Alice Beauty Clinic specializes in weight loss surgery, including Roux-en-Y Gastric Bypass, with Dr. Joaquin Ayala, a board-certified plastic surgeon with _doctor_6904_years_ of experience. He is known for post-bariatric body contouring and trained at the Ivo Pitanguy Clinic in Brazil. The clinic is licensed by the Mexican Department of Health and caters to international patients.
Alice Beauty Clinic is a CMCOEM and AMCPER-certified medical center in Tijuana, just steps from the US border. It specializes in plastic surgery, aesthetic medicine, and weight loss surgery. It treats over 1,200 patients annually from Latin America, the USA, and Canada.
LIMARP Bariatric Surgery Center specializes in Roux-en-Y Gastric Bypass with _doctor_2285_years_ of experience. Dr. Liza Maria Pompa Gonzalez, a Fellow of the American College of Surgeons, holds multiple international certifications and is a member of the American Society for Metabolic and Bariatric Surgery. The clinic offers a comprehensive bariatric program with five types of weight-loss surgeries.
LIMARP Bariatric Surgery Center is an SRC-accredited International Center of Excellence for Obesity in Tijuana. It specializes in bariatric surgery only and is led by the world's first female bariatric surgeon designated as a Surgeon of Excellence by the U.S. Surgical Review Corporation.
CeMar Surgery is a bariatric hospital in Tijuana, Mexico. The facility specializes in weight loss surgery and bariatric endoscopy. Patients can choose between laparoscopic gastric sleeve, bypass, and SADI-S procedures. The hospital also offers non-surgical options like the Orbera and Spatz3 gastric balloons. Its medical team includes board-certified surgeons, anesthesiologists, and nutritionists.
CeMar provides a multidisciplinary care pathway for obesity treatment. Programs include six months of follow-up with a nutritionist and fitness coach. Surgical teams use FDA-approved staple systems from Ethicon and Medtronic. Patients have reported losing up to 75 pounds within six months. Bilingual coordination is available for all international visitors. Stays include private rooms and round-trip transfers from San Diego Airport.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":5500,"price_to":8500,"currency":"USD","id":41862},"operation":{"id":1021,"name":"Roux-en-Y Gastric Bypass","alias":"roux-en-y-gastric-bypass"}}],"reviews":[],"clinic":{"id":5386,"alias":"cemar-surgery","name":"CeMar Surgery","short_description":"CeMar Surgery is a bariatric hospital in Tijuana, Mexico. The facility specializes in weight loss surgery and bariatric endoscopy. Patients can choose between laparoscopic gastric sleeve, bypass, and SADI-S procedures. The hospital also offers non-surgical options like the Orbera and Spatz3 gastric balloons. Its medical team includes board-certified surgeons, anesthesiologists, and nutritionists.
CeMar provides a multidisciplinary care pathway for obesity treatment. Programs include six months of follow-up with a nutritionist and fitness coach. Surgical teams use FDA-approved staple systems from Ethicon and Medtronic. Patients have reported losing up to 75 pounds within six months. Bilingual coordination is available for all international visitors. Stays include private rooms and round-trip transfers from San Diego Airport.
","images":[{"base_url":"clinic/6a738a3a9600c","title":"CeMar Surgery clinic exterior with modern glass facade in Mexico City"},{"base_url":"clinic/6a738a3c1b8f3","title":"CeMar Surgery clinic modern glass facade in Tijuana, Mexico"},{"base_url":"clinic/6a738a3d72dd6","title":"Reception area at CeMar Surgery clinic with modern design and natural lighting"},{"base_url":"clinic/6a738a3ebb4f9","title":"Reception desk at CeMar Surgery clinic with staff in modern medical facility"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Mexico","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Tijuana","id":396,"alias":"tijuana"}},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d4938f0838b.jpeg","name":"International Federation for the Surgery of Obesity and Metabolic Disorders Certificate","country_code":"IT"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88ce31ed8c3.jpeg","name":"Colegio Mexicano de Cirugia para la Obesidad y Enfermedades Metabolicas","country_code":"MX"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"The all-inclusive laparoscopic Roux-en-Y package may cost around $6,300. It covers surgeon and anesthesiologist fees, pre-op tests, two private hospital nights, one hotel night, transport, medications, and nutrition aftercare. Airfare and extra hotel nights are not included. Renew Bariatrics reports 9,000+ bariatric surgeries since 2017, with double board-certified surgeons verified by the Mexican Council of General Surgery.
","text_type":"mt_wow_description","best_texts":{"techniques":"Laparoscopic gastric bypass","why_its_ranked":"Endoscopic, incision-free TORe revision available for Roux-en-Y patients regaining weight. Team has 9,000+ bariatric surgeries; double board-certified surgeons. Accepts up to BMI 55 with reflux or type 2 diabetes."},"procedure_prices":[{"prices":{"price_from":6299,"price_to":6299,"currency":"USD","id":64605},"operation":{"id":1021,"name":"Roux-en-Y Gastric Bypass","alias":"roux-en-y-gastric-bypass"}}],"reviews":[],"clinic":{"id":9983,"alias":"renew-bariatrics","name":"Renew Bariatrics","short_description":"Renew Bariatrics is a weight loss surgery center in Tijuana and Cancún, Mexico. It focuses on bariatric procedures and post-bariatric plastic surgery. Surgeons perform all weight loss operations with laparoscopic techniques. Double board-certified surgeons lead the medical team. Dr. Héctor Pérez has over 20 years of experience in the field.
Founded in 2017, the clinic has since performed over 9,000 surgeries. Dr. Pérez alone did more than 5,000 of them. For gastric sleeve surgery, the clinic reports 49% excess weight loss at five years. Structured aftercare includes lifetime nutritional guidance for every patient.
Renew Bariatrics holds ASPS accreditation for its surgical services. Nine doctors work across its two locations. For international patients, the clinic provides airport transfers and private transportation. Most come from the United States, Canada, New Zealand, and Australia.
","images":[{"base_url":"clinic/6aecefdf047b0","title":"Renew Bariatrics clinic exterior with modern glass facade in Mexico"},{"base_url":"clinic/6aecefe026bb4","title":"Hospital CER clinic exterior in Tijuana, modern medical facility entrance"},{"base_url":"clinic/6aecefe17ac35","title":"Renew Bariatrics clinic exterior in Tijuana, modern multi-story medical building"},{"base_url":"clinic/6aecefe2aaa4c","title":"Patient room at Renew Bariatrics with hospital bed and modern amenities"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Mexico","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Tijuana","id":396,"alias":"tijuana"},"address":"Boulevard General Rodolfo Sánchez Taboada 10488, Tijuana, Mexico 22010"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":9,"year_foundation":2006},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"American Society of Plastic Surgeons","country_code":"US"}]}}],"meta":{"total_count":4,"total_pages":1}},"clinicsMeta":{"total_count":4,"total_pages":1},"clinicsCount":4,"clinicsCountByEntity":{"clinic_count":73},"doctors":{"doctors":[{"doctor":{"id":2285,"alias":"liza-maria-pompa-gonzalez","name":"Liza Maria Pompa Gonzalez","clinic_id":1186,"photo":"doctor/60541d9c23f84","first_year_working":2002,"created_at":"2021-03-19T03:42:18.000+00:00","short_description":"Dr. Liza Maria Pompa Gonzalez is a skilled surgeon with expertise in general and bariatric surgery. She is a certified member of the Mexican Council of Surgery and has renewed her certification several times. Dr. Pompa holds credentials in both general and bariatric surgery. She is also certified in Advanced Cardiovascular Life Support (ACLS) by the American Heart Association.
\n\nDr. Pompa is a member of the Mexican Association of General Surgery and the Mexican College of Surgery for Obesity and Metabolic Diseases. She is a Fellow of the American College of Surgeons. Internationally, she belongs to the American Society for Metabolic and Bariatric Surgery, the International Bariatric Club, the International Federation for Obesity, and the French Society of Digestive Surgery. She is also a member of the Harvard Alumni Association. Dr. Pompa often attends and speaks at major medical conferences, helping to advance her field.
","specialities":[{"id":"sur.009","name":"Gastrointestinal surgeon","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0},"certificates":[{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659ca1055a205.jpeg","name":"Mexican College of Surgery for Obesity and Metabolic Diseases"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659ca107e492b.jpeg","name":"American College of Surgeons"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659ca10fa57b2.jpeg","name":"American Society for Metabolic and Bariatric Surgery"}]},"clinic":{"id":1186,"alias":"limarp-bariatric-surgery-center","name":"LIMARP Bariatric Surgery Center","short_description":"LIMARP Bariatric Surgery Center is an SRC-accredited International Center of Excellence for Obesity in Tijuana. It specializes in bariatric surgery only and is led by the world's first female bariatric surgeon designated as a Surgeon of Excellence by the U.S. Surgical Review Corporation.
Dr. Joaquin Ayala is a board-certified plastic surgeon at Alice Beauty Clinic in Tijuana. He specializes in cosmetic and reconstructive surgery for post-bariatric patients. Dr. Ayala trained at the Ivo Pitanguy Clinic in Brazil. This center is world-renowned for developing modern plastic surgery techniques.
Alice Beauty Clinic is a CMCOEM and AMCPER-certified medical center in Tijuana, just steps from the US border. It specializes in plastic surgery, aesthetic medicine, and weight loss surgery. It treats over 1,200 patients annually from Latin America, the USA, and Canada.
This operation helps lose weight by altering your stomach and small intestine\"s processing of the food you eat.
"},"380":{"operation":{"name":"Gastric balloon","alias":"gastric-balloon","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":9800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1200,"max_amount":2600,"currency":"USD","clinic_count":49,"price_kind":"from_range","price_source":"mixed","scope":"country"},"MX":{"amount":2500,"max_amount":2800,"currency":"USD","clinic_count":10,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3000,"max_amount":5200,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":true,"TH":true},"description":"This therapy involves placing a balloon in your stomach, aiding weight loss by limiting food intake and reducing hunger.
"},"381":{"operation":{"name":"Metabolic surgery","alias":"metabolic-surgery","use_for_listing":true},"country_price":{"US":{"amount":18000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3800,"max_amount":6800,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":6500,"max_amount":9500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":8500,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":true,"TH":false},"description":"This procedure, for obesity and diabetes, alters the gut to improve the body\"s metabolic regulations and health.
"},"674":{"operation":{"name":"Stomach stapling","alias":"stomach-stapling","use_for_listing":true},"country_price":{"US":{"amount":17500,"max_amount":26000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3000,"max_amount":5600,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":3500,"max_amount":4400,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":8000,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":true,"TH":false},"description":"This operation shrinks the stomach size, encouraging weight loss. It\"s swift, relatively safe, and effective.
"},"794":{"operation":{"name":"Biliopancreatic diversion","alias":"biliopancreatic-bypass","use_for_listing":true},"country_price":{"US":{"amount":24000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6000,"max_amount":10800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":6500,"max_amount":15500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":10500,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":true,"TH":false},"description":"The operation is a weight-loss surgery which redirects digestion, reducing calorie absorption substantially.
"},"1013":{"operation":{"name":"Da Vinci Gastric Bypass Surgery","alias":"da-vinci-gastric-bypass-surgery","use_for_listing":true},"country_price":{"US":{"amount":24000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":9700,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"MX":{"amount":6800,"max_amount":11500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":11500,"max_amount":17000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":false,"TH":false},"description":"This surgery promotes weight loss via a robot-assisted technique, restricting stomach size and rerouting the small intestine.
"},"1021":{"operation":{"name":"Roux-en-Y Gastric Bypass","alias":"roux-en-y-gastric-bypass","use_for_listing":true},"country_price":{"US":{"amount":22000,"max_amount":32000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3200,"max_amount":5000,"currency":"USD","clinic_count":18,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":5100,"max_amount":6700,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":9500,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":true,"US":false,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":false,"CZ":false,"AT":false,"ES":false,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"EG":true},"description":"This operation reduces stomach size and reroutes food path for weight loss, improving health issues like diabetes.
"},"1070":{"operation":{"name":"Endoscopic sleeve gastroplasty (ESG) ","alias":"endoscopic-sleeve-gastroplasty-esg","use_for_listing":true},"country_price":{"US":{"amount":9000,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5400,"max_amount":8000,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":8400,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":16200,"max_amount":20700,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":true,"TH":true},"description":"This operation reduces stomach size through sutures, promoting weight loss without surgical invasion, offering rapid recovery benefits.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":8,"rehabilitation_days":28,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":2},"illness_kind_details":{"requests_processed":6652}},"direction":{"id":57,"name":"Weight Loss Surgery","alias":"weight-loss-surgery"},"illness_kind":{"id":57,"name":{"en":"Weight Loss Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Laparoscopic RYGB; desk work typically after 2-3 weeks, physically demanding work often 4-6 weeks"},"complication_rate_pct":{"min":3,"max":6,"unit":"percent","qualifier":"Major 30-day complications after primary laparoscopic RYGB; 90-day mortality below 0.5%."},"contraindications":["Anesthesia unsafe due to severe cardiopulmonary disease","Uncontrolled psychiatric illness","Untreated substance or alcohol use disorder","Untreated active eating disorder such as binge eating","Pregnancy","Active malignancy or life-limiting illness (relative)","Severe coagulopathy or advanced liver disease with portal hypertension (relative)","Prior complex upper GI surgery with unsuitable anatomy (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical uncomplicated laparoscopic RYGB hospital stay"},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Walking early; strenuous exercise usually resumes at 4-8 weeks."},"final_result_months":{"min":12,"max":18,"unit":"months","qualifier":"Maximum weight loss typically reached about 12-18 months after surgery"},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Discharge after 1-3 nights. Short flights often allowed from about 1 week, longer flights from about 2 weeks."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"First postoperative surgical review, from the day of surgery"}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Dietary, nutritional and laboratory review, from the day of surgery"}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Weight-loss and nutritional review, from the day of surgery; continued periodic lifelong follow-up"}}],"indications":["Severe obesity (BMI 40 or higher)","BMI 35-39.9 with type 2 diabetes, hypertension or sleep apnea","BMI 30-34.9 with metabolic disease in selected patients","Obesity with severe gastroesophageal reflux or Barrett's esophagus","Inadequate results from non-surgical weight-loss measures"],"main_risks":["Anastomotic leak","Bleeding","Infection","Venous thromboembolism","Anastomotic stricture or marginal ulcer","Internal hernia and small bowel obstruction","Dumping syndrome","Nutritional deficiencies (iron, B12, calcium, vitamin D, folate)","Gallstones","Weight regain","Anesthesia-related risks","Rarely, need for reoperation or death"],"pain":"Moderate postoperative abdominal and shoulder-tip discomfort for the first several days, usually controlled with oral analgesics; laparoscopic approach causes less pain than open.","preparation":["Multidisciplinary evaluation (surgeon, dietitian, psychologist, medical review)","Preoperative blood tests, ECG and other cardiopulmonary assessment as indicated","Upper endoscopy or other upper GI evaluation when indicated","Preoperative low-calorie or liver-shrinking diet for 1-4 weeks","Smoking and nicotine cessation","Sleep apnea evaluation and optimization of diabetes and blood pressure","Fasting before surgery per anesthesia instructions","Education on postoperative diet stages and lifelong supplementation"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Monitoring, early walking, clear liquids, pain and nausea control, clot prevention.","restrictions":["No driving while on opioid analgesics","Sip fluids only as directed"]},{"phase":"Weeks 1-2","description":"Liquid then puréed diet at home; incisional soreness and fatigue gradually improve.","restrictions":["Avoid heavy lifting"]},{"phase":"Weeks 3-6","description":"Progress to soft foods; return to desk work and light activity.","restrictions":["Avoid heavy lifting and strenuous exercise until cleared"]},{"phase":"Weeks 6-12","description":"Transition to regular textures in small portions; resume full activity; rapid weight loss with supplementation and lab monitoring.","restrictions":["Avoid NSAIDs and smoking as advised"]},{"phase":"Months 3-18","description":"Continued weight loss until plateau; ongoing nutritional follow-up.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":21,"unit":"days","qualifier":"Light activities from 1-2 weeks; desk work by 2-3 weeks. Heavy lifting restricted 4-6 weeks or more."},"result_longevity":"Durable anatomical change; substantial weight loss is generally maintained long term in many patients, though some regain weight depending on diet, behavior and follow-up adherence.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat or revision surgery within about 5-10 years for internal hernia, stricture, marginal ulcer, weight regain or malnutrition."},"scars":"Laparoscopic approach leaves several small abdominal scars (about 0.5-1.5 cm) that usually fade over months; open surgery leaves a longer midline scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; staged approach is uncommon"},"stages":[{"code":"surgery","label":"Laparoscopic Roux-en-Y gastric bypass operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of admission/first session"}}],"qualifier":"Single-stage primary procedure; follow-up checks are not counted as treatment sessions"},"success":{"metric":"Excess weight loss (EWL)","value":65,"unit":"% of excess body weight","horizon":"12-18 months, largely maintained long term","evidence_status":"proven","population":"Adults with severe obesity after primary laparoscopic RYGB; typical EWL 60-70%."},"techniques":[{"name":"Laparoscopic RYGB","suits_whom":"Most adult candidates; standard approach","recovery":"Hospital stay about 1-3 nights; return to desk work in about 2-3 weeks"},{"name":"Robotic-assisted RYGB","suits_whom":"Selected patients, often higher BMI or complex anatomy, depending on surgeon availability","recovery":"Similar to laparoscopic"},{"name":"Open RYGB","suits_whom":"Rare cases such as extensive adhesions or when laparoscopy is not feasible","recovery":"Longer stay and recovery, more wound pain"}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for uncomplicated primary laparoscopic RYGB"},"initial_assessment_documents":["Previous obesity treatment records","Recent blood tests including HbA1c","Upper endoscopy report","Previous abdominal surgery reports","Cardiology or ECG report (if available)","List of diabetes and blood thinner medications"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage laparoscopic surgery; stay abroad about 7-14 days until first check and flight clearance. Later reviews remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the bariatric program is multi-disciplinary and will support dietary and exercise habits long term","scope":"treatment_type","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Long-term success in bariatric surgery depends on lifelong compliance with dietary habits, nutritional guidelines and exercise as part of a multi-disciplinary bariatric program.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that all medical records and documentation are provided and returned to you for your local area","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Surgical providers should ensure that all medical records and documentation are provided and returned with the patient to their local area.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that preoperative education is provided, as it is an essential component for successful outcomes","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Preoperative education, continuity of care and long-term follow-up are proven essential components for successful outcomes in bariatric surgery and these are not necessarily provided in the setting of medical travel.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that the facility has an intensive care unit, imaging and interventional radiology to manage major post-operative complications","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Some of the facilities participating in medical tourism may not have the capability, such as a modern Intensive Care Unit, imaging capabilities and interventional radiology, etc., to optimally care for major post-operative complications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that individual outcomes for the desired procedure are available during informed consent when possible","scope":"procedure","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Individual surgeon outcomes for the desired procedure should be made available as part of the informed consent process whenever possible.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that postoperative follow-up with a qualified local bariatric surgery program is established","scope":"procedure","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Prior to undergoing surgery, the patient should establish a plan for postoperative follow-up with a qualified local bariatric surgery program to monitor for nutritional deficiencies and long-term complications, and to provide ongoing medical, psychological and dietary supervision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Check that the facility is accredited and preferably a bariatric center of excellence","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Patients should undergo procedures at an accredited JCI institution or preferably a bariatric center of excellence.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An offer of unproven therapy outside true clinical trials is a warning sign","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Certain countries may offer unproven therapies to patients outside true clinical trials, and it can be difficult to differentiate between acceptable medical innovation and unacceptable patient exploitation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs it, because what was done during surgery may be unclear","document":"operative report","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Often an operative report is not available, there may be uncertainty of what was done, and there are concerns whether assuming the care of the patient will make them liable for any complications the patient may have in the future.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"The home doctor needs postoperative imaging for ongoing bariatric-surgery care","document":"postoperative 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