Not long after arriving in Spain, I had to experience the legendary public hospital system firsthand due to acute appendicitis. The process was quite an ordeal. I’ve always heard that Spanish healthcare is free but inefficient, and this time my in-depth experience almost made me worry about needing a Spanish death certificate. I’m writing down the whole process as a reference for fellow forum members, so you won’t be in a panic if you ever find yourself in a similar situation.
Sudden Onset and the Emergency Room
In the middle of the night, I was hit by sudden, intense abdominal pain. It came in waves, causing me to break out in a cold sweat. Based on my experience back in China, it felt like appendicitis. My family rushed me to the nearest public hospital’s emergency room. The ER waiting hall wasn’t overly crowded, but everyone there looked like they had been waiting for a long time. I first registered my personal information and social security card at the front desk and was then directed to the waiting area.
The waiting was truly the most grueling part. Because my pain was quite severe, I was called in for triage after about an hour. A nurse asked about my symptoms, took my temperature and blood pressure, and put a yellow wristband on me, indicating a medium level of urgency. And then… back to waiting. This wait lasted for another two hours. During this time, I was in excruciating pain; it felt like time stood still. So, a friendly reminder to everyone: if your condition isn’t life-threatening, you need to have a lot of patience when going to the ER, especially with the recent increase in Spanish medical cases.
Examination and Diagnosis
Finally, it was my turn to see the doctor! He briefly asked about my condition, pressed on my abdomen, and made a preliminary diagnosis of appendicitis, but further tests were needed for confirmation. Then began the series of tests: blood draw, urine sample, and an ultrasound. The tests themselves were done quickly, but waiting for the results was another long process. When all the results were in, I was officially diagnosed with acute appendicitis and told I needed immediate surgery. Hearing I needed surgery, my heart skipped a beat, especially being in an unfamiliar country.
| Test/Procedure | Waiting Time | Notes |
| Blood/Urine Test | Approx. 15 minutes | On-site sampling, relatively fast |
| Ultrasound | Waited approx. 1 hour | Had to queue for available equipment and a doctor |
| Final Diagnosis | Waited approx. 2 hours | All reports were compiled and sent to the doctor |

Hospitalization and Surgery
After the diagnosis, I was transferred from the ER to the inpatient department and assigned to a two-person room. The room was quite nice, clean, and tidy, with a private bathroom. The nurses were all very friendly; they got me settled in my bed and started an IV drip. The surgery was scheduled for the next morning. To be honest, the professionalism of the Spanish doctors is very reassuring. The anesthesiologist and the surgeon both came to talk to me before the operation, explaining the procedure and risks in detail, which helped calm my nerves. The surgery was a laparoscopic minimally invasive procedure and went very smoothly. I stayed in the hospital for three days post-op for observation and IV antibiotics. The hospital provided three meals a day. As for the taste… let’s just say it was indescribable. It was typical hospital food—bland and tasteless—but I had to eat it for my health. Throughout my stay, aside from some personal items I bought myself, all other costs, including the surgery, medication, hospital stay, and meals, were completely covered by social security. I didn’t have to pay a single cent. For this, I have to give the Spanish public healthcare system a big thumbs-up.
This experience in a Spanish public hospital gave me a more direct understanding of the medical system here. The waiting time in the ER is definitely a major issue, but once you’re in the treatment process, the professionalism and responsibility of the medical staff are very comforting. Most importantly, with social security, you basically don’t have to worry about the costs of medical care and hospitalization. I hope my experience provides some useful information for everyone. Of course, I hope even more that you all stay healthy and never have to use it!