Flow of transplantation of intestinal bacteria (plexus)

The following is an explanation of the flow of transplantation with the NanoGAS®-FMT method. The flow may be back and forth depending on the patient’s needs and condition.

Those who are eligible for transplantation must meet all of the following three conditions

1. Those who can come to Japan by themselves and visit designated medical institutions in Japan.
2. Those who can explain about their disease in English or Japanese.
3. Those who can fill out an inquiry form in English or Japanese.

*If you do not meet these three conditions, you are not currently eligible to apply for a transplant.

In order to ensure that all foreign patients undergoing fecal microflora transplantation (treatment) are fully informed about the necessity of transplantation, the method, the possible risks, and the comparison with other treatment methods before undergoing transplantation, all foreign patients undergoing transplantation (treatment)are given four opportunities to receive information and to confirm the patient’s intention four times before transplantation.

In addition, all patients are required to sign a total of six consent forms (e.g., for the protection of personal information) before the transplant is performed. On any of these occasions (even after submitting the consent form), the patient may withdraw the application for transplantation at any time. (Please refer to our Cancellation Policy for refundable amounts.)

Read "About Fecal Microbiota Transplantation" on our website

Read “Gut Microbiota Transplantation” on the NanoGAS®-FMT service website.

Currently being conducted as clinical trials at several universities in Japan for a limited number of diseases. Only patients who meet the requirements during the application period can participate in the study.

Fill out and submit the online medical questionnaire (1) (required)

Please fill out and submit the online medical questionnaire (1). There are 80 questions, all in English, and each page can be temporarily saved. This is designed to give us a more accurate picture of your intestinal environment by asking about your current physical condition and living environment.

Please submit here even if you only want to inquire first.
FAQ can be found here:
Online Questionnaire (1) form is here:

Pre-payment of pre-transplantation support fee (required)

Pre-transplantation support fee includes the followings.
<1 session> Online meeting with a concierge
< Until the patient has a face to face consultation with a physician>
E-mail inquiries to the concierge
<2 sessions> Online consultation with the physician
<1 session> Face-to-face consultation with the physician
<1 time> Flora balance test fee
<1 meeting and 3 consultations> Interpretation fee

We will send you the URL for payment, so please pay in advance. The pre-transplant support fee does not include the cost of the transplant itself.

Online meeting with a concierge and an interpreter (approx. 60 min.) (required)

A follow-up report (in English) will be sent to you after the meeting.

Please watch the following video before the online meeting.

Online consultation with a doctor with interpretation (approx. 30 min.) (required)

We will arrange a schedule for your visit to clinic in Japan. Apply for the intestinal flora balance test.

We value the patient’s and family’s consent to undergo transplantation. We believe that patients and their families will have a better understanding of transplantation and that the doctors and nurses will be able to hear directly from patients and their families, which will lead to better patient care.

After coming to Japan, you will receive an in-person consultation by a doctor with an interpreter (required)

Receive a Flora balance test kit. Please return the kit by your return date.

Collect and mail the stool sample (required)

Return to your country of residence (return home if you live in Japan)

Receive the results of the balance test

Online examination by a doctor with interpretation (about 30 minutes)

The doctor will explain the test results and schedule a transplant date.Proceed to the gut microbiota transplant procedure.

Shinbiosis Corporation will contact you to inform you of your transplant candidate date

Transplant date is decided

Prepayment of transplant fee (required)

We will send you the bank transfer details and ask you to prepay the fee. For details on transplantation costs, please refer to the cost of intestinal bacteria (plexus) transplantation.