Tokyo’s skyline under a violet and orange sky

Destinations · Tokyo, Japan

A day in Tokyo.

Japan’s checkup takes most of a day, and it runs like the trains. This is a typical one, hour by hour, and where to go once it’s done.

Right now in Tokyo

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Sunrise – · Sunset –

Tokyo skyline · Photo: Jezael Melgoza

About ¥73,000

A standard one-day checkup at an English-capable Tokyo clinic, tax included. That is the price for residents; visitors often pay more.

10½–14½ h

Nonstop from major US hubs. The closest of our three cities to the West Coast.

Level 1

US travel advisory: exercise normal precautions.

No visa

For stays of up to 90 days by US citizens. The main hurdle is language.

Read the ningen dock guide

The word

人間ドック

ningen dokku · a human dry dock

Ships are hauled into dry dock to be inspected from keel to mast; the name borrows the idea. The first one ran in Tokyo in July 1954, as a week-long hospital stay. Today it fits into a single day, and for many Japanese families it is simply routine maintenance.

Hour by hour

From the shrine gate to the first meal.

Times are typical of an English-capable center in central Tokyo. Yours will be set by your center and confirmed by your partner before you fly.

The night before

9:00 pm

The last meal, then a quiet evening.

Fasting usually starts around nine, and some centers ask you to stop drinking water later in the evening too. The instructions will be exact. Follow them exactly.

Checkup day

6:30 am

Under the trees at Meiji Jingu.

The shrine’s gates open at sunrise, and the gravel paths through its forest are almost empty. Across the city, in parks and schoolyards, people are doing the same radio exercises Japan has done every morning for nearly a century.

A tall wooden torii gate at Meiji Jingu, framed by the forest canopy against a blue sky
Photo: Toby

Checkup day

8:00 am

A locker, a gown, a file to carry.

You change into the center’s examination wear and slippers. Most centers give you a file that travels with you from station to station; each one is checked off as you go. If an interpreter is part of your package, this is where you meet.

Checkup day

8:30–2

A long, orderly day.

A standard course runs five and a half to seven hours: blood and urine, ECG, lung function, chest X-ray, abdominal ultrasound, eyes and hearing, often bone density. Your stomach is checked by barium X-ray or, for an extra fee, by a camera.

Checkup day

2:00 pm

Answers, in your language.

Some centers explain results the same afternoon; others send them later. Before you book, we make sure you know which, who will interpret, and when your English report and scan files arrive.

A wooden tray with a bowl of rice, a bowl of miso soup and a small dish of pickles
Photo: Takafumi Yamashita

Checkup day, 2:30 pm

The first meal.

ご飯と味噌汁gohan to misoshiru, rice and miso soup

The plainest Japanese meal, and after a day without food, the right one: warm rice, a bowl of miso soup, a few sharp pickles.

If you had the barium X-ray, you will be given a laxative to clear it. Drink plenty of water, and stay close to your hotel this evening.

Checkup day

Late afternoon

A charm for good health.

Almost every shrine sells omamori, small cloth charms for luck of one kind or another. The ones for health are called kenkō omamori.

By custom you return it to a shrine after a year, which is as good an excuse as any to come back.

A small wooden shrine stall with rows of omamori charms on display
Photo: Johnny Ho

Good to know

Six things that will feel different.

Precision, everywhere.

Trains leave on the minute, and so does your next station. Arrive at the center a little early.

Barium, not always a camera.

Many packages check the stomach by barium X-ray. If you would rather have an endoscopy, ask; it usually costs extra.

Quiet trains.

Phone calls on trains are frowned on. People read, text or sleep.

Few trash cans.

Public bins are rare. Carry a small bag and drop your rubbish at a convenience store or your hotel.

No tipping.

Leaving money behind can cause confusion. A bow and a thank-you are enough.

Tattoos and hot springs.

Some onsen still turn away tattooed bathers. Check ahead, or book a private bath.

Say it once

Four phrases worth knowing.

English can be thin outside the center, and people are endlessly patient with visitors who try. These four go a long way.

こんにちは

konnichiwa

Hello

ありがとうございます

arigatō gozaimasu

Thank you

大丈夫です

daijōbu desu

I’m fine, it’s okay

トイレはどこですか?

toire wa doko desu ka?

Where is the restroom?

Snow-capped Mount Fuji above the forested shore of Lake Ashi, a red torii gate at the water’s edge
Lake Ashi, Hakone · Photo: Helmi Tan

The day after

Hakone, for a long soak.

About 80 minutes from Shinjuku by express train, Hakone is where Tokyo goes to rest: hot springs, a mountain lake and, on a clear day, Fuji. Stay a night at a ryokan if you can. Dinner arrives in many small dishes, and nobody expects you to hurry.

  • Tsukiji Outer Market, early

    Rolled omelet on a stick, fresh fish, and coffee standing up.

  • Yanaka

    An old neighborhood of temples, small shops and cats.

  • A kissaten

    An old-style coffee house: hand-poured, unhurried, often silent.

Suggestions only. We don’t sell tours, and we earn nothing from them.

Plan a day in Tokyo.

Tell us when you can travel and what you want from a checkup. We will write back personally.

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A rainy night in Tokyo · Video: Mohammad Hedayet Sarker