Hello BionicHip,
I have had three hip surgeries: 1) A resurfacing with Dr. Pritchett (Seattle) in 2006, age 55. 2) A total hip replacement on my other hip in 2818 because, at age 67 (and small frame female), I was no longer eligible for resurfacing. That was done by a surgeon in Tampa after we moved to Florida. 3) A revision to my resurfacing later in 2018 due to metallosis. I flew back to Seattle for the revision. Dr. Pritchett did the revision and preserved the resurfacing.
There aren't noticeable differences between my THR and my resurfaced hip, except that my THR joint is very small so I have been advised not to torque it in a way that could cause dislocation. For me, that means not using a rowing machine or heavy leg presses. I can walk, run, swim, kayak, cross country ski, etc. For me, it's fine.
When I traveled to Seattle for the revision, I stayed for 2 weeks before flying back to Florida. It was a 5 hour flight and I was totally exhausted by the time we got to Tampa. I can't imagine an international flight. India is a unique country. If you have traveled to 3rd world countries before, you might be comfortable. If not, you might want to reconsider, especially during Covid. Belgium, if possible, would feel more comfortable despite the necessary flight.
Dr. Pritchett in Seattle is one of the most experienced resurfacing surgeons (similar to Gross and DeSmet) and I am sure he has operated on many Canadians. I suggest that you send him your images to get an opinion and ask about dealing with Canadian insurance. Good luck!
By the way, I DID have a blood transfusion with my first resurfacing procedure. Unusual, but it happens. Also, many doctors don't perform resurfacing because it is technically more difficult than a THR, and most patients really are fine with the latter. Orthopedic Surgeons tend to stick with procedures they've done over and over again (which is a good thing) and few of them have been trained in resurfacing.