All are laparoscopic, and all demand commitment to follow-up. What sets them apart is the mechanism — restriction, malabsorption, hormonal effect — and who each one is meant for.
Procedures · Surgeries & balloons
I perform nine bariatric procedures in Mexico, at my hospitals in Cancún: six surgeries (sleeve, bypass, mini bypass/BAGUA, SASI, SADI-S, and intestinal bipartition), two non-surgical gastric balloons (Allurion and Spatz3), and revision surgery. There’s no single “best” procedure — the right one comes down to your BMI, your health, and your goals.
01 · Bariatric surgeries
All are laparoscopic, and all demand commitment to follow-up. What sets them apart is the mechanism — restriction, malabsorption, hormonal effect — and who each one is meant for.
Laparoscopic surgery that removes 75–80% of the stomach to curb appetite. The most performed bariatric surgery in the world; 1–2 nights in the hospital.
See the procedure →Restrictive and malabsorptive, backed by decades of long-term data. The go-to when type 2 diabetes or severe reflux is in the picture.
See the procedure →A bypass variant built with a single connection: less time in the operating room, with results comparable to the traditional bypass.
See the procedure →A gastric sleeve plus a single ileal anastomosis that keeps the natural passage through the pylorus. Strong metabolic effect for type 2 diabetes.
See the procedure →A sleeve plus a single-anastomosis duodeno-ileal bypass. The strongest option for very high BMI or severe diabetes; recognized by the ASMBS.
See the procedure →A sleeve with a dual intestinal pathway that works hormonally. Classified as investigational by the IFSO (2022), for type 2 diabetes with obesity.
See the procedure →02 · Gastric balloons
If you’re not a candidate for surgery — or simply don’t want it — there are gastric balloons: temporary, no scalpel, with a supervised nutrition plan. They’re not for everyone either; I’ll tell you straight if you’re a candidate.
A swallowable balloon — no surgery, no anesthesia, no endoscopy. A 4-month program with a supervised nutrition plan.
See the procedure →An adjustable endoscopic balloon for 6–12 months: its volume is adapted in the clinic as you progress.
See the procedure →03 · Revision surgery
Regain — or not losing enough — after bariatric surgery is not your failure, and it has options. The first step is always an honest assessment of what happened and what makes sense now.
Correction or conversion of a previous bariatric surgery due to insufficient weight loss, regain, or complications.
See the procedure →04 · How to choose
The choice comes down to your BMI, your diabetes, your reflux, your surgical history, and your goals — not to a catalog. WhatsApp me your weight, height, and medical conditions and I’ll tell you straight which procedure fits your case, within 24 hours. And if you’re not a candidate, you’ll hear that from me too.
05 · Why Mexico, why Cancún
If you are searching from abroad, the first decision is Mexico and the second is where in Mexico. These are the facts on my side of that decision — all of them checkable before you book a flight.
You fly into CUN. Cancún has direct flights from roughly 90% of US hubs. You recover at your hotel, minutes from the Caribbean, and the minimum stay is three days before I clear you to fly home. That call is medical, not budgetary — if you need another day, you stay.
I operate at three private hospitals in Cancún: Hospital Joya in the hotel zone, Hospital Amerimed and Hospital Galenia downtown. Each is a private surgical hospital with ICU and 24/7 emergency capacity.
Once you are home, follow-up is virtual with a named team: Isabel Murra and Mercedes Rullán for nutrition, Adriana Palacios for bariatric psychology — plus structured six-month and one-year check-ins. WhatsApp stays open to me at any hour.
Next step
WhatsApp me your weight, height, and medical conditions, and within 24 hours I’ll tell you straight which one fits your case. You get me, not a coordinator.
I reply within 1 hour · 24/7