Financing Bariatric Surgery

Weight Loss Surgery Mexico & Abroad:
Medical Tourism Analysis for Bariatric Surgery

“Weight loss surgery Mexico” sometimes conjures fears of unsterile hospitals and inexperienced surgeons. Below you’ll see how this couldn’t be further from the truth and how this increasingly viable option could lead to better outcomes and save you as much as $16,000 or more…

Is Weight Loss Surgery in Mexico and Other Countries Safe?

(Use the scroll bar on the right to fill out all sections, then click the "Share Your Experience" button at the bottom. Your contribution will receive its very own web page on this site.)

Receive weight loss surgery in Mexico or abroad or have you considered it? Please share your thoughts or experience!

Many prospective patients are considering medical tourism for weight loss surgery, but do you think hassle is worth the savings?

Please share your experiences/thoughts, such as...

- Why did you consider traveling for surgery?
- Surgeon details and the country you visited (or are considering)
- How did you pick your country and surgeon?
- Which procedure?
- What's the cost compared to the cost at home?
- Any details about getting ready, the trip itself or your aftercare?
- Did anyone help set it up?
- Was it difficult to find a surgeon to work with back home for follow-up care?

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As long as you go to the right hospital, bariatric surgery abroad is as safe or safer than hospitals in the United States.

"...surgery abroad can be as safe or safer than hospitals in the U.S."

That’s a bold statement, so let us explain the 6 reasons why you can be confident about the safety of the best hospitals abroad...

  1. The Joint Commission International
  2. Partnership with hospitals in the United States
  3. Many surgeons abroad were educated and have practiced in the United States
  4. Hospital Information Systems are often much more advanced abroad than they are in the U.S
  5. Patients can access detailed history and experience of international surgeons
  6. Doctors back home collaborate with international surgeons

1. The Joint Commission International

The Joint Commission, the most respected and demanding hospital accreditation agency in the U.S., has an international division called the Joint Commission International (JCI) that accredits hospitals internationally with equally rigorous standards.

Karen Timmons, President and CEO of the JCI, explained how hospital accreditation tests are applied in an article published by Medical Tourism magazine1

“We believe the best way to gauge the quality of care provided by an institution is to trace the journey of patients as they move through the institution and examine how various departments work together to provide the care they need. Typically we trace 8 or more patients during our site visits.”

To receive certification, hospitals abroad must pass detailed testing for 300 standards with 1,200 specific data points that JCI surveyors examine and score. Here is a general overview of what’s reviewed...

"To receive certification, hospitals abroad must pass detailed testing for 300 standards with 1,200 specific data points..."

  • Access to care and continuity of care
  • Patient and family rights
  • Assessment of patients
  • Care of patients
  • Anesthesia and surgical care
  • Medical management and use
  • Patient and family education
  • Quality improvement and patient safety
  • Prevention and control of infections
  • Governance, leadership and direction
  • Facility management and staff
  • Staff qualifications and education
  • Management of communication and information

If a hospital outside the U.S. is JCI accredited, you know that they have passed the on-site 3 to 5 day hospital review within the last 3 years.

Before going on, we recommend that you review the Joint Commission International’s accreditation standards to get a better idea of what each of the above steps entails (get ready to be impressed). Their Frequently Asked Questions document is also helpful towards a further understanding of how their program works.

If you are interested in getting weight loss surgery in Canada, the JCI has not gone there to accredit any hospitals so you’ll need use Accreditation Canada which has similar standards. They also accredit hospitals outside of Canada and are a good cross-reference for JCI-accredited hospitals that you find.
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2. Partnership with hospitals in the United States

For an additional level of patient comfort, hospitals abroad often partner with reputable hospitals in the United States. These international partnerships include services such as…

"...hospitals abroad often partner with reputable hospitals in the U.S."

  • Clinical guidelines
  • Care plans to help patients with self-care
  • Electronic medial records to share information with doctors back home
  • Outcome measurement and performance reporting to accurately determine which surgeons and hospitals have the best track record
  • Physician and nurse recruitment and training
  • Patient satisfaction surveys and reporting
  • Medical and professional education
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3. Many surgeons abroad were educated and have practiced in the United States

Many doctors abroad were educated and trained in the United States and subsequently returned to their home country. In contrast, about ¼ of all active U.S. physicians are international medical graduates.2

The bottom line is that there are excellent medical education programs all over the world, and great hospitals will attract great surgeons.

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4. Hospital Information Systems are often much more advanced abroad than they are in the U.S.

Hospital Information Systems (HIS) abroad are often light years ahead of what is used domestically. Better systems means better care and more accurate information to help you determine which surgeon and hospital is right for you.

"Better systems means better care and more accurate information."

For example, a hospital in Thailand’s state-of-the-art information system allows patients to see a doctor within about 17 minutes after arriving. Compare this to the recently measured 4 hour and 3 minute average Emergency Rooms wait time in the U.S.3,4

A Microsoft executive summed up the benefits of state-of-the-art hospital information systems in a recent press release regarding Microsoft’s purchase of a company that offers the advanced technology5...

"We were impressed by Global Care Solutions' state-of-the-art health information system, which has enabled a hugely complex facility like Bumrungrad International hospital to achieve amazing outcomes related to improved workflow and patient safety."

U.S. hospitals who incorporate similar technology have limited success because most U.S. hospitals do not employ doctors across a broad range of expertise. The U.S. specialists use different systems that do not talk with each other, while hospitals abroad often have doctors from all specialties under one roof and system.

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5. Patients can access detailed history and experience of international surgeons.

Patients and medical travel agents can access the detailed history of international surgeons. This data helps patients select the bariatric surgeon with the most experience and highest success rates at hospitals with the most state-of-the-art technology. (Below we will discuss how you can find them on your own and which medical travel agents are the best to partner with.)

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6. Doctors back home collaborate with international surgeons.

Your local doctors and bariatric surgeon can be connected and kept in the loop about treatment abroad and should be a part of every patients follow up care.

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What other medical tourism patients say about their bariatric surgery experience abroad

The Medical Tourism Association recently released their first Patient Survey and received the following feedback from patients who traveled abroad for surgery6:

(click one of the following links to jump to the question and patient responses or use the scroll bar in the box below the links to review all questions and responses)

What type of procedure did you travel for?

  • 12% - Cosmetic
  • 22% - Orthopedic
  • 2% - Spine
  • 32% - Weight Loss/Bariatric
  • 0% - Lasik
  • 32% - Other
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Did you travel alone or with a companion?

  • 17% - Alone
  • 83% - Companion
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How would you rate the hospital you received medical care at?

  • 70% - Excellent
  • 27% - Very Good
  • 3% - Average
  • 0% - Below Average
  • 0% - Poor
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Did you use a medical tourism facilitator (or a company that was an intermediary and helped coordinate your care)?

  • 51% - Yes
  • 49% - No
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How helpful did you find the medical tourism facilitator?

  • 37% - Extremely helpful
  • 12% - Helpful
  • 7% - Somewhat helpful
  • 0% - Not helpful
  • 44% - Not applicable
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Would you recommend a future patient to use a medical tourism facilitator?

  • 59% - Yes
  • 17% - Maybe
  • 2% - No
  • 22% - Not applicable
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Was there a language barrier or communication problem at the hospital?

  • 71% - Not at all
  • 29% - Occasional problems but did not significantly affect my experience
  • 0% - Yes significantly affected my experience
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Did you feel safe overseas?

  • 56% - Very safe
  • 37% - Safe
  • 7% - Somewhat safe
  • 0% - Not safe
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Do you feel the service you received was more than in the U.S.?

  • 85% - Yes
  • 15% - No
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Would you recommend a friend, relative, or acquaintance to travel internationally for medical care?

  • 93% - Yes
  • 7% - Maybe
  • 0% - No
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Would you travel internationally again for medical care?

  • 88% - Yes
  • 10% - Maybe
  • 2% - No
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Did you have health insurance when you traveled internationally for medical care?

  • 42% - Yes
  • 58% - No
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Do you feel your overall medical experience was:

  • 63% - Better than it would have been in the USA
  • 37% - Equal to what it would have been in the USA
  • 0% - Worse than it would have been in the USA
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Were you concerned about having to sue in a foreign country in the event of medical malpractice?

  • 5% - Concerned
  • 19% - Somewhat concerned
  • 76% - Not concerned
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Intuition Communication, through their Treatment Abroad subsidiary, conducted a survey of 650 patients who traveled abroad from Great Britain for care and had similar findings7...

  • 83% “wanted to save on the cost of treatment in the UK”
  • 9 out of 10 respondents were very (74%) or quite satisfied (16%) with their experience of treatment abroad
  • 97% of the medical tourists stated that they would definitely or probably go for treatment abroad again
  • 96% of all respondents would definitely or probably go back to the same doctor/dentist/hospital/clinic
  • 96% of all respondents would recommend treatment abroad to a friend or relative.
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Who should consider leaving the country for bariatric surgery?

YOUR Weight Loss Journey

 Help visitors like you by sharing your advice related to this page or other topics...

  • Are you considering or did you receive bariatric treatment abroad? Tell us about it!
  • Rather share later? Set up a reminder email.

    As the first survey above indicates, 32% of all medical travel patients go abroad for bariatric surgery, and 42% of all patients went even though they had insurance.

    Your decision about whether it’s right for you comes down to a few key factors…

    1. Safety – review the General Concerns section below to understand the risks of traveling before and after surgery. There are precautions that need to be taken very seriously, and following the guidelines of your international bariatric surgeon and local doctor are extremely important for a successful outcome.
    2. Money – you should weigh the savings and risks specific to your situation. Review the Bariatric Surgery Medical Tourism Costs section below to get a general idea of the savings you’ll realize by going abroad. You’ll have to decide if the savings realized outweigh your specific risks and the inconvenience of travel.  
    3. Travel Companion – you absolutely need someone you trust to go with you for support and to help you through the process. If no one you trust is able to go with you, it’s best to research bariatric doctors in your area. If money is an issue, first review our Bariatric Surgery Financing page.
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    6 general concerns for Weight Loss Surgery Mexico or Abroad

    Partnering with a
    Local Surgeon

    Partnering with a local surgeon for aftercare following bariatric surgery abroad may be easier said than done.

    Bariatric surgeons are running a business and make most of their money from the procedure itself. They may not be too excited about taking on the low-margin follow-up care and opening themselves up to liability when they did not receive the income from the initial procedure.

    Work with your medical travel agent and your international surgeon’s team to find a good local doctor that is willing to partner with you and your surgeon abroad.

    There are 6 things that you should keep in mind when considering a trip abroad for bariatric surgery…

    1. Partner with a local bariatric surgeon and your primary care physician for long-term follow-up care.
    2. Determine whether the country in which you are having surgery requires vaccinations. The Center for Disease Control’s (CDC) site has up-to-date recommendations for most locations.
    3. Preparations for surgery are the same whether or not you travel. You will work with your chosen surgeon abroad via phone or video call to agree upon an appropriate bariatric diet and exercise program prior to traveling.
    4. You should plan a day or two of rest and relaxation once you get to your destination. Don’t jump right into surgery. This will make the experience much less stressful and will give you time to get over the jet lag and culture shock before beginning your stay in the hospital.
    5. You should also plan to stay in the country for at least 2 weeks following surgery. This is needed for proper recovery and evaluation by your surgeon before traveling home. In addition, surgeons abroad will often include the costs of follow up treatment or treatment resulting from complications in the initial price quoted.
    6. The biggest risk of traveling for surgery is deep vein thrombosis (DVT), which is the formation of a blood clot in one of the deep veins, usually in the lower leg.

      The risk for DVT increases after all surgeries, especially when the patient is immobile for long periods of time. To reduce the risk, you should take preventive measures from the time you leave to the time you get home...
      • Before traveling
        • Stop smoking
        • Lose as much weight as possible before you travel – the lower your body mass index (BMI), the less risk you have for both DVT and bariatric surgery complications in general
        • Get enough exercise to be at least minimally fit
        • Discuss stopping birth control pills and hormone replacement therapy with your doctor, as they can thicken your blood and increase the risk of DVT
        • Ask your surgeon about using a pneumatic compression device during and after surgery
        • Ask your surgeon if taking an anticoagulant (blood thinner) is necessary while traveling
      • While traveling
        • Travel on an airline with sufficient leg room.
        • Wear loose clothing
        • Walk briskly for at least half an hour before takeoff
        • On the plane:
          • Don’t stow carry-on baggage under seat (you’ll need the leg room)
          • Take deep breaths frequently throughout the flight
          • Flex your calves and rotate your ankles every 20 to 30 minutes
          • Walk up and own the aisle at least once every 2 hours
          • Sleep only for short periods (do not take sleeping pills)
          • Drink lots of water to avoid dehydration
          • Avoid alcohol, caffeine and diet soda
          • Wear elastic flight socks or compression stockings
          • Don’t let stockings or clothing roll up or constrict your legs
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    Cost of Weight Loss Surgery Abroad vs
    the United States

    YOUR Weight Loss Journey

     Help visitors like you by sharing your advice related to this page or other topics...

  • Medical tax deductions YOU claimed
  • Rather share later? Set up a reminder email.

    Bariatric surgery is much less expensive abroad because the systems in other countries are not plagued with the problems of health care in the U.S.

    First, let’s review the average cost for bariatric surgery in popular destination countries compared to the U.S. (we’ll get into the reasons why the cost of bariatric surgery abroad is so much less expensive in a moment)…

    Gastric Bypass Surgery Cost Lap Band Surgery Cost Duodenal Switch Surgery Cost Gastric Sleeve Surgery Cost Mini Gastric Bypass Surgery Cost
    Above are estimates of the average cost of each procedure. Costs can vary widely in each country. Prices not available (n/a) do not necessarily mean that the procedure is not available in that country. Rather, prices for the n/a procedure were not available in the databases and studies utilized.
    References: 11
    United States  $21,000 $17,500 $25,000 $15,000 $8,500
    Mexico  $12,325 $7,233 $14,000 $11,825 $8,750
    Canada $15,708 $21,250 n/a n/a n/a
    India $10,400 $8,750 $8,300 $9,400 $8,500
    Thailand $10,500 $11,820 $13,750 $10,800 $9,780
    Costa Rica $12,500 $9,250 $12,000 $9,550 $12,300

    After reviewing some of the above price comparisons, it makes more sense why, according to a recent Gallup poll, almost 30% of people in the U.S. would consider traveling abroad for medical treatment.8

    But if the quality of international hospitals and surgeons are as good or better than the U.S. as discussed above, how is it possible for costs to be so much lower?

    There are 4 main reasons why it is possible to receive equal or better care abroad at a lower cost...

    First, lower labor and administrative costs driven by an overall lower cost of living flow through to treatment costs. For example, according to a recent Mercer study, New York has a cost of living adjustment of 100, San Francisco is at 85, Mexico City is at 77 and Bangkok, Thailand is at 64.9.9

    Second, malpractice costs and resulting malpractice insurance is much lower in other countries than they are in the United States. Again, this does not mean that the quality of care is lower. It simply means that foreign cultures do not encourage malpractice lawsuits as much as the U.S.

    Punitive damages are rarely awarded outside of the US, and at best any lawsuit would only result in the patient recovering actual damages (out of pocket cost of harm caused, including paying for treatments that address the problem, travel expenses, etc.).

    Third, by working in large, multi-specialty clinics, physician overhead (i.e. building rent and maintenance, utilities, staff, computers, systems, etc.) abroad is much lower than the smaller specialty clinics in the U.S. In the U.S. physician overhead is somewhere between 50 and 60%. Abroad it can be as low as 5 or 6%.

    Finally, there is much less administration and paperwork required for treatment overseas.

    In the United States, the average surgical experience goes roughly as follows (notice throughout the process that the patient’s best interests take a secondary role to the profits of insurance companies and hospitals)...

    (Use the scroll bar on the right to review the list)

    1. Private employers (where almost 2/3 of those under 65 get insurance coverage) work with insurance brokers or consultants to design and industry-competitive health insurance plan for their employees. Employers and brokers work with insurance companies to ensure that their plans remain competitive with the rest of the insurance carrier market.
    2. Insurance companies and other third parties negotiate discounted rates with hospitals to ensure that their rates are competitive. More competitive rates mean more members in their plan which means more bargaining power with the hospitals. Every aspect of treatment is given a special code that the insurance company and hospital can track to facilitate the correct negotiated payment.
    3. To gain more bargaining clout and a referral base, hospitals and doctors work together to form groups that can negotiate with insurance companies as one entity. More members (patients) under one group means more negotiating power with the insurance companies.
    4. Patient’s physician refers patient to a particular in-network hospital to which they belong (not necessarily the best physician). Insurance companies must constantly track and report which physicians are in network, which are out-of-network and which are no longer accepting new patients.
    5. Patient schedules surgery.
    6. In-network hospital documents request and contacts the insurance company for pre-approval.
    7. Insurance company nurse or case manager reviews patients file to determine appropriateness of procedures. The hospital may be contacted directly several times to negotiate the “most appropriate” course and duration of treatment.
    8. Upon approval, hospital contacts patient to confirm surgery.
    9. Patient fills out all necessary paperwork by hand for the hospital, even though they have filled out this exact information for every new physician they have ever visited and even though their primary care or other referring physician already has the information and has presumably contacted the hospital and/or surgeon to review the patient’s condition.

      Incidentally, the patient does not know if their physician has spoken directly with their surgeon, nor do they usually know the credentials, history or success rates of the bariatric surgeon they are “getting.”
    10. Before, during and after surgery, the hospital tracks every charge, from the surgery itself to the napkins provided in the room to the doctor’s time each instance he/she visits the patient. This is often a manual process after which hospital staff input handwritten data into their system.
    11. During the patient’s hospital stay, the insurance company nurse conducts a “concurrent review” to make sure all treatment, medications and additional bed days are appropriate, required and follow the previously agreed upon course of treatment.
    12. Insurance company only approves a long enough length of stay to allow the patient to receive the surgery and be physically capable of returning home.
    13. The insurance company case manager may follow up with the patient after being discharged to ensure no further complications.
    14. Hospital submits final bill to insurance company.
    15. For charges over a certain level, the insurance company’s negotiated rates no longer apply. For those claims, representatives from the insurance company must negotiate on a case by case basis.
    16. Insurance company pays hospital directly for their portion of the costs based on the parameters of the insurance contract.
    17. Insurance company submits an Explanation of Benefits (EOB) to the patient with a high-level itemization of treatment costs, the amount that the insurance paid and the amount that the patient owes.
    18. Patient, who is typically a layperson and is unfamiliar with the details of their insurance contract, must understand the EOB and submit payment. They must contact the insurance company with any questions or to dispute charges (by the way, insurance companies have a 3.2% insurance company error rate that costs the U.S. $17 - $29 billion per year).10

      If insurance company service representative agrees with dispute, they must either approve the new charges themselves in the system or receive management approval. Assuming approval, representative then resubmit the claim whereby they pay the hospital the correct amount and reprocess and send a corrected EOB. Assuming denial, patient and claim get sent through an appeals process whereby an appeals committee get involved (to keep this as brief as possible, we won’t go down that path).
    19. Patient pays their portion of the bill to the hospital.
    20. Upon receipt of payment from the patient, the hospital notifies the insurance company, many of which will track and post the summary of payments on a secure web site for the patient’s review.
    21. All medical information, from doctor notes, to prescriptions to patient medical history are tracked separately by each facility and physician (sometimes still in paper files).
    22. Any follow up visits or additional hospital visits due to complications go through the same process.

    Important Note: The scroll box above reflects the typical experience of having any type of surgery in the U.S. that is paid for by insurance.

    It does not apply if you are financing bariatric surgery without insurance, as working directly with the best bariatric surgeons in the U.S. is often similar to (albeit more expensive than) working with the best surgeons abroad.

    Now contrast this with the international experience in the Process from Start to Finish section below, including both the amount of administration required and the level of attention placed on the patient.

    The complex U.S. interactions between the patient, employer, broker or consultant, insurance company, physician and/or hospital are replaced by a straight-forward all-inclusive bill from the international hospital. The focus of the surgeon and hospital is shifted from tracking and collecting money to patient care.

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    The Medical tourism / Medical travel process from start to finish

    If you choose to go the medical travel route for bariatric surgery, we recommend working with a medical travel agent for several reasons (explained further down the page).  In general, their fees are very reasonable if not completely covered by the savings they negotiate for you, and they can make your experience much easier and safer.

    Following is the typical medical travel experience assuming you use a medical travel agent…

    (Use the scroll bar on the right to review the list)

    1. Patient contacts health travel agent and reviews their medical history.
    2. Medical travel agent reviews physician-recommended bariatric surgery, selects the most appropriate hospitals and specific surgeons and, upon receiving approval from the patient, forwards the patient’s records to the surgeon abroad.
    3. Medical travel agent coordinates a call between the patient’s local physician and the surgeon abroad to discuss the patient and their chosen surgery.
    4. Surgeon abroad communicates all-inclusive charge:
      • Hospital stay
      • All surgeon discussions, including 24/7 access to actual surgeon’s home and/or cell phone
      • All nurse visits, sometimes including daily massage and food delivery
      • All prescriptions and hospital room amenities
      • All follow up calls and treatment, including any additional visits if necessary (most complications arise within 2 weeks after treatment, so it is recommended that patient stay near the hospital for at least 2 weeks following surgery).
    5. Medical travel agent coordinates patient’s trip, from travel to lodging to post-surgery recuperation lodging to vacations (if appropriate).
    6. Hospital loads all patient information into state-of-the art medical software, including medical history, hospital treatment, doctor notes, prescriptions and follow up visits. The software allows collaboration with the patient’s U.S. physician before, during and after treatment. It identifies problems such as negative effects of conflicting medications or previous medical issues such as surgeries that may have resulted in abdominal scarring.
    7. Patient travels to destination and receives surgery. Patient is not rushed out of the hospital, but are encouraged to stay as long as is necessary for a safe recovery.
    8. Depending on level of surgery, patient may move to a post-treatment resort where they will have access to a dedicated nurse and facilities that are specifically designed for post-treatment guests.
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    Finding The Best Hospitals & Surgeons for Weight Loss Surgery in Mexico or Abroad

    The best surgeon abroad is specific to each patient.  In addition to having the appropriate expertise and access to technology, you must feel comfortable with their abilities:

    1. Make sure the hospital is accredited by the Joint Commission International or, if considering Canada, Accreditation Canada. There are many other good accreditation organizations throughout the world, but JCI’s and Accreditation Canada’s standards are the most rigorous and respected.

      Click here to search the JCI's directory of accredited organizations by country (or see our Bariatric Surgery Canada page for Accreditation Canada).
    2. Choose at least 2 or 3 surgeons abroad and talk with them directly (or ask your medical travel agent to pair you with their top 2 or 3 choices). Ideally, set up a video conference so you can see each other while talking. You should walk away feeling confident in your surgeon’s experience and qualifications.

      There are several good medical travel books available with a complete list of questions to ask along with the answers you should look for.  We like the information provided in Patients Beyond Borders by Josef Woodman.

    If you decide to work with a medical travel agent, they will do most of the leg work for you which includes helping you choose a destination country and providing referrals to the best hospitals and surgeons.

    But it is always a good idea to double check their work. After all, you are the one having the surgery, and it is important that you feel comfortable with your surgeon and hospital.

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    Who can help Coordinate Weight Loss Surgery in Mexico or Abroad?

    Despite the common “Medical Tourism” title, the primary goal of medical travel is to have a successful procedure for a lower cost - not tourism. If you have the vacation time, you and your companion can explore your destination country before surgery, but you should plan to take it easy afterwards.

    In addition to learning about and feeling completely comfortable with the concept of surgery abroad, patients investigating medical travel will need assistance in...

    • Finding qualified surgeons and hospitals
    • Coordinating care between their physician at home and their surgeon abroad
    • Completing the necessary paperwork
    • Obtaining the proper travel documents
    • Arranging travel and tourism logistics (i.e. flights, hotels, after-surgery resorts, in-country assistance, travel documents, etc.)
    • Preparing for a new culture
    This is where medical travel agents come in. The best agencies will...
    • Provide you with user-friendly educational information about medical travel
    • Refer you to and partner with the highest quality accredited hospitals and facilities
    • Facilitate interaction with and coordinate care between your surgeon abroad and hometown physician
    • Coordinate the highest quality travel partners, including transportation, lodging and vacation packages if applicable

    Ask your chosen medical travel service directly about their charges as each is different. They are usually paid through a fee that is often bundled into the packaged price negotiated for your treatment. Their price is usually well worth it for a few reasons...

    1. They take an enormous amount of work off of your plate by coordinating everything for you which leaves you to focus on preparing for surgery.
    2. They know the process, so you can feel confident that no step will be missed.
    3. They are experienced in working directly with hospitals abroad. As a result, their negotiated savings are often much more than you could arrange by yourself. Often times the savings will completely offset their fees.

    It is common practice for agencies to provide you with a packaged price for their service then ask for a deposit. Your designated agent will provide you with enough information to get started, including...

    • Data on specific treatment centers and physicians
    • Advice on medical records and in-country procedures
    • Telephone consultation with physician or surgeon

    Next you’ll decide whether or not you want to engage their services. If you don’t, you lose your deposit (which pays them for the work they’ve already done). If you do move forward, you’ll pay another installment - usually between 25 and 50% of the entire packaged price.

    Another payment will be due prior to surgery, and then the final payment is paid when leaving the hospital.

    There are also medical travel agents that you “pay as you go” (PYG). They are a referral service rather than the full-blown broker described above. The PYG medical travel agents provide information about hospitals and physicians, airfares and vacation opportunities, but they rarely stay involved afterwards.

    Additional Weight Loss Surgery Mexico & Abroad Online Resources

    FDA’s Center for Drugs for regulations about bringing Rx back into the US

    Immunization recommendations - Centers for Disease Control and Prevention's (CDC) recommendations

    Passport info

    International travel research for general international travel information

    Tax information at the IRS site.  Type “medical deductions” in the search box provided and scroll down to find the most recent information.

    We recommend working with brokers to make sure you don’t miss anything. The last thing you need is to arrive in a different country and realize that there are still loose ends to figure out.

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    Medical Tourism Resources

    If you’d like to do more research before moving forward on your own or with a medical travel agent, check out the following...

    Essential Reading

    • Patients Beyond Borders by Josef Woodman
    • You: The Smart Patient: An Insider’s Guide for Getting the Best Treatment by Michael F. Foizen and Mehmet C. Oz
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    For additional research, search for your topic of interest...




    References for Weight Loss Surgery Mexico & Abroad

    1. JCI CORNER The Value of Accreditation. Medical Tourism Magazine. Oct 2007. Available at: http://www.medicaltourismmag.com/issue-detail.php?item=14&issue=1
    2. Hart LG, Skillman SM, Fordyce M, Thompson M, Hagopian A, Konrad TR. International medical graduate physicians in the United States: changes since 1981.
      Health Aff (Millwood). 2007 Jul-Aug;26(4):1159-69.
    3. Press Release: Microsoft to Buy Global Care Solutions. cnet news. Oct 2007. Available at: http://news.cnet.com/8301-10784_3-9806302-7.html
    4. Press Release: Patients Spent an Average of Four Hours and Three Minutes in U.S. Emergency Departments in 2008, According to Latest Press Ganey Report.
      Press Ganey. June 2009. Available at: http://www.pressganey.com/galleries/
      press-releases/2009_ED_Pulse_Report_Press_Release.pdf
    5. Press Release: Microsoft to Acquire Innovative Healthcare Technology and Assets From Global Care Solutions. PR Newswire. Oct 2007. Avialable at: http://www2.prnewswire.
      com/cgi-bin/stories.pl?ACCT=104&STORY=/www/story/10-29-2007/0004691768&EDATE
    6. MTA Releases First Patient Surveys on Medical Tourism. Medical Tourism Magazine. June 2009. Available at: http://www.medicaltourismmag.com/detail.php?Req=224&issue=10
    7. Medical tourist survey: 2008 report. Treatment Abroad. Available at: http://www.treatmentabroad.com/about/medical-tourist-research-about/
    8. Christopher Khoury. Americans Consider Crossing Borders for Medical Care. Gallup. May 2009. Available at: http://www.gallup.com/
      poll/118423/americans-consider-crossing-borders-medical-care.aspx
    9. Press Release: Worldwide Cost of Living Survey 2006 - City Rankings. PR Newswire. Source: Mercer Human Resources Consulting. Available at: http://www2.prnewswire.
      com/cgi-bin/stories.pl?ACCT=104&STORY=/www/story/06-26-2006/0004387489&EDATE
    10. Michelle M. Mello, Ph.D., J.D., David M. Studdert, LL.B., Sc.D., M.P.H., Eric J. Thomas, M.D., M.P.H.  Who Pays for Medical Errors?: An Analysis of Adverse Event Costs, the Medical Liability System, and Incentives for Patient Safety Improvement
      The Commonwealth Fund. April 2008. Available at: http://www.commonwealthfund.org/Content/Publications/In-the-Literature/2008/Apr/
      Who-Pays-for-Medical-Errors---An-Analysis-of-Adverse-Event-Costs--the-Medical-
      Liability-System--and.aspx
    11. Bariatric surgery costs for non-U.S. locations obtained from allmedicaltourism.com database (accessed Dec 21, 2009) which can be found at: http://www.allmedicaltourism.com/index.asp?ClearCurrentSelected=1
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