Information for Patients

Paralyzed diaphragm

The Diaphragm Center is dedicated to all patients suffering from severe shortness of breath due to a paralyzed diaphragm.


To be eligible for treatment at the Diaphragm Center, a referral from a medical specialist, preferably your pulmonologist, is required. Your medical specialist sends the referral to the Diaphragm Center for assessment. The review is completely non-binding; there is no charge for this.

  • After your referral has been evaluated and approved, you will be called in for an intake interview at the Diaphragm Center.
  • With this call, you will receive all the information you need for the intake interview.
  • The costs for the intake interview can be found in the information you receive in advance.
  • During this intake, Dr. Welvaart will review all your information again, discuss your symptoms with you, and the options for relieving your shortness of breath.
  • The surgery and its associated risks of complications are discussed step by step. Unfortunately, every surgery comes with the risk of complications; there are no surgeries without potential complications.

It’s important for you to understand how the surgery works and what the consequences are for you after the surgery, so you can make an informed decision about whether or not you want to undergo surgery.

Waiting list

Unfortunately, there is a waiting list for this surgical method. The length of the waiting list depends on various factors, such as available capacity in the operating rooms at various hospitals in the Netherlands.

The waiting list for this special surgery has been growing longer, and the COVID pandemic has extended the waiting list even further, prompting the search for a method to operate on patients more quickly.


The establishment of the Diaphragm Center as an independent institute is the solution. The Diaphragm Center uses available operating room capacity at one of the hospitals in the Netherlands.

By reducing his workload at the Meander Medical Center, Dr. Welvaart can now treat you sooner, throughout the country.

Care process

After you have attended the intake interview at the Diaphragm Center and the surgery has been scheduled, you will be placed on the waiting list. Surgeries can therefore take place throughout the Netherlands. The same arrangements apply to patients from abroad.

This is a new way of working within surgical Netherlands, hopefully ensuring that you are treated as quickly as possible.

Diaphragm CenterĀ©

For treatment of paralyzed diaphragm