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Frequently Asked Questions

Weight loss surgery in Tijuana Mexico – Frequently Asked Questions


Do I qualify for Weight Loss Surgery?

  • Body Mass Index (BMI) of 31 and higher, or more than 100 pounds of overweight.
  • Obesity related diseases, such as type II diabetes (T2DM), hypertension, sleep apnea and other respiratory disorders, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders, or heart disease…
  • Difficulty or inability to achieve a healthy weight loss sustained for a period of time with prior weight loss efforts.

What is the size of my new stomach or pouch?

  • About 1 ounce, which is approximately the size of a small shot glass.

Can I trust the Hospital Quality Standars?

  • Definitely! Our facilities in Tijuana Mexico are certified and fully equipped with latest technology in the industry to perform any bariatric procedure in a safe and comfortable environment.

 Will the price effect the quality of medication and service?

  • No, in Long Term WLS / VSG Tijuana Mexico, we always offer the highest quality in our medical services, medical equipment and medical supplies. The health of our bariatric surgery patients is maintained with appropriate and premium medications from the best and most recommended pharmaceutical brands.

 What are my options after failed weight loss surgery?

  • In cases when the patients do not succeed on their weight loss surgery we can offer you a “revision surgery”, we are specialized on this procedure which is highly recommended and designed to repair another bariatric surgery performed in the past. Some weight loss surgeries can fail for the lack of technique of other Doctors or not following the post-operating food guidelines…

How much weight will I lose after surgery?

Expected weight loss the first month after surgery is from 20 to 30 pounds. After the first month you can expect 8 to 12 pounds per month, of all guidelines are follow…


When can I return to work?

Typically 2-6 weeks for most desk jobs, and 6-8 weeks for manual labor jobs. Keep in mind heavy lifting is not allowed the first 3 months post surgery.


How soon can I start driving after surgery?

You are allowed to drive when you are no longer taking narcotics and have enough mobility to drive safe.


How soon Can I start walking, swimming, lifting weights…?

Always check with your clinician before beginning any exercise program:

  • 1: You can start walking IMMEDIATELY!
  • 2: Swimming varies…  Do not start swimming until you have checked with a physician.
  • 3: Lifting weights varies with each individual. But it’s recommended to start 6 weeks after surgery.
  • 4: You can start aerobics approximately 6 weeks after surgery. Start slowly.  Listen to your body.
  • 5: Abdominal crunches; approximately 6-8 weeks.


 Will I need plastic surgery for the surplus skin when I have lost a lot of weight?

That is not always the case. As a rule, plastic surgery will not be considered for at least a year or two after the operation. Sometimes the skin will mold itself around the new body tissue. You should give the skin the time it needs to adjust before you decide to have more surgery.


 Why have I been requested to lose weight prior to surgery?

It’s not that you have to lose weight, the pre-op diet that we provide is focused to reduce your liver size and prevent any risk during surgery, also it helps you to have a better and faster recovery.

 How soon can I resume a normal diet after surgery?

Once you have completed your post-op diet (6 – 8 weeks) and your stomach is healed. You shouldn’t be eating any food that cause you discomfort or pain.

Do I need to continue with my post-op diet after the healing process?

No, after the post-surgery diet we suggest you to have a healthy and balanced diet for better weight loss results. Your diet should be low carb and high protein to help your body re-built muscle, also walking 30 minutes per day its recommended to activate and speed up your metabolism which is going to improve health and surgery results.

Will I be able to take my prescribed medications after surgery?

You may need to crush big pills the first 10-15 days post surgery.

Many obesity-related health problems can improve after weight loss surgery, but that doesn’t mean you should stop taking your medications. Talk to your main physician after stopping any medication(s). Also, don’t start medications without your surgeon’s approval, especially in the first weeks following your weight loss surgery.

Do I need to take vitamin supplements?

Yes, a daily multi-vitamin is recommended. It’s possible you may not get enough vitamins from three small meals a day. At your regular check-ups, your specialist will evaluate whether you are getting enough vitamin B12, folic acid, biotin and iron.

 Why is fluid important?

It is important to maintain fluids intake of about 64 ounces or more per day. This will help maintain the appropriate body levels of fluids and replace the losses from weight loss. You need to take small slow sips of fluids throughout the day… Fluids should have minimum calories, no caffeine and no carbonation. To help meet both nutrition and fluid goals you need to keep fluids separate from meals by at least 30 minutes.

Im i going to experience hair loss?

Statistics have shown that only 20 to 30 percent of the patients who had gastric sleeve experience this situation. Hair loss after weight loss surgery (especially gastric sleeve) is a temporary phase if the patient addresses this matter to his/her surgeon, primary physician or nutritionist, and follow all the indications provided.

Hair loss commonly arises on patients who had a malabsorptive procedures such as the gastric bypass, mini-gastric bypass, or duodenal switch. On these type of procedures, the nutrients (fat, protein, vitamins, etc) pass through a shortened intestine where they have less opportunity to be absorbed. Less nutrients absorbed = additional weight is lost.

To ensure the body gets enough vitamins and minerals to stay healthy, patients should be taking supplements and multivitamins prescribed by their doctor.

What do I do if I have gas and bloating? What if I have some diarrhea?

Some patients may experience these symptoms due to sugar found in milk products called lactose. If you are intolerant to lactose, it may cause cramping, gas bloating, and/or diarrhea. Switch to lactic products or soy products. Also make sure you are not eating too much or too fast. Slow down your eating, take small bites and chew well. If you get a severe dehydration you need and IV, got to the ER to have it applied by a nurse or a doctor.

 What if my weight loss slows down?

Your weight loss may seem like a staircase. You are also going to experience “plateaus” and this is normal. Everyone will lose weight at a different rate, so please do not compare yourself to other people. If you hit a plateau (not losing weight for longer than 2 weeks), continue to keep food records and track your exercise. You may need to adjust your diet or exercise to help with your weight loss. If a plateau last longer than 4 weeks call your dietitian.

What is the Honeymoon period?

Often you may experience a lack of appetite after surgery. In turn this often causes patients to skip meals, depriving themselves of the nutritional needs. You will need to plan to have 4-6 small meals per day to meet your nutrition goals and have a successful weight loss.

What type of food I should avoid after surgery?

No solid food within the first month after surgery, start with a liquid diet (we provide you the info). Once you pass the 4th phase, we recommend to stay away from sugar and high fiber consumption so you can have a better nutrient absorption. Try not to eat large portions of food and if you feel full stop eating.

What about alcohol consumption after surgery?

Alcohol after weight loss surgery is not well recommended, alcohol has a high number of calories, it also breaks down vitamins. An occasional glass of wine or other alcoholic beverage is not considered harmful.

Will I suffer from constipation? What should I do?

If you are experiencing constipation after weight loss surgery you may need to increase your fiber and fluid intake. Food records will help you quantify how much you are actually drinking. Adding a fiber supplement may help. If increasing fiber doesn’t help, you may try milk of magnesia, prune juice or stool softener. Increasing your physical activity it also helps to reduce constipation.

Why I shouldn’t drink liquids and eat at the same time?

Gastric Sleeve is a restrictive procedure (stomach reduction), you will get full faster if you do both, that’s why you have to drink water 45 min before or after your meal. That way once you eat you get the most nutrients from that meal.

What do I do if I am feeling nauseous?

First look at your eating behavior. You may be eating too much and/or too fast. It is also very important to keep food records to see if this is related to certain foods. Also contact us or our nutritionist if issue continues.

 What if I am vomiting?

Vomiting is not an uncommon occurrence, however it can be controlled. If you are vomiting, there are some things you should be looking out for.

  • Are you eating your food too quickly?
  • Note the texture of the food. Is it too dry? Most often you will find meats difficult to tolerate. Make sure your meat is moist. If you are still not tolerating them, you can make substitutions for these foods. Leave them out of your diet for a few weeks and try them again at a later date.
  • Are you chewing your food well? Enjoy, feel, and taste every bite.
  • Remember to drink fluids separately.
  • Do not eat and drink at the same time. Wait approximately 30 minutes before and after a meal to drink liquids. Most often liquids fill you up and may cause distress, making you feel like you need to vomit.
  • Alcohol and coffee create an acid environment in your stomach and can produce vomit.
  • Dinner after 7 pm also is important to be aware of.

Drinks you should avoid after weight loss surgery

  • Carbonated drinks
  • Drinks with caffeine; coffee, energy drinks, tea, etc. (You can replace these with decaffeinated presentations)
  • Sugar sweetened beverages

Note:Thick consistency drinks may be hard to digest the first 15 days post surgery

Why is protein so important?

Meeting your protein goals is essential. It will help to keep your body function properly, help the healing process, and preserve your lean body mass (muscles).

 What is dumping?

Almost flu-like symptoms (nausea, vomiting, sweating, bloating, diarrhea, etc.) that usually occur after high-fat or high sugary foods… The symptoms typically last about ½ hour. However, not everyone experiences dumping. To avoid these symptoms, you should select foods that have 14 grams of sugar or less per serving and 3-5 grams of fat or less per serving.

Traveling for weight loss surgery

 Do I need a passport to travel to Tijuana Mexico?

A passport is hands down the best form of identification & proof of citizenship, in case you don’t have a passport; bring with you an original birth certificate (A copy of a birth certificate is not recommended, you might have to go through secondary inspection) and an official identification like Drivers Licenses or State ID.

What do I need to know before I buy my flight?

Arrival to San Diego, CA. Airport from 8:00 am to 11:00 am and the Departure flight later than 3:00pm. Once you purchase your flight tickets, please let us know your full flight itinerary, including:

  • Airline
  • Flight number
  • Arrival / Departure time
  • If you have connected flights

*This will allow us to make your arrival and departure arrangements.

Is it safe to travel to Tijuana Mexico?

Tijuana Mexico is one of the most important borders in the world, every day thousands of people cross the border for medical, business, traveling, tourism and many other proposes. The last 8 years the Mexican government made a considerable effort to improve the security and low down the levels of violence and crime organization in Tijuana Mexico, protecting U.S. citizens and other visitors…

 What happens if I bring a companion with me?

We understand this is a big decision and you may need some support from your friends or family. But it’s important to know, that this package does not include handling reservations or transportation for your companion…

Companion can stay in your room with you thru the whole process ($20 USD per night/day). Companion can also stay in a hotel, average cost for a hotel room in Tijuana Mexico is around 45 – 90 dlls per night.

What do I need bring with me?

We strongly recommend you to bring a light weight luggage for weight loss surgery, you will only need one change of comfortable cloth and your personal hygiene items. Other personal items are not required.


 Am I going to be on surgery the first day?

Yes, once you arrive to the airport you’ll be driven to the Hospital in Tijuana Mexico, there you’ll pass through the pre op exams (blood and urine samples) and EKG, and once your results come in you will be ready for surgery, this is usually at around 1 to 3 pm.


 How many days I’m going to stay in Tijuana Mexico?

3 days and 2 nights (For example, if you’re arriving on Monday morning, you will be driven back on Wednesday to the airport). For 2 days you’ll be taken care of by our nursing staff, the third and last day you’ll be driven back to San Diego airport to board your flight.

* Patients undergoing Revision Surgery stay an extra day as part of their recovery.


 How often will I come back for checkups?

Unless you live close by every six months if not do general blood test every six months just to check that your levels are normal. We also recommend patients stay as connected to the program as possible by attending support groups regularly. So stay in touch on our Facebook group!