Bariatric Surgery in Mexico

Bariatric surgery is a group of weight-loss surgeries that involves making changes to the digestive system, some of which are non-reversible. The idea behind these types of surgeries is to help patients lose weight by either limiting the amount of food they can consume/digest at any one time or reducing their body’s ability to absorb nutrients. Some procedures do both. 

Bariatric surgeries should only ever be the final option when diet and exercise have proved inadequate and there are now serious health concerns caused by a person's weight. In general, these surgeries can only be an option for patients whose body mass index (BMI) is 40 or higher (extreme obesity). In certain cases, patients whose BMI is 30 to 39.9 may qualify for certain types of bariatric surgery if they have serious weight-related problems, such as type 2 diabetes.

The three most common types of Bariatric Surgeries are as follows:

1. Gastric Sleeve – The most common surgery, in which about 80% of the stomach is irreversibly removed, resulting in a sleeve or tube-like structure. This smaller stomach will not be able to hold as much food and produces less of the hormone that regulates appetite (ghrelin), which can lessen the patient’s desire to eat. 
2. Gastric Bypass – A more complicated procedure in which the stomach is divided into two parts; a small upper pouch and a large lower ‘remnant’ pouch. The small intestine is rearranged to bypass the large pouch. As a result, the volume of the stomach is significantly reduced. This causes food to go into the small upper pouch of the stomach and then directly into the small intestine. The small upper pouch can only hold around an ounce of food. Gastric Bypass is typically not reversible. 
3. Gastric Band – Involves an inflatable silicone device that is fitted around the top portion of the stomach to create a smaller stomach pouch. This procedure causes the patient to feel fuller with less food but still allows the body to digest food as usual, without malabsorption. The device can be removed when the patient reaches their desired weight.

The bariatric surgeries mentioned above are typically performed laparoscopically, in which the surgeon creates around one to five small incisions in the abdomen to insert a laparoscope (a long narrow tube with a camera) and surgical tools. The patients are usually given a general anesthetic, so they will not feel anything throughout the surgery.

How Long Should I Stay in Mexico?

After bariatric surgery, an overnight stay in the hospital is usually required. In some cases, you may need to stay longer (around 3 to 5 days). However, it is not advisable to leave Mexico as soon as you are discharged from the hospital. Stay at least 10 to 14 days following your surgery for initial recovery and follow-up checkups. During the follow-up checkups, your surgeon will remove your stitches and check your overall condition.

What's the Expected Recovery Time?

The recovery time may take around 3 to 6 weeks until you are allowed to go back to your normal activities, including work, with some restrictions. You must avoid heavy work and strenuous activities, such as lifting, pushing, or carrying heavy loads for at least the first three months after surgery. You should also avoid sitting and standing without moving for long periods to avoid blood clots forming in your legs.

What Aftercare is Required?

You will be given a special diet plan immediately after your surgery, as well as detailed post-operative instructions. Make sure to follow the diet plan and instructions to avoid complications and speed up your recovery. In order to maximize and maintain weight loss, it is important that you commit to healthy eating and regular exercise. There may be restrictions on how much food you can consume. You may also need to change your eating habits, such as eating 6 small meals instead of 3 large meals each day. You should take vitamins and mineral supplements to ensure proper nutrition. 

What's the Success Rate?

The success rates vary for each of the different types of bariatric surgery. In general, within the first six months following the surgery, most patients lose around 30% to 55% of their excess weight. Then, as early as 12 months after surgery, most patients lose over 70% of their excess weight. Patients could also maintain a 50% to 60% loss of excess weight for 10 to 14 years after their bariatric surgery. Although the success rates are high, there are risks associated with bariatric surgery, such as bleeding, deep vein thrombosis, infections, spleen injury, stenosis, and infections.

Are there Alternatives?

There is a non-surgical Bariatric procedure, known as the Gastric Balloon. This involves an inflatable device that is temporarily inserted into the stomach via endoscopic placement. A sizable area of the stomach is obstructed by the balloon or balloons, thus reducing the amount of food it can contain at any one time, leading to eventual weight loss. The balloons are usually removed after 6 or 12 months. 

If you cannot or do not want to undergo any surgery or medical procedure, you may be able to work with a doctor who is experienced in treating extreme obesity and a dietician as the alternative. They may recommend you to change your diet, adding physical activity, and prescribe medications.

Bariatric Surgery in and around Mexico

About Mexico

The Country of Mexico forms a part of the North American continent and lies directly south of the United States and is the fifth largest country in the Americas. It comprises of 31 states and a Federal District. The capital of Mexico City lies in the Federal District. Mexico is dominated by several mountain ranges and the more well-known ones are the Sierra Madre Oriental and the Sierra Madre Occidental. It is famous for its amazing beaches, and the best known Latin American pyramids include the Pyramid of the Sun and the Pyramid of the Moon at Teotihuacán in central Mexico,

Mexico is one of the top five medical tourism destinations in the world. Its medical care center’s offer high-class and boutique-style recuperation facilities and the cost of a procedure is 70% to 80% less than the cost of the same procedure in the United States.

As per the 2016 statistics, Medical Tourism in Mexico is a $4.8 Billion industry. Every year, a staggering 1 Million medical tourists arrive in Mexico for various treatments and procedures. 70% of medical tourists come from California, Texas, and Arizona.

Tijuana, Cancun, Mexicali, and Monterrey are some of the more popular cities in Mexico for medical tourism and the flowing procedures:

• Dental treatments including dental surgery
• Plastic and Cosmetic Surgery
• Bariatric Surgery
• Other medical procedures like dermatology, orthopedics, gynecology, and ophthalmology.

Popular Parts of Mexico

Six Cities in Mexico that should be on your itinerary:

1. Mexico City – This enormous capital city is the most populous city on the North American continent. The metropolitan area of the city is home to a staggering 21.2 million people. El Zocalo, the main public square is a famous landmark in Mexico City. It is also a UNESCO World Heritage site.
2. Cancun –Is a major resort city with turquoise blue waters and striking white sandy beaches. It has a population of about 628,000 people. You can take day trips to the Mayan ruins, the unspoiled jungle habitats of Coba, and Chichen Itza from Cancun.
3. San Miguel de Allende –Is one of the most popular cities in Mexico. The must-visit sites in this city are the San Miguel Arcangel Parish, the archaeological zone of Canada la Virgen, and the handicraft market.
4. Guadalajara – It’s the second largest city in Mexico and has a population of 5.1 million. The city has a more relaxed feel and a distinctly Mexican flavor. The historic center is impressive with a cathedral and colonial architecture. Guadalajara Cathedral, Instituto Cultural de Cabanas, and the Expiatory Temple are famous sights to visit.
5. Oaxaca – Is a southern Mexican city and is situated in a valley. It is home to 4.2 million inhabitants. Oaxaca Cathedral, Zocalo and Mercado Benito Juarez, and The Rufino Tamayo Museum are a few of the interesting places to see in this city.
6. Tijuana –Is a border city of Mexico and shares its border with California. Because of its location, this city is very popular with American medical tourists. The Avenida Revolucion is the main street and is lined with Bars and Restaurants. Popular landmarks include Jai Alai Fronton Palace, Centro Cultural Tijuana, and Estadio Caliente. It has a population of 1.3 million people.

Other important cities are Merida, Acapulco, Puebla City, Taxco Puerto Vallarto and Playa deal Carmen.

Weather and Climate in Mexico

Mexico as a whole does not have a uniform climate. It is a large nation and the weather differs from region to region. Mexico’s topography is extremely diverse and so is its weather.

Mexico has two major seasons, the rainy and the dry seasons.

• Rainy Season – Most of Mexico experiences rain from May to September or October. The weather is hot and humid in these months, especially in Southern Mexico. The average temperature in the summer months is around 83 degrees Fahrenheit. In winter, the temperature averages between 68- and 74-degrees Fahrenheit.
• Dry Season – October to May there is hardly any rain and it happens to be the most popular time to visit Mexico. During the winter months of December to February, the non-coastal regions have cold weather. At times, it reaches freezing temperatures. June to November is the hurricane season and hence it is better to avoid traveling during this time.

Getting Around in Mexico

The easiest way to reach Mexico is through Mexico City International Airport, which is also referred to as Benito Juarez International Airport, is the busiest airport in Mexico. The airport links 52 domestic cities and 50 international destinations in Latin America, North America, Europe, and Asia. Aeromexico is the largest carrier serving many Latin American cities, domestic and international cities. Other prominent Mexican airlines are Interjet, Volaris and Aeromar. Major American carriers like United Airlines, American Airlines, and Delta Air also operate flights to Mexico City.

For travel within Mexico, air travel is the best mode considering the vast size of the country. Budget airlines like Avolar, Azteca, Interjet, vivaAerobus, and Volaris offer competitive and cheap airfares for domestic travel.

You can also travel by local buses and hired cars between cities. However, the fastest mode of transport is the metro system that connects major cities like Mexico City, Guadalajara, and Monterrey.

It is easy to move around within Mexico City, as it has a pretty cheap public transport system. You have the option of the Metro, first and second-class buses, colectivos, and Nissan Tsuru libre taxis. Sitio taxis, its best not to hail cabs off the street after dark, and if you are unfamiliar with the city and don’t speak Spanish, it’s always best to always use taxis from Taxi Ranks.

Tourist Visas in Mexico

Traveling to Mexico as a tourist, you need to apply for and get a tourist visa well in advance. Your passport must be valid to cover at least three months beyond the duration of your visa. A Mexican tourist visa is for a single entry and valid for only six months. You should travel within 90 days of visa been issued.

Mexico has a waiver for the tourist visa requirement for the citizens of 67 countries including the USA, European Union, Latin America, and Australia. Under this privilege, you can visit Mexico for a period of 30 to 180 days without a tourist visa. However, you need to get an online Electronic Authorization before traveling to Mexico.

Nationals of Russia, India and China and a few other countries need to get a visa in advance before entering Mexico.

Additional Information

1. The currency of Mexico is Peso and has a $ symbol like the US Dollar. So, MXN is an alternative symbol to avoid confusion. Shopkeepers accept US dollars but refuse Euros. The conversion rate of a US dollar to Mexican Peso is 18.84 as of April 2019.
2. You can use debit and credit cards within city limits in Mexico, but many retailers levy a surcharge for credit cards. Small shopkeepers insist on cash. ATMs are present everywhere and have bilingual options with English as a choice.
3. Spanish is the first and the main language is spoken in Mexico. People also speak English in tourist areas and along the Northern border. However, it is always better to learn a little Spanish when you travel to Mexico.
4. Mexico does not have a national religion, but Roman Catholicism is a major faith.
5. Constitution Day (Feb 4), Benito Juarez’s Birthday (Mar 18), Independence Day (Sep 16), Revolution Day (Nov18) and Christmas (Dec 25) are some of the statutory public holidays in Mexico.