Dr. Marco Sariñana has performed 900+ weight-loss procedures over _doctor_2515_years_, specializing in ESG – an endoscopic approach requiring no external incisions. The clinic offers all-inclusive care for around $9,000 USD, typically covering the procedure, 1-day hospital stay, medications, and transfers from San Diego. As Secretary of Mexico’s Aesthetic Surgery Council, Dr. Sariñana combines focused expertise with transparent dual pricing options. Hospital de la Familia holds CSG accreditation and provides boutique recovery in Mexicali.
Hospital de la Familia is a boutique medical facility 200 yards from the US-Mexico border. It specializes in gastroenterology, cardiac surgery, and neurosurgery. The hospital is accredited by the General Health Council of Mexico.
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"}],"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":"Renew Bariatrics reports 9,000+ surgeries, with a 4.9/5 rating from 850+ reviews. The ESG package includes two hospital nights, one hotel night, private transport, and take-home medications. It also includes a companion, nutritionist guidance, and follow-up. Treatment is available at SER Hospital in Tijuana and Hospital Joya Cancún, with clinic locations in Tijuana and Cancún.
","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"Surgeon is double board-certified, an IFSO member and has performed 5,000+ procedures. Offers incisionless ESG with sutures for BMI 29.5–40, including reflux patients."},"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":3,"total_pages":1}},"clinicsMeta":{"total_count":3,"total_pages":1},"clinicsCount":3,"clinicsCountByEntity":{"clinic_count":62},"doctors":{"doctors":[{"doctor":{"id":25396,"alias":"hector-perez-corzo","name":"Héctor Pérez Corzo","clinic_id":9983,"photo":"doctor/6aecf53eace30","first_year_working":0,"created_at":"2026-11-05T21:09:16.928+00:00","short_description":"Dr. Hector Perez Corzo is a double board-certified bariatric surgeon at SER Hospital in Tijuana and Hospital Joya Cancun. He has performed over 5,000 bariatric procedures. Dr. Perez performs primary weight loss surgery and complex revision cases. He speaks English and Spanish.
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"}]}},{"doctor":{"id":2515,"alias":"marco-sarinana","name":"Marco Sariñana","clinic_id":692,"photo":"doctor/60a36cd82fdfc","first_year_working":2008,"created_at":"2021-05-12T22:35:39.000+00:00","short_description":"Dr. Marco Sariñana has performed 2,000+ weight loss surgeries and 1,000 cosmetic procedures. He is a dual specialist at Hospital de la Familia in Mexicali. Dr. Sariñana specializes in combining bariatric and aesthetic surgeries for full body transformations. He serves as Secretary of the National Council of Aesthetic Surgery.
Hospital de la Familia is a boutique medical facility 200 yards from the US-Mexico border. It specializes in gastroenterology, cardiac surgery, and neurosurgery. The hospital is accredited by the General Health Council of Mexico.
The best endoscopic sleeve gastroplasty (ESG) clinics in Mexico are accredited by the CMCPER, upholding high clinical standards in leading cities. According to Bookimed’s ranking, the top clinics are [clinic_1]. They stand out for their board-certified bariatric specialists and adherence to international safety protocols. When choosing a provider, look for CMCPER certification and proven ESG experience with competitive pricing. Always consult a qualified bariatric specialist before making a decision.
"}},"texts":{}},"relations":{"countries":[{"name":"Azerbaijan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Brazil","alias":"brazil","iso_code":"BR"},{"name":"Dominican Republic","alias":"dominican-republic","iso_code":"DO"},{"name":"Greece","alias":"greece","iso_code":"GR"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Italy","alias":"italy","iso_code":"IT"},{"name":"Lithuania","alias":"lithuania","iso_code":"LT"},{"name":"Mexico","alias":"mexico","iso_code":"MX"},{"name":"Poland","alias":"poland","iso_code":"PL"},{"name":"Romania","alias":"romania","iso_code":"RO"},{"name":"Spain","alias":"spain","iso_code":"ES"},{"name":"Thailand","alias":"thailand","iso_code":"TH"},{"name":"Turkey","alias":"turkey","iso_code":"TR"},{"name":"United Kingdom","alias":"united-kingdom","iso_code":"GB"},{"name":"United States of America","alias":"united-states","iso_code":"US"}],"cities":[{"name":"Tijuana","alias":"tijuana"},{"name":"Mexicali","alias":"mexicali"}],"operations":[{"name":"Endoscopic sleeve gastroplasty (ESG) ","alias":"endoscopic-sleeve-gastroplasty-esg"},{"name":"Gastric sleeve surgery (Sleeve gastrectomy)","alias":"sleeve-resection"},{"name":"Gastric bypass","alias":"roux-en-y-gastric-bypass"},{"name":"Post-bariatric plastic surgery","alias":"post-bariatric-plastic-surgery"},{"name":"Da Vinci Gastric Bypass Surgery","alias":"da-vinci-gastric-bypass-surgery"},{"name":"Da Vinci Gastric Sleeve Surgery","alias":"da-vinci-gastric-sleeve-surgery"},{"name":"Gastric balloon","alias":"gastric-balloon"},{"name":"Roux-en-Y Gastric Bypass","alias":"roux-en-y-gastric-bypass"},{"name":"Gastric band","alias":"adjustable-gastric-band"},{"name":"Mini Gastric Bypass","alias":"mini-gastric-bypass"},{"name":"Robotic Roux-en-Y gastric bypass","alias":"robotic-roux-en-y-gastric-bypass"},{"name":"Stomach resection","alias":"stomach-resection"},{"name":"Metabolic surgery","alias":"metabolic-surgery"},{"name":"Stomach stapling","alias":"stomach-stapling"}],"diagnostics":[{"name":"Bariatric Surgery Consultation","alias":"bariatric-surgery-consultation"},{"name":"Consultation with a nutritionist","alias":"consultation-of-a-nutritionist"},{"name":"Consultation with creation of treatment plan ","alias":"consultation-with-creation-of-treatment-plan"}],"illnesses":[{"name":"Obesity","alias":"obesity"}],"illnessKinds":[{"name":"Weight Loss Surgery","alias":"weight-loss-surgery"}],"illness_kinds":[{"name":"Weight Loss Surgery","alias":"weight-loss-surgery"}]},"popularSearches":[{"name":"Gastric balloon","alias":"gastric-balloon","type":"operation","id":380},{"name":"Gastric sleeve surgery (Sleeve gastrectomy)","alias":"sleeve-resection","type":"operation","id":379},{"name":"Gastric bypass","alias":"roux-en-y-gastric-bypass","type":"operation","id":352},{"name":"Endoscopic sleeve gastroplasty (ESG) ","alias":"endoscopic-sleeve-gastroplasty-esg","type":"operation","id":1070},{"name":"Stomach resection","alias":"stomach-resection","type":"operation","id":218},{"name":"Consultation with creation of treatment plan ","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Bariatric Surgery Consultation","alias":"bariatric-surgery-consultation","type":"diagnostic","id":527},{"name":"Consultation with a nutritionist","alias":"consultation-of-a-nutritionist","type":"diagnostic","id":437},{"name":"Obesity","alias":"obesity","type":"illness","id":47}],"operationPrices":{"operation_prices":{"352":{"operation":{"name":"Gastric bypass","alias":"roux-en-y-gastric-bypass","use_for_listing":true},"country_price":{"US":{"amount":22000,"max_amount":34000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1400,"max_amount":4800,"currency":"USD","clinic_count":49,"price_kind":"from_range","price_source":"mixed","scope":"country"},"MX":{"amount":5900,"max_amount":8000,"currency":"USD","clinic_count":13,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":7100,"max_amount":14000,"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 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":{"US":false,"TR":true,"MX":true,"TH":false},"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":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":true,"PL":true,"KR":false,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"AZ":true,"EG":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":5,"rehabilitation_days":30,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":1},"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":2,"max":7,"unit":"days","qualifier":"Desk-based work after uncomplicated ESG; nausea and abdominal cramping usually settle within several days."},"complication_rate_pct":{"min":0.5,"max":5,"unit":"percent","qualifier":"Serious adverse events after primary ESG; mortality near zero. Mild nausea and pain excluded."},"contraindications":["Pregnancy or planned pregnancy during the first year","Active gastric ulcer, severe gastritis or significant upper GI disease","Large hiatal hernia or severe uncontrolled reflux (relative/anatomy-dependent)","Prior gastric surgery altering anatomy (relative)","Bleeding disorders or inability to stop anticoagulation safely","Portal hypertension or gastric varices","Severe cardiopulmonary disease or unfitness for general anesthesia","Active eating disorder or uncontrolled psychiatric illness","Active substance abuse"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Same-day discharge or one night of observation for nausea and pain control."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":4,"unit":"weeks","qualifier":"Walking within days; strenuous exercise and heavy lifting resume after about 1-4 weeks, depending on symptoms."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Maximum weight loss typically reached around 6-12 months with diet and lifestyle program."},"fly_home_after_days":{"min":2,"max":7,"unit":"days","qualifier":"Discharge is same or next day. Flights are often fine after 2-3 days if fluids are tolerated."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early check and diet stage progression, often with dietitian."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Weight, nutrition and dietary review at about 1-3 months."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Longer-term weight and nutritional follow-up at 6-12 months."}}],"indications":["Obesity, BMI about 30-40 kg/m², inadequate response to lifestyle measures","Obesity-related comorbidities"],"main_risks":["Abdominal pain, nausea and vomiting","Sore throat","Gastrointestinal bleeding","Perforation or leak (rare)","Perigastric fluid collection or infection","Pneumoperitoneum or pneumothorax (rare)","Suture loosening with weight regain","Reflux symptoms","Anesthesia-related risks","Reintervention, conversion, or inadequate weight loss"],"pain":"Mild to moderate abdominal cramping and nausea for the first several days, managed with medication.","preparation":["Medical, nutritional and psychological evaluation","Pre-procedure blood tests and anesthesia assessment","Upper endoscopy or imaging as indicated","Fasting before the procedure as instructed","Pre-procedure dietary counselling","Review of current medicines with the treating team","Medication adjustments, including anticoagulants and diabetes medicines"],"recovery_timeline":[{"phase":"First 24-48 hours","description":"Observation or early discharge; nausea, cramping and sore throat are common.","restrictions":["Clear liquids only","Anti-nausea and pain medication as prescribed"]},{"phase":"Week 1-2","description":"Liquid diet with gradual progression as symptoms settle.","restrictions":["No solid food","Avoid heavy exertion"]},{"phase":"Weeks 2-6","description":"Progression from pureed to soft foods and then regular small meals.","restrictions":["Small portions","Avoid overeating and carbonated drinks"]},{"phase":"Months 2-12","description":"Ongoing dietary and lifestyle program with progressive weight loss.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery from nausea and cramping; dietary progression continues longer."},"result_longevity":"Durability depends on suture integrity, diet and lifestyle; some weight regain is possible and results require long-term lifestyle maintenance.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat endoscopic suturing or conversion to surgery for weight regain or suture loosening within about 2-5 years."},"scars":"No external incisions or scars; performed through the mouth.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single endoscopic procedure."},"stages":[{"code":"endoscopic_suturing","label":"Endoscopic suturing to reduce stomach volume","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Typically a single session; follow-up visits are not counted as treatment sessions."},"success":{"metric":"Total body weight loss (%TBWL)","value":16.5,"unit":"percent","horizon":"12 months","population":"Adults with obesity after primary ESG (mean BMI 36-38)","evidence_status":"limited"},"techniques":[{"name":"Apollo OverStitch suturing (running or interrupted full-thickness sutures)","suits_whom":"Adults with obesity wanting a non-surgical, incisionless option.","recovery":"Usually 1-7 days to resume normal activity, with staged diet."},{"name":"Modified primary obesity surgery endoluminal (POSE 2.0) / other plication variants","suits_whom":"Selected adults with obesity at specialist centers.","recovery":"Similar short recovery with staged diet."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Procedure time for a single ESG; excludes preparation and recovery."},"initial_assessment_documents":["Previous gastroscopy report","Recent blood tests including HbA1c","Summary of diabetes and sleep apnea","Previous abdominal or stomach surgery report","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single endoscopic session; stay about 4-7 days including discharge and early recovery. Follow-up can be done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the operator has formal training in metabolic and bariatric endoscopy and ESG-specific techniques","scope":"procedure","source":{"url":"https://asmbs.org/endoscopic-sleeve-gastroplasty-esg-frequently-asked-questions/","host":"asmbs.org","quote":"Performed by physicians with formal training in metabolic and bariatric endoscopy and ESG-specific techniques.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask whether the team tracks outcomes, including weight loss, complications and revisions","scope":"procedure","source":{"url":"https://asmbs.org/endoscopic-sleeve-gastroplasty-esg-frequently-asked-questions/","host":"asmbs.org","quote":"Prospectively tracking outcomes, including weight loss, comorbidities, complications, and revisions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you will have consultations with the treating surgeon before any surgery","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether the facility and the professionals hold accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Surgery is offered without a consultation with the operating surgeon beforehand","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The clinic will not let you ask the treating team questions about your treatment","scope":"treatment_type","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lists medicines prescribed, so your home doctor can continue them","document":"prescriptions given at discharge","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You have severe obesity and want the most effective option","name":"Bariatric surgery","source":{"url":"https://www.healthline.com/health/weight-loss/endoscopic-sleeve-gastroplasty","host":"healthline.com","quote":"Some scientists believe that bariatric surgery is the most effective weight loss strategy for people with severe obesity.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"You want a surgical option instead of endoscopic stitching","name":"Sleeve gastrectomy surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/24771-endoscopic-sleeve-gastroplasty","host":"my.clevelandclinic.org","quote":"ESG is a minimally invasive alternative to sleeve gastrectomy surgery and other bariatric surgery procedures.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"apollo-overstitch-suturing","name":"Apollo OverStitch suturing (running or interrupted full-thickness sutures)","how_it_works":{"text":"A suturing device places stitches between the stomach walls to narrow it","source":{"url":"https://my.clevelandclinic.org/health/treatments/24771-endoscopic-sleeve-gastroplasty","host":"my.clevelandclinic.org","quote":"Using a suturing device, they place about 10 stitches between the two walls of your stomach and draw them together.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":3,"unit":"days","label":"2–3 days","source":{"url":"https://www.healthline.com/health-news/former-weightlifter-weight-loss-after-glp1","host":"healthline.com","quote":"Patients typically go home the same day and can return to routine daily activities within two to three days.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"modified-primary-obesity","name":"Modified primary obesity surgery endoluminal (POSE 2.0) / other plication variants","how_it_works":{"text":"The stomach wall is folded and stitched in place to reduce space","source":{"url":"https://www.nth.nhs.uk/resources/esg-surgery/","host":"nth.nhs.uk","quote":"When these folds are stitched into your stomach tissue, there is less room in your stomach.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/procedure=endoskopicheskaya-rukavnaya-gastroplastika-esg/"}],"questionsAndAnswers":[{"id":"6a0c113dfde4079eee0a83d2","question":"What is Endoscopic Sleeve Gastroplasty (ESG) and how does it work?","answer":"Endoscopic Sleeve Gastroplasty (ESG) is an incisionless weight loss procedure that reduces stomach volume by 70% to 80% through internal suturing. Surgeons use an endoscope through the mouth to fold the stomach into a narrow tube, providing restriction without external scars or tissue removal.
Bookimed Expert Insight: While many weight loss surgeries are irreversible, Mexico's surgeons like Dr. Arturo Martinez emphasize that ESG preserves the stomach's anatomy. Clinical data from collaborative studies with University of California San Diego show excellent safety profiles, including near-zero mortality in large patient groups. This makes it a strategic choice for patients with a BMI of 30+ who prefer avoiding permanent tissue removal while maintaining high safety standards.
Patient Consensus: Patients describe the sensation as stomach suturing from the inside where fullness occurs after just a few bites. Success depends heavily on managing post-operative nausea and strictly following food-stage progression to ensure long-term weight maintenance.
","is_active":true,"created_at":"2026-05-19T07:29:01.661+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"mexico"},{"key":"operation","value":"endoscopic-sleeve-gastroplasty-esg"}]},{"id":"6a0c11892cedd455f307dd12","question":"Is ESG the same as a traditional (laparoscopic) Gastric Sleeve (VSG)?","answer":"Endoscopic sleeve gastroplasty (ESG) is an incisionless procedure using stitches to fold the stomach from within. While traditional laparoscopic gastric sleeve (VSG) permanently removes approximately 80% of stomach tissue, ESG preserves the entire organ, offering a non-surgical alternative for patients with lower BMI targets.
Bookimed Expert Insight: Choice between ESG and VSG often hinges on acid reflux history rather than just BMI. Bookimed data shows specialists like Dr. Ariel Ortiz Largadere maintain exceptionally low morbidity rates by matching anatomy to technique. If chronic GERD is a concern, ESG may be preferable as it rarely worsens reflux compared to traditional VSG.
Patient Consensus: Patients value ESG for the lack of visible scarring and rapid return to work. Those choosing traditional VSG emphasize that the permanent hunger suppression from tissue removal provides more predictable long-term control.
","is_active":true,"created_at":"2026-05-19T07:30:17.955+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"mexico"},{"key":"operation","value":"endoscopic-sleeve-gastroplasty-esg"}]},{"id":"6a0c11f406456b9ee20b6962","question":"Who is an ideal candidate for ESG performed in Mexico?","answer":"An ideal candidate for endoscopic sleeve gastroplasty in Mexico is an adult with a body mass index between 27 and 40 seeking non-surgical weight loss. This procedure suits those needing significant results without permanent tissue removal or external incisions, offering a middle ground between medication and traditional surgery.
Bookimed Expert Insight: Mexican bariatric centers often accept patients who do not meet strict US insurance criteria. While US insurers frequently require a BMI over 35, specialists like Dr. Ariel Ortiz Largadere at Hospital CYNTAR manage thousands of cases for those in the 27 to 33 BMI range. This accessibility allows patients to address obesity before secondary health complications emerge.
Patient Consensus: Successful patients emphasize that the procedure is most effective for those struggling with portion control. Real-world feedback highlights that while recovery is quick, candidates must prepare for managed nausea and cramping during the first 48 hours.
","is_active":true,"created_at":"2026-05-19T07:32:04.596+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"mexico"},{"key":"operation","value":"endoscopic-sleeve-gastroplasty-esg"}]},{"id":"6a0c1265b5565155fe0c49b2","question":"What credentials should I look for when selecting a doctor for ESG in Mexico?","answer":"When selecting a doctor for endoscopic sleeve gastroplasty in Mexico, prioritize specialists holding a Cédula de Especialidad in gastroenterology or bariatric surgery. Verify valid board certification from the Mexican Council of Gastroenterology or the Mexican College of Bariatric and Metabolic Surgery for safety.
Bookimed Expert Insight: High-volume centers often achieve better safety profiles. For example, surgeons at Obesity Control Center have contributed to research covering over 19,000 procedures with minimal complications. Choosing a lead surgeon who actively trains others in minimally invasive techniques is a strong indicator of clinical leadership and technical skill.
Patient Consensus: Patients emphasize verifying who actually performs the suturing during the procedure. They recommend choosing clinics that provide structured long-term follow-up plans with dietitians to ensure weight loss success.
","is_active":true,"created_at":"2026-05-19T07:33:55.119+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"mexico"},{"key":"operation","value":"endoscopic-sleeve-gastroplasty-esg"}]},{"id":"6a0c12b16879e91f120fbba2","question":"How much weight can I realistically expect to lose after ESG?","answer":"Most patients realistically lose 15% to 20% of their total body weight within 12 to 18 months following endoscopic sleeve gastroplasty in Mexico. This minimally invasive procedure typically results in a 50% to 60% reduction of excess weight through specialized internal suturing techniques.
Bookimed Expert Insight: Mexican bariatric centers often pair ESG with comprehensive aftercare that matches US standards at lower costs. For example, Dr. Ariel Ortiz Largadere at Hospital CYNTAR contributes to major bariatric studies involving over 19,000 procedures. This high volume across Tijuana clinics suggests that surgeon experience with suturing tension is a critical, yet often overlooked, factor in preventing early weight regain.
Patient Consensus: Patients emphasize that ESG serves as a powerful lifestyle reset rather than a permanent fix. Many report that sticking to the initial liquid diet determines their long-term momentum.
","is_active":true,"created_at":"2026-05-19T07:35:13.825+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"mexico"},{"key":"operation","value":"endoscopic-sleeve-gastroplasty-esg"}]},{"id":"6a0c1302694623197e024ec2","question":"Is ESG reversible if I’m unhappy with the results?","answer":"Endoscopic sleeve gastroplasty is technically potentially reversible only during the first several months. After one year, internal scarring typically makes the procedure permanent. Surgeons remove sutures for medical complications, though revisions or conversions to gastric bypass are standard for unsatisfactory weight loss results.
Bookimed Expert Insight: Mexico surgeons like Dr. Ariel Ortiz Largadere often prefer conversion over reversal. Data shows converting ESG to a permanent surgical option remains highly safe. Choosing a Tijuana clinic with International Bariatric Club membership ensures your surgeon handles these complexities. Most high-volume clinics recommend suture tightening if weight loss stalls after the first year.
Patient Consensus: Many patients find clinical claims of total reversibility misleading due to internal scarring. Successful long-term management usually involves adding medical weight loss treatments rather than surgical reversal.
","is_active":true,"created_at":"2026-05-19T07:36:34.361+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"mexico"},{"key":"operation","value":"endoscopic-sleeve-gastroplasty-esg"}]},{"id":"6a0c135d94649a2b340bbc42","question":"What is the typical recovery timeline after an ESG procedure?","answer":"Typical recovery after endoscopic sleeve gastroplasty (ESG) in Mexico is fast because the procedure involves no external incisions. Patients achieve functional recovery within 1 to 3 days. Internal stomach tissue heals fully by day 30. Most people resume desk work within 5 days.
Bookimed Expert Insight: Many patients overlook that dehydration is the most frequent cause of post-ESG fatigue. Data shows specialized bariatric centers in Mexico, like Obesity Control Center, emphasize specific hydration timers. Using 15-minute alerts for electrolyte sips prevents the most common recovery setbacks seen in the first week.
Patient Consensus: The first 3 days feel like intense pressure or reflux, but sleeping upright provides major relief. Success in the first month depends on resisting the urge to rush through food stages too quickly.
","is_active":true,"created_at":"2026-05-19T07:38:05.207+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"mexico"},{"key":"operation","value":"endoscopic-sleeve-gastroplasty-esg"}]},{"id":"5ed8fa0331e78b0abb286636","question":"What Should You Know about Mexico before the Trip?","answer":"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 |
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.
","is_active":true,"created_at":"2020-06-04T13:43:24.000+00:00","category":{"id":"5e3aa27eb517bb3ffb486c42","name":"Texts","title":"Texts"},"relations":[{"key":"country","value":"mexico"}]},{"id":"5ed8fab531e02c46c85d4676","question":"What Documents Are Required to Apply for a Visa to Mexico for Treatment?","answer":"Visas for travel to Mexico require a number of documents. Lists of documents includes: