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Last updated: 8/4/2025

Double Eyelid Operation in Mexico — get 3 top clinic matches with costs

Want to explore more options?You can also browse all 8 clinics below.
85 %
patient recommendation
110 K+
patients

How it works

We've transformed the clinic search process, making it simple, fast, and personal.
Answer a few questionsTake a short quiz to share your Double Eyelid Operation goals.
Get personalized offers3 clinics, handpicked based on your answers, provide tailored treatment plans and quotes.
Choose the best optionCompare offers and choose the clinic that suits you best.
You can also browse all 8 clinics below.
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50 countries
1,500 clinics
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How Much Does Double Eyelid Operation Cost in Mexico?

The cost of a double eyelid operation in Mexico typically ranges from $1,500 to $2,500. Prices vary depending on the surgeon’s experience, the clinic, and whether the procedure is incisional or non-incisional. In the United States, the average cost is $4,500 (per ASPS). This means double eyelid surgery in Mexico is about 56% less than in the U.S.

Mexican clinics usually include the surgeon’s fee, anesthesia, surgical supplies, post-op medications, and follow-up visits in the price. In the U.S., costs often cover only the surgeon’s fee, with anesthesia, facility fees, and aftercare billed separately. Always confirm exactly what’s included with your chosen clinic.

Key Benefits
Double eyelid surgery in Mexico is a popular and cost-effective option for those seeking to enhance their eye appearance. The cost of the procedure can start at $1,800, offering significant savings compared to US prices, with savings potentially reaching up to 64%. Mexico is a favored destination for medical tourism, particularly in cities like Tijuana and Cancun. Clinics in Mexico often adhere to international standards, utilizing advanced techniques and materials to ensure high-quality care. It's important to choose reputable clinics and experienced surgeons to ensure a successful outcome.
MexicoThe USATurkey
Double Eyelid Operationfrom  $1,500from  $3,000from  $800
The price research is based on updated and verified costs from the Bookimed partner clinics.
Authored by Anna Leonova
Head of Content Marketing Team

Factors affecting Double Eyelid Operation cost in Mexico

Cost variables to consider:

  • Board-certified plastic surgeons with AMCPER or ISAPS credentials can charge 25%–35% more for their expertise.
  • Clinics accredited by JCI or affiliated with ASPS may charge 15%–20% more.
  • Procedures performed in major cities like Cancun or Mexico City can cost up to 30% more due to medical tourism demand.
  • Advanced suture techniques such as buried or double-layer sutures can increase costs by 15%–20% for improved results.
  • Use of FDA-approved absorbable sutures can add 10%–12% to the overall cost, ensuring safety and quality.
  • Customized eyelid design with 3D imaging can impact pricing by 10%–15% for enhanced precision and symmetry.

Double Eyelid Operation in Mexico: Pros and Cons

Double Eyelid Operation in Mexico can offer significant cost savings, but it's crucial to weigh the potential benefits against the risks.

Pros Cons
Lower costs. Double eyelid surgery in Mexico starts at $1,800 versus $5,000 in the US, offering savings up to 64%. Safety concerns. Potential risks include infection rates of 2–4% and minor asymmetry. These are similar to US rates when performed by qualified surgeons.
Qualified surgeons. Surgeons are certified by the Mexican Council of Plastic Surgery (CMCPER), many with US or European training and 10+ years’ experience. Follow-up care. Post-surgical check-ups may require remote consultations or a return visit, but clinics often provide telemedicine support.
Modern facilities. Accredited clinics in Tijuana and Cancun use advanced equipment from brands like Stryker and are approved by COFEPRIS and ISO. Different regulatory standards. COFEPRIS standards may differ from the FDA, but top clinics meet JCI or ISO standards and follow international protocols.
Personalized packages. Many clinics offer bundled services including airport transfers, hotel stays, and bilingual support for a smoother experience. Swelling and bruising. Potential risks include temporary swelling and bruising, which typically resolve within 2–3 weeks when post-op care is followed.
Personal coordinator support. Bookimed’s medical coordinator helps compare clinics, request personalized quotes, and manage treatment logistics at no additional cost.

It's crucial to thoroughly research clinics and verify surgeon credentials before making a decision. When performed by qualified specialists in reputable facilities, double eyelid surgery in Mexico can offer effective results with substantial savings.

Discover the Best Double Eyelid Operation Clinics in Mexico: 8 Verified Options and Prices

The Bookimed clinic ranking is based on data science algorithms, providing a trusted, transparent, and objective comparison. It takes into account patient demand, review scores (both positive and negative), the frequency of updates to treatment options and prices, response speed, and clinic certifications.

The best Double Eyelid Operation clinics in Mexico are accredited by the CMCPER, upholding high clinical standards in cities like Mexico City, Monterrey, and Cancun. According to Bookimed’s ranking, the top clinics are José Cortés Institute, Dr. David Kirsch M.D. Cosmetic Surgery, and Perfection Makeover and Laser Center. They stand out for board-certified plastic surgeons, ISAPS and ASAPS memberships, and proven 95-99% success rates for facial procedures. When choosing a provider, look for CMCPER certification, international society accreditations, and documented patient outcomes, with cost-effective options. Always consult a qualified plastic surgeon before making a decision.

José Cortés Institute

José Cortés Institute

Mexico, Mexico City

Jose Cortes

19 years of experience
accreditations :
Clinic is certified :
5.07 reviews
Price on request
Clinic's page
Dr. David Kirsch M.D. Cosmetic Surgery

Dr. David Kirsch M.D. Cosmetic Surgery

Mexico, Monterrey
Clinic is certified :
  • Recognized by the American Society of Plastic Surgeons for excellence in double eyelid operation.
  • Offers double eyelid surgery starting from $2,500, significantly more affordable than many US clinics.
  • Fluent English and Spanish-speaking staff ensure clear communication and understanding throughout the procedure.
  • International patients from the US, Canada, and the UK frequently choose this clinic for double eyelid surgery.
  • Provides comfortable amenities like private rooms, special dietary options, and family accommodations for a pleasant stay.
3.75 reviews
Price on request
Clinic's page
Perfection Makeover and Laser Center

Perfection Makeover and Laser Center

Mexico, Cancún
Clinic is certified :
  • Ranked by Medical Travel Quality Alliance, ensuring high standards in double eyelid operation.
  • Accredited by leading associations, showcasing expertise in plastic surgery procedures.
  • Affordable prices, significantly lower than US clinics, for double eyelid operation.
  • Comprehensive services for international patients, including online consultations and airport pickup.
  • Fluent English-speaking staff, providing clear communication for double eyelid operation.
3.512 reviews
Price on request
Clinic's page
Cirplast Plastic Surgery

Cirplast Plastic Surgery

Mexico, Mexico City
Clinic is certified :
  • Certified by Asociación Mexicana de Cirugía Plástica, ensuring high standards in double eyelid operations.
  • American Society of Plastic Surgeons accreditation signifies exceptional expertise in eyelid correction procedures.
  • Blepharoplasty (eyelid correction) at Cirplast starts from $2,800, 3-4 times cheaper than US clinics.
  • Focus on international patients, offering fast, cost-effective double eyelid surgery.
  • Comprehensive services including interpreter, private rooms, and rehabilitation for double eyelid operation patients.
Price on request
Clinic's page
Kaloni Cancun

Kaloni Cancun

Mexico, Cancún
Clinic is certified :
  • Certified by Asociación Mexicana de Cirugía Plástica, ensuring quality in double eyelid operations.
  • Offers affordable blepharoplasty starting from $1,131, significantly cheaper than US clinics.
  • Specializes in plastic surgery, focusing on effective eyelid correction procedures.
  • Supports international patients with multilingual services in English, French, Portuguese, and Spanish.
  • Provides comprehensive services including online consultations, medical records transfer, and translation.
4.65 reviews
Price on request
Clinic's page

Double Eyelid Operation Overview in Mexico

Takeaways
Related procedures & Costs
How it works
What to expect
Benefits
Payment
patients recommend -
85%
Surgery Time - 1 hour
Stay in the country - 7 days
Rehabilitation - 1 day
Anesthesia - Local anesthesia
Requests processed - 110449
Verified patient reviews - 21
Bookimed fees - $0

Our Doctors

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According to Bookimed’s ranking, the leading double eyelid operation doctors in Mexico are Israel Villalobos Blasquez, Jose Cortes, and Edmundo Pichardo. They are board-certified plastic surgeons with international fellowships through ISAPS and certification from the Mexican Council of Plastic, Aesthetic and Reconstructive Surgery (CMCPER). Mexican experts in double eyelid surgery typically have 5+ years of specialized experience and perform at least 100 procedures annually. Finding the best double eyelid operation doctors in Mexico involves researching board certification, fellowship training, and procedure volume.
verified

Jose Cortes

19 years of experience

Dr. Jose Cortes is a top plastic surgeon in Mexico City. He specializes in esthetic and reconstructive surgery. His main procedures include tummy tucks, BBL, rhinoplasty, blepharoplasty, facelifts, and liposuction. Dr. Cortes is known for his expertise in mommy makeovers and rhinoplasty. He has received high patient satisfaction and several awards, such as the Doctoralia Awards (2018-2020) and recognition from Lideres Magazine.

Dr. Cortes has published 10 scientific articles in Mexico and Japan. This shows his dedication to research and innovation. He is accredited by the American Society of Plastic Surgeons, AMCPER, IFATS, and ACPA. These memberships reflect his international recognition and expertise.

Video Stories from Bookimed Patients

Véronique
If you're considering a change, definitely look into Bookimed. They made the whole process a breeze.
Procedure: Blepharoplasty (Eyelid correction)
Clinic: Istanbul Aesthetic Plastic Surgery Center

Reviews about Bookimed: Discover Patients' Insights

All reviews
Roland August • Rhinoplasty (nose job)
United States of America
Jan 14, 2025
Verified review.
My experience has been very bad with Dr. Ayala… He only spoke with me for about 10 minutes before my surgery and afterwards was very reluctant to answer any questions when I said I was not happy with the outcome of my neck and ears. He said I could come back in a couple of months to have it fixed. When I came back. I decided to do liposuction on my abdominal area at the same time again the same thing no follow up as far as what I should be doing or wearing or anything… Again, one of my ears was not corrected and looked actually worse than before. When I came back to get my stitches out I pointed that out and he said that was normal and I argued saying that my other ear came out fine and this year looked bad. He said he couldn’t do anything else except wait for another couple of months and have me come back again. At this point, I showed him my liposuction, which looked bad as well with a lot of fibrosis happening… He gave no recommendation except to have ultrasound treatment done. I went online and discovered I should be wearing compression garments as well as getting massage for lymphatic fluid, which was building up. Once I went to the masseuse, she informed me of all the things I needed to be doing, but this is also cost me an extra thousand dollars. The whole experience was very disappointing and now I need to go to another surgeon to get one of my ears fixed hopefully for the last time But this all started Jan 3 and we are now into May and I’m still not out of the woods! I actually liked the personalities of everybody that I worked with, but I cannot in good conscience. Recommend them to anyone else because I know they will be very disappointed!
Communication of information regarding the surgery
About Bookimed service
Your company was very attentive up until rescheduled the surgery and then I was passed off to Medical Center and I could not get information from book I med
Alice Beauty ClinicJoaquin Ayala
Lilian • Blepharoplasty (Eyelid correction)
United States of America
Aug 24, 2021
Verified review.
"Bookimed — no issues at all
Bookimed — no issues at all. Fast responses. Information was clear and easy to understand
About Bookimed service
No issues at all. Fast responses. Information was clear and easy to understand
José Cortés InstituteJose Cortes
Anonymous • Brazilian Butt Lift
United States of America
Jul 6, 2025
Verified review.
The hospital advertised was not the one I went to. The operating room was thrown together i my opinion. Hardly anyone spoke English so I had a difficult time with the forms. I didn't even get a copy. After the surgery I was left on my back overnight night and was told I'll be ok. Once finally discharged the next morning, I only received antibiotics and ibuprofen. No instructions on how and what to do afterwards. I felt like they did what they was supposed to and dropped me off in the streets to fend for myself
How close it was from my home
The facility, language barrier and no instructions
Hospital de la Familia
Harrison King • Facelift
United States of America
Jun 25, 2025
Verified review.
The surgeon was good but the coordinator Carlo made too many mistakes. 1. Didn’t book continuous days at hotel. 2. As a result, I was kicked out of room the day I was in surgery. . 2. Need more after care days to remove drainage. I was abruptly kicked out of TJ while I was still feeling weak. Needed more days in Tijuana. At least 2 more. Return to America and no one wanted to remove drainage tubes. 3. The day nurse talked bad about me to everyone. The night nurse , Paulina was perfect. I would never recommend surgery in Mexico. No need to go viral with this because all of USA know this. Mexican are much better at picking fruits!
Hospital de la Familia
Anonymous • Vaser liposuction
United States of America
May 8, 2025
Verified review.
Their staff was very accommodating and thoughtful - everyone was super nice and considerate, especially Sara and Maria
First off, I used Aura Wellness Center, instead of Alice Beauty Clinic. And, their staff was very accommodating and thoughtful - everyone was super nice and considerate, especially Sara and Maria. Sara was the best English speaker there and helped me with everything. Maria was kind, warm, and also a great English speaker. They made it less lonely since I had this journey alone. Through Bookimed, I was assisted by Confidence, she was super thoughtful and checked up on me. She made sure I had connections with my medical coordinator and doctor. My coordinator was named Carlos. He was kind, answering all my questions and even texted me after my surgery numerous time to ensure I was recovering and satisfied with my results. My doctor was Dr. Ayala. I can't say much about him since he was in and out of the surgery room. I met him briefly. And, I'm unsure of my results as I am only one month post-op.
The staff at the clinic was accommodating. The coordinator from Bookimed and from the doctor ensured my questions were answered.
Dr. Ayala's brevity and lack of check up after the surgery. I didn't meet him more than 15 (when I was conscious since I was under anesthesia when he operated on me).
Alice Beauty ClinicJoaquin Ayala
John Echols • Deep Plane Facelift
United States of America
Jan 26, 2025
Verified review.
Dr Marroquin was/is available nearly immediately with WhatsApp and addressed all my concerns and questions with a speed and efficiency one can't get in the US
Top notch facilities, very attentive staff and Dr Marroquin was / is available nearly immediately with WhatsApp and addressed all my concerns and questions with a speed and efficiency one can't get in the US. My recovery at FCH Hotel was very good as well. Is in a great area of Guadalajara, totally safe and lots of dining options.
Competence of Dr and staff.
Nothing signifigant to criticise, went fairly smooth.
About Bookimed service
Bookimed made it easy to connect with the right Dr to set things up, then they followed up.
Marroquín & Sandoval Plastic Surgery ClinicMarco Tulio Marroquin Batres
Ebonie Garner • Revision rhinoplasty
United States of America
Sep 11, 2025
Verified review.
The staff and doctors were extremely knowledgeable and very supportive to all of my care needs
The staff and doctors were extremely knowledgeable and and very supportive to all of my care needs. Everyone was very personable and caring and consistent at every turn. I felt safe and confident. Even more so than when n the states.
I liked how Dr Navarro came in and administered my tests himself. That never happens in the states.
I honestly can’t think of anything negative to say.
About Bookimed service
Bookimed was the best because they handled everything from the choosing of the doctors to your transportation to and from the the recovery houses.
Hospital de la Familia
Anonymous • Rhinoplasty (nose job)
United States of America
Sep 7, 2023
Verified review.
I felt like both were done taking exactly what I wanted into account and the overall symmetry at the end for my nostrils was excellent - my nose had been broken and before surgery lack of symmetry was a big issue
I had a really great experience with my doctor and care here. I wanted a very natural looking nose, not to look "doll-like" or like I had a rhinoplasty. Same for lip filler. I felt like both were done taking exactly what I wanted into account and the overall symmetry at the end for my nostrils was excellent - my nose had been broken and before surgery lack of symmetry was a big issue. I believe it required different degrees of cutting for each nostril so I'm very impressed that the end result's symmetry appears less than 1mm different from one another, that's a huge improvement from before. The shape is really nice and I was impressed that after surgery the packing was done in such a way that I was able to breathe through my nose the whole time, even during my recovery.
Marroquín & Sandoval Plastic Surgery Clinic
Rory • Gynecomastia surgery
Canada
Feb 6, 2023
Verified review.
Hospital fine, clean decent staff Got gynecomastia surgery, emintha into healing moderately okay results, had maybe grade one maybe grade 2 gyno, got glands removed as I was very lean, Surgeon made long incisions, along my chest, have two ling 3 Inch scars on either side of my nipples on both side of my chest Fland wasn't fully removed on my left side so have recurring gyno, Need steriod injection to help with scaring, surgeon isn't competent enough to go through the nipples to leave no scarring, Pictures they send of before and after are a lie, Probably look worse than before cant take my top off after, The response to this was get laser treatment or steriod injections Sub par save your money go somewhere else Probably the same for most procedures they do
About Bookimed service
Just terrible really
Hospital de la FamiliaMarco Sariñana
Diana • Rhinoplasty (nose job)
United States of America
Nov 9, 2021
Verified review.
Terrible surgeon. Will not take the time to speak with you, when he does he knows limited English and is very very rushed. The first time me he gave me results that were so drastic I looked like a pig or someone from who-ville. I had to pay for a second surgery for him to give me my old nose but even worse! (Again super rushed, had zero time to make a decision). Absolutely awful experience. Scary. He refused to even try to fix my nose now for another 6 months. Even though I offered to pay again. Have to date and see friends humiliated with a half finished face. Go to someone with talent and who actually cares. He doesn’t. You are just a number to the surgeons there.
About Bookimed service
Terrible surgeon. Will not take the time to speak with you, when he does he knows limited English and is very very rushed. The first time me he gave me results that were so drastic I looked like a pig or someone from who-ville. I had to pay for a second surgery for him to give me my old nose but even worse! (Again super rushed, had zero time to make a decision). Absolutely awful experience. Scary. He refused to even try to fix my nose now for another 6 months. Even though I offered to pay again. Have to date and see friends humiliated with a half finished face. Go to someone with talent and who actually cares. He doesn’t. You are just a number to the surgeons there. I saved for so long for this surgery and got nothing. I’m just so sad.
Hospital de la Familia

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Updated: 09/11/2025
Authored by
Anna Leonova
Anna Leonova
Head of Content Marketing Team
A certified medical writer with 10+ years of experience, developed Bookimed’s trusted content, backed by a Master’s in Philology and medical expert interviews worldwide.
Anna Leonova Linkedin
Reviewed by Bookimed Medical Advisor
Fahad Mawlood
Medical Editor & Data Scientist
General practitioner. Winner of 4 scientific awards. Served in Western Asia. Former Team Leader of a medical team supporting Arabic-speaking patients. Now responsible for data processing and medical content accuracy.
Fahad Mawlood Linkedin
This page may feature information relating to various medical conditions, treatments, and healthcare services available in different countries. Please be advised that the content is provided for informational purposes only and should not be construed as medical advice or guidance. Please consult with your doctor or a qualified medical professional before starting or changing medical treatment.

Fast Facts about Double Eyelid Operation

Double Eyelid Creation

This procedure involves creating a crease in the upper eyelid to form a double eyelid appearance.

Pros: Less invasive than full upper eyelid surgery. Higher satisfaction rates, with up to 95% of patients reporting improved eyelid appearance. Quicker recovery compared to comprehensive eyelid surgeries.
Cons: Limited to upper eyelid enhancement. May not address significant droopiness or under-eye concerns. Potential for asymmetry in 5% of cases.
Effectiveness: 90% success rate in achieving desired eyelid crease.
Duration: 1-2 hours
Recovery: 5-7 days
Best for: Individuals seeking a defined eyelid crease. Ideal for cosmetic enhancement of the upper eyelid for better symmetry.
Prices: View costs of other techniques

FAQ about Double Eyelid Operation in Mexico

These FAQs come from real patients seeking medical assistance through Bookimed. Answers are given by experienced medical coordinators and trusted clinic representatives.

What emotional support resources are available if I feel anxious or uncertain about undergoing surgery abroad?

Many clinics offer pre-surgery counseling sessions to address any concerns or anxieties about undergoing surgery abroad. Additionally, connecting with online support groups of past patients can provide reassurance and shared experiences. Discussing your feelings with friends or family members who understand your decision can also be beneficial.

How do I handle travel arrangements and accommodations for my stay in Mexico during the procedure?

Many clinics offer comprehensive packages that include airport transfers and hotel accommodations near the medical facility. It's essential to coordinate your travel dates around pre-surgery consultations and planned recovery time. Confirm all arrangements well in advance to ensure a smooth experience.

What are the options for emergency care if complications arise after the surgery while still in Mexico?

If complications arise post-surgery while you're still in Mexico, contact your surgeon immediately as most clinics have protocols for managing emergencies. Many facilities are equipped with emergency care units or have partnerships with nearby hospitals. Ensure you understand these procedures before undergoing surgery.

Are there language barriers I should be concerned about when communicating with medical staff in Mexico?

Many clinics catering to international patients have English-speaking staff or offer translation services to facilitate communication. It's advisable to confirm language support availability during your initial inquiry with the clinic. Clear communication is essential for understanding procedure details and post-operative care instructions.

What should I expect in terms of recovery time and process after my surgery in Mexico?

The recovery time for a Double Eyelid Operation usually ranges from 1 to 2 weeks for initial healing, with full results visible within several months. During this period, you may experience swelling, bruising, and discomfort which can be managed with prescribed medications. Adhering to post-operative care instructions is crucial for optimal recovery.

How will I manage post-operative care and follow-up appointments once I return home?

Post-operative care typically involves virtual consultations with your surgeon to monitor healing progress. Ensure you have access to a local healthcare provider for any immediate concerns. Follow-up appointments are often scheduled at specific intervals, such as 1 week, 1 month, and 3 months post-surgery.

What are the financial implications of traveling to Mexico for this procedure, beyond the surgery cost?

Beyond the surgery cost, consider expenses such as travel, accommodation, meals, and any additional medical tests or follow-up visits. Many clinics offer packages that include airport transfers and hotel stays to help manage these costs. It's important to budget for potential unforeseen expenses during your stay.

How can I verify the accreditation and reputation of the medical facility in Mexico?

Verify accreditation by checking if the facility is recognized by international organizations such as ISAPS or JCI. Research online reviews and testimonials from previous patients to assess the facility's reputation. Contacting local medical boards can also provide information on the clinic's standing within the medical community.

What should I consider when choosing a clinic or hospital for my Double Eyelid Operation in Mexico?

When selecting a clinic or hospital, consider factors such as accreditation by international bodies like the Joint Commission International (JCI), the facility's reputation, and the surgeon's experience. Additionally, inquire about the clinic's safety protocols, available technology, and post-operative care services included in their packages.

Is it safe to travel to Mexico for cosmetic surgery, especially during recovery?

Traveling to Mexico for cosmetic surgery can be safe if you choose a reputable clinic and follow post-operative care instructions closely. Many clinics provide comprehensive packages that include hospitalization and hotel stays to ensure proper recovery. It's crucial to plan for an extended stay to accommodate any unforeseen recovery needs.

How do I ensure the surgeon in Mexico is qualified and experienced in performing Double Eyelid Operations?

To ensure your surgeon is qualified, verify their credentials through reputable organizations such as the ISAPS or local medical boards. Look for certifications in plastic surgery and specific experience in performing double eyelid surgeries. Additionally, reviewing patient testimonials and before-and-after photos can provide insight into their expertise.

What are the potential risks associated with having a Double Eyelid Operation in Mexico?

Potential risks of a Double Eyelid Operation, also known as blepharoplasty, include infection, asymmetry, scarring, and changes in eyelid sensation. In Mexico, as in other countries, selecting a qualified and experienced surgeon can help mitigate these risks. It's essential to discuss all potential complications with your surgeon during the initial consultation.

What Should You Know about Mexico before the Trip?

Currency

Mexican peso (you also can pay for services in dollars)

Best period for the trip

December-April

Language

Spanish (most of medical staff speaks English fluently)

Visa

required for some countries

Time difference with Europe

7 hours

Time difference with the USA

1 hour

Capital

Mexico City

Medical tourism center

Mexico City

Popular resorts

Central and Southern Mexico

What hotel services are provided here?

In Mexico, hotels of different price ranges and service levels are presented. Most tourists choose 4 and 5 star hotels with all-inclusive meals. Such hotels have everything for a comfortable stay: varied food, a large well-groomed territory, animation for children and adults. Some hotels have their own water park, which guests can use for free. Budget travelers can afford to book an economical 3-star hotel with half board or no meals at all.

What Documents Are Required to Apply for a Visa to Mexico for Treatment?

Visas for travel to Mexico require a number of documents. Lists of documents includes:

  • ID card
  • confirmation of online registration and filling out the questionnaire
  • certificate of income and availability of funds
  • insurance policy for a stay in Mexico (original and copy)
  • 2 photos (5x6)
  • visa receipt
  • booking of flight and hotel
  • medical opinion about the need for treatment.