With the recent change of seasons, my skin started acting up again, with some mysterious little red spots on my face that were incredibly itchy. After jumping through some hoops, I finally managed to see a dermatologist in Spain. The process can be a bit confusing for newcomers, so I decided to write this post about my experience with Spanish dermatology hospitals to help out anyone in need.
Public Healthcare System
If you are covered by social security, using the public system is the most economical choice. The main drawback, however, is that it’s slow! The process is pretty much fixed:
- Book an appointment with your family doctor: This is the mandatory first step. You need to schedule a Cita with your family doctor for an initial diagnosis.
- Get a referral: After explaining your situation to the family doctor, if they deem it necessary, they will give you a referral to a specialist, in this case, a dermatologist.
- Wait for the specialist appointment: Once you have the referral, the long wait begins. The hospital will schedule your appointment based on your condition and the doctor’s availability. It can be as quick as a few weeks, but waiting for half a year is very normal. This is why I gave up on this route.

Private Healthcare System
If you have private insurance or can afford to pay out-of-pocket, the experience is much better. The process is direct and efficient:
- Check your insurance provider’s medical directory: Almost all private insurance companies provide a medical directory. You can use their app or website to filter doctors and clinics by region and specialty.
- Book directly by phone or online: Once you’ve found a doctor you like, just call the clinic directly to book a Cita Previa. Give them your insurance number, and the receptionist will handle everything. You can usually get an appointment within a week, which is incredibly convenient. I went the private route this time and was seen just three days later—the experience was top-notch.
Some useful tips and vocabulary
To help you feel more confident during your visit, I’ve compiled some Spanish vocabulary you might need. You don’t want to look completely clueless when the doctor asks you questions.
| English | Spanish | Use |
| Dermatology | Dermatología | The specialty |
| Dermatologist | Dermatólogo/a | The doctor’s title |
| Appointment | Cita Previa | A must-do before seeing a doctor |
| Eczema | Eczema | A common skin problem |
| Allergy | Alergia | A common skin problem |
| Itch / Itchy | Picor / Pica | Describing a symptom |
| Cream / Ointment | Crema / Pomada | Commonly prescribed medication |
When seeing a dermatologist in Spain, the public system tests your patience, while the private system tests your wallet. For minor issues that aren’t urgent, you could try asking a pharmacist for advice first, as they can sometimes recommend over-the-counter solutions. However, if the problem persists or is severe, it’s best to just go see a doctor. I hope everyone’s skin stays healthy and happy!