Competitive Pricing - More than 5,000 Gamma Knife procedures since 2004, with treatment costs starting at ￥800,000 (USD 5,000).

3）Meet Dr. Takuro Inoue & the Gamma Knife Team

Dr. Takuro Inoue is a board-certified neurosurgeon with over 30 years of experience. Known worldwide for his expertise in microvascular decompression (MVD), he has welcomed patients from more than 30 countries across North America, Europe, Asia, and the Middle East.

For more than two decades, Dr. Inoue and the Gamma Knife team at Koto Memorial Hospital collaborated with the late Dr. Takanori Fukushima, a legendary neurosurgeon renowned worldwide for his mastery of skull base surgery. Together, they developed a unique treatment approach combining advanced skull base surgery with Gamma Knife radiosurgery.

Our Certified Team (Japan Gamma Knife Society):

• Dr. Takuro Inoue, M.D., Ph.D.
• Dr. Hisao Hirai, M.D., Ph.D.
• Dr. Ayako Shima, M.D., Ph.D.

4）About Gamma Knife at Koto Memorial Hospital

• Team-based, state-of-the-art radiosurgery for brain tumors, arteriovenous malformations (AVM), and trigeminal neuralgia.
• Treated brain tumor types include vestibular schwannoma, meningioma, pituitary adenoma, other benign brain tumors, and metastatic brain tumors.
• Over 5,000 Gamma Knife treatments since 2004.
• 20+ years of follow-up data.
• Fully Outpatient Treatment - At Koto Memorial Hospital, Gamma Knife radiosurgery is performed entirely on an outpatient basis. Patients arrive in the morning, receive treatment, and return to their accommodation the same day. No overnight hospital admission is required, and most international patients combine their visit with a short stay in Kyoto.
• Free online consultations with preliminary treatment planning.
• Follow-up for every patient.

5）Affordable Excellence - World-Class Gamma Knife with Unique International Expertise

Patients at Koto Memorial Hospital receive Gamma Knife radiosurgery at a significantly lower cost than in many countries - only ￥800,000 (~USD 5,000) for international patients. This price includes the extra coordination and support required for overseas visitors, while remaining far below international rates.

Gamma Knife technology is produced by a single global manufacturer, Elekta, ensuring a high level of precision when the system is properly maintained. At Koto Memorial Hospital, we exceed global maintenance standards by performing accuracy checks and comprehensive servicing more than four times per year under a direct contract with Elekta.

What sets Koto apart is not only our technical excellence, but also our decades of experience in international patient care. Dr. Inoue’s career in microvascular decompression has brought patients from over 30 countries to Japan, giving our team unmatched experience in supporting people traveling for complex neurosurgical procedures.

We also maintain a close partnership with the National Brain Center Hospital (RSPON) in Jakarta, offer follow-up, and integrate skull base surgical expertise with radiosurgery ? benefits rarely available at other centers.

6）How It Works

1. Free Online Consultation - Review your medical history and MRI, discuss treatment options, and receive a preliminary plan.
2. Travel & Treatment - Stay in Kyoto and visit Koto Memorial Hospital for your Gamma Knife procedure, performed entirely on an outpatient basis. Most patients are discharged within hours of arrival and can return to their hotel the same day.
3. Short Stay in Japan - Most patients complete their treatment with just a 2-3 day stay in Japan.
4. Follow-Up - Annual imaging review, coordinated with your home country when possible.

7）International Patient Services

• Pickup service from the nearest Shinkansen station, along with assistance for hotel and hospital coordination.
• English communication available.
• Medical visa support and documentation.

8）Success Stories

“I came to Japan for MVD with Dr. Inoue years ago. When I later needed Gamma Knife treatment, I returned without hesitation. The care from Dr. Inoue and his team was once again world-class.”

- Emily W., USA

9）Contact & Call to Action

We accept applications exclusively through the email link below.