Lately, I’ve been really struggling with acne on my face. After trying all sorts of cosmeceuticals with little success, I finally decided to see a doctor. I’m sure many of you living in Spain have faced the same problem, feeling unsure about the process and costs of getting acne treatment. Today, I’ll share what I’ve learned to give you a reference.
Public Hospitals vs. Private Clinics
First things first, there are two main ways to see a doctor in Spain: through the public or private system. If you have public health insurance (social security), seeing a dermatologist at a public hospital is theoretically free. The process usually involves booking an appointment with your GP (General Practitioner), who will then give you a referral to a specialist. However, the major drawback of the public system is the long wait time. You might wait a week or two for a GP appointment, and the referral to a dermatologist could take several more months. For anyone desperate to clear up their acne, this can be an agonizing wait.
Private clinics are much more flexible. You can book an appointment directly by phone or online and usually be seen within a week. Of course, the price for this convenience comes from your wallet. If you have private health insurance, the consultation fees at many private clinics are often covered. However, coverage for specific treatments like chemical peels or laser therapy varies, so you’ll need to check with your insurance provider beforehand. If you’re seeking acne treatment in Spain without insurance, you’ll have to pay for everything out of pocket.

Treatment Options and Estimated Prices
In both public and private settings, a doctor will typically start by prescribing medication after the initial consultation. This could include topical antibiotic creams, tretinoin cream, or oral medications like antibiotics or isotretinoin. In the public system, with your health coverage, you only need to pay 40%-60% of the prescription cost. In the private system, the doctor writes a prescription, and you pay the full price at the pharmacy.
If medication isn’t effective or if you have severe acne scars and marks, the dermatologist might recommend cosmetic treatments. These are generally not offered by the public healthcare system—don’t even think about it—so you’ll have to go to a private clinic. I contacted a few clinics in Madrid and compiled a rough price range for your reference:
| Treatment / Service | Estimated Price per Session |
| Dermatologist Consultation Fee | €80 - €150 |
| Chemical Peel (Glycolic/Salicylic) | €100 - €250 |
| Microneedling | €150 - €300 |
| Laser / IPL Photofacial | €200 - €400 |
In conclusion, if you just want a prescription to manage your acne, the public system is a budget-friendly option, despite the wait. If you’re looking for quick results or need cosmetic procedures for acne scars, you should budget for a private clinic. I ended up choosing a private clinic that partners with my insurance. The consultation fee was fully covered, and I paid for the subsequent chemical peel sessions myself. The results have been quite noticeable. I hope this information is helpful, and I wish you all success in your battle against acne! 💪