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Mexico, Tijuana
Endoscopic sleeve gastroplasty (ESG) in Renew Bariatrics
1
accreditation
hospital certificates of quality
About the clinic
Endoscopic sleeve gastroplasty (ESG) reshapes the stomach with stitches placed through the mouth, without incisions or stomach removal. Renew Bariatrics offers ESG in Tijuana and Cancún, Mexico, with Dr. Héctor Pérez, its only surgeon performing the procedure. Dr. Pérez is double board-certified and has over 20 years of bariatric experience.
How ESG works at Renew Bariatrics
The procedure uses an endoscope, a thin tube passed through the mouth, to place stitches inside the stomach. It takes about 1 to 2.5 hours under general anesthesia. Renew Bariatrics lists a BMI range of 29.5 to 40 for ESG; the FDA range in the provided information is 30 to 50.
Dr. Héctor Pérez has performed 5,000+ bariatric surgeries and is a member of the International Federation for the Surgery of Obesity and Metabolic Disorders. ESG is performed at SER Hospital in Tijuana or Hospital Joya Cancún.
Weight loss, recovery, and aftercare
Results vary. Mayo Clinic data cited for ESG reports 18% to 20% total body weight loss at 12 to 24 months. In the MERIT randomized trial, patients lost 49.2% of excess weight at one year. A 2026 study of 1,377 patients reported 21.2% total body weight loss at one year and 14.4% at six years.
Pain and nausea may last for several days, though most people feel better within a few days. Patients start with a short period without food or drink, then follow a liquid diet for at least two weeks. Semisolid foods come next, followed by a regular healthy diet. Nutritionist guidance and follow-up are included.
The package includes two hospital nights and one hotel night, along with private transport, one companion, and take-home medications. ESG is not designed as a temporary procedure, but it can later be converted to another bariatric surgery if needed.
Risks and clinic details
The MERIT trial reported serious ESG-related adverse events in 2% of patients and no deaths. ESG generally leads to less weight loss than gastric sleeve surgery. In matched US patients, readmissions were 3.8% after ESG and 1.6% after sleeve surgery.
Renew Bariatrics reports a 4.9/5 rating from 850+ reviews across four platforms and 9,000+ surgeries performed. The clinic lists an affiliation with the American Society of Plastic Surgeons. Patients considering ESG can request a consultation through Bookimed.
Highlights
2006
Year of foundation
9 doctors
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Treatments prices in the clinic
Last price update – {{date}}. Prices may change depending on the medical case and the doctor's recommendations.
Weight Loss Surgery
| treatment | Price | |
|---|---|---|
| Endoscopic sleeve gastroplasty (ESG) | Price on request | |
| Gastric sleeve surgery (Sleeve gastrectomy) | Price on request | |
| Gastric bypass | Price on request | |
| Post-bariatric plastic surgery | Price on request | |
| Da Vinci Gastric Bypass Surgery | Price on request | |
| Da Vinci Gastric Sleeve Surgery | Price on request | |
| Gastric balloon | Price on request | |
| Roux-en-Y Gastric Bypass | Price on request |
Before & after photos (4)
The results of the procedure are provided by the clinics
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hospital accreditation of quality
American Society of Plastic Surgeons
US,
American Society of Plastic Surgeons certificate for Renew Bariatrics
Renew Bariatrics: more details about the clinic
Mexico, Tijuana
Renew Bariatrics is a private surgical center founded in 2017. It runs two branches in Tijuana and Cancún, Mexico. Patients come from the United States, Canada, New Zealand, and Australia. Nine doctors on the team specialize in metabolic and body contouring procedures.
Accreditations and Surgeon Credentials
The clinic is accredited by the American Society of Plastic Surgeons (ASPS). All lead surgeons are double board-certified in bariatric and general surgery. The Mexican Council of General Surgery and the Mexican College of Surgery for Obesity verify these certifications.
Over 9,000 patients have chosen this clinic for weight loss surgery. Dr. Héctor Pérez leads the team with over 20 years of experience. He has performed more than 5,000 bariatric surgeries and is a member of IFSO. Dr. Pérez also teaches fellowships to train new bariatric specialists.
Other notable specialists include Dr. Antonio Cueva and Dr. Jorge Green. Both have nearly two decades of experience and thousands of surgeries behind them. This high volume shapes how the team advises patients and sets safety protocols.
Weight Loss Surgery
Renew Bariatrics performs all weight loss operations with laparoscopic techniques. Because these methods use small incisions, patients go home sooner. The clinic offers several surgical and endoscopic options:
- Gastric Sleeve (VSG) – including a single-incision (SILS) option
- Gastric Bypass – Roux-en-Y and mini gastric bypass (single anastomosis)
- Endoscopic Sleeve Gastroplasty (ESG) – a non-surgical procedure with no incisions
- Gastric Balloon – a temporary silicone device filled with saline or air
- Duodenal Switch – an advanced metabolic surgery
Gastric sleeve patients lose an average of 22.8% of total body weight at one year. ESG typically leads to 18% to 20% body weight loss within two years. For gastric bypass, surgeons report a median operating time of 113 minutes.
Before discharge, the medical team runs multiple leak tests. Patients receive lifetime nutritional guidance and follow-up visits for the first year. Nutritionist meetings take place two weeks and three months after the procedure.
Plastic and Aesthetic Medicine
The clinic offers body contouring for patients who have lost a lot of weight. Surgeons perform these procedures at SER Hospital in Tijuana. Patients must keep a stable weight for several months before surgery.
Available body contouring and aesthetic services include:
- Abdominoplasty (tummy tuck) and full body lifts
- Liposuction and Brazilian butt lift (BBL)
- Mommy makeovers and breast augmentation
- Facial rejuvenation, including facelifts and Botox
- Hair transplants and Platelet-Rich Plasma (PRP) therapy
Plastic surgery candidates must complete a detailed medical questionnaire. It reviews medications, allergies, and surgical history to confirm candidacy. Each patient then gets a personalized quote based on their anatomy and goals.
Safety Protocols and Monitoring
Structured pre-operative checklists and monitoring help keep patients safe. After surgery, patients stay two nights in a private hospital room. A bilingual doctor is on call for any immediate concerns.
The clinic uses GLP-1 medications (semaglutide) in its non-surgical slimming programs. Gastric balloons are inflated endoscopically, so no surgical cuts are needed. Specialists give bloodwork guidance so patients can check their health twice a year.
Services for International Patients
Renew Bariatrics offers all-inclusive packages that cover medical fees and logistics. A dedicated coordinator handles travel, surgery, and recovery planning 24/7. Support is available in both English and Spanish.
International services include several transportation and lodging options:
- Airport transfers from San Diego, Tijuana, and Cancún
- Private transportation for all medical appointments
- Lodging in partner hotels instead of recovery houses
- Take-home medications and written prescriptions for border crossings
- Free initial phone and virtual consultations
US patients can pay with HSA or FSA funds. One companion may stay with the patient. Before arrival, all patients receive a digital travel guide and passport requirement instructions.
Additional services
Language assistance
Available
free
Accommodation
Hotel (apartments) near the clinic, billed daily
Patient reviews
10 Google
reviews
Chanty B
Oct 26, 2026
My Experience with Renew Bariatric Clinic – Bariatric Sleeve Surgery
Overall, my experience with Renew Bariatric Clinic was very positive, thanks to Dr. Green, Victor, all the coordinators and assistants, and the nutritionist, who were informative, friendly, and helpful throughout the process.
The majority of the nursing staff were absolutely amazing. Alex, Veronica, and Enid were standouts who demonstrated genuine kindness, empathy, and respect.
Renew Bariatric Clinic has made the entire bariatric surgery process comfortable, seamless, and easy to navigate. From coordinating travel and hotel accommodations to the hospital stay and transportation to and from the airport, every aspect was thoughtfully organized to make the experience as manageable and stress-free as possible. The entire process felt streamlined, and everyone involved was professional, welcoming, and helpful.
Despite my concerns regarding one nursing staff member, the overall experience was positive, and I am incredibly grateful to the many wonderful individuals who contributed to making this journey easier. I would recommend Renew Bariatric Clinic 100%!
Overall, my experience with Renew Bariatric Clinic was very positive, thanks to Dr. Green, Victor, all the coordinators and assistants, and the nutritionist, who were informative, friendly, and helpful throughout the process.
The majority of the nursing staff were absolutely amazing. Alex, Veronica, and Enid were standouts who demonstrated genuine kindness, empathy, and respect.
Renew Bariatric Clinic has made the entire bariatric surgery process comfortable, seamless, and easy to navigate. From coordinating travel and hotel accommodations to the hospital stay and transportation to and from the airport, every aspect was thoughtfully organized to make the experience as manageable and stress-free as possible. The entire process felt streamlined, and everyone involved was professional, welcoming, and helpful.
Despite my concerns regarding one nursing staff member, the overall experience was positive, and I am incredibly grateful to the many wonderful individuals who contributed to making this journey easier. I would recommend Renew Bariatric Clinic 100%!
heathernalan sullivan
Sep 24, 2026
March, 31,2026 I had my Sleeve about 5:00 pm evening he was so sweet and made me feel wonder even after US Dr rushed in out fast
Eugenia McCoy
Aug 31, 2026
Fantastic experience. Staff were great. Dr Green was awesome. My biggest concern was being sick after surgery- I have had no problems. I feel great and would highly recommend this facility for anyone looking to have Bariatric surgery.
Amanda Lingle
Aug 19, 2026
Wonderful facility, staff and doctors!! Everyone has been so caring and attentive. Dr Green is absolutely wonderful and caring. I highly recommend this facility if you are thinking of weight loss surgery
Potsie Daigle
Aug 3, 2026
Hospital is very clean and modern. The staff is wonderful. Much better care than in the US hands down. No issues with anything. The nurses are amazing. Dr green is very polite and informative
Mewy Mila
Jul 4, 2026
Hello! They performed my sleeve gastrectomy surgery here. The whole team treated me with a lot of kindness and patience. Doctor Héctor Pérez was very kind and did an exceptional, great job. Communication was very good via mobile phone and email (: Thank you too to the nurses, who are very attentive to the patient’s comfort and health 🙏🏻🫂❤️ I’m also grateful for the kindness and patience of my driver Sergio, who came to pick me up from the airport. Everything was 10/10. I recommend doing your surgery with Renew Bariatricts—they are such lovely people. Thank you very much for the experience 😌😊🙏🏻
Shari Allphin
Jun 27, 2026
Very nice facility with an awesome team of nurses, coordinators, and doctors. Taken very well care of. Tentative to your needs. 5 star facility.
Tammie Herring
Jun 5, 2026
Everything went well with my procedure and the staff was awesome. I would highly recommend Dr. Green as your surgeon if you’re interested in getting it done too.
Gessell Pina
May 30, 2026
Doctor Perez was great and the staff was so helpful and understanding. Great experience overall. I would highly recommend.
Misty Cottle
May 22, 2026
I could not be more pleased. The staff is kind and thorough. The facility is spotless. The Drs are ready to answer any questions and give you the support you need afterwards. 10/10 recommend.
Boulevard General Rodolfo Sánchez Taboada 10488, Tijuana, Mexico 22010
updated 11/7/2026
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