★★★★★ 4.9 from 850+ reviews
Price updated October 2026
At Renew Bariatrics, SADI-S, a newer and simpler version of the duodenal switch, is $6,899 all-inclusive. US estimates for a duodenal switch range from about $25,000 to $35,000. Dr. Héctor Pérez performs SADI-S in Tijuana and Cancún.
Fully self-pay. HSA and FSA accepted, with financing available.
Free, no-obligation quote
A coordinator will contact you with your all-inclusive quote, with no commitment.
Prefer to talk? Call (844) 736-3963, available 24/7.
Prefer to talk? Call 24/7 (844) 736-3963
SADI-S prices
$6,899All-inclusive
A newer, simpler version of the duodenal switch: a gastric sleeve plus one intestinal connection.
Why SADI-S →$6,299All-inclusive
An alternative to SADI-S, with a lower risk of vitamin and mineral deficiencies.
Gastric bypass cost →$6,299All-inclusive
An alternative to SADI-S, with a longer, narrow stomach pouch and one connection.
About mini gastric bypass →Why SADI-S
Both versions of the duodenal switch start with a gastric sleeve and bypass a large part of the small intestine. SADI-S uses one intestinal connection instead of two, so it is simpler and faster to perform. In 2020 the ASMBS endorsed SADI-S as a modification of the duodenal switch and found its outcomes did not differ substantially from traditional BPD-DS.
| SADI-SSingle-anastomosis duodenal switch | Traditional DSBPD-DS | |
|---|---|---|
| Intestinal connections | One | Two |
| Operation time | 70 minutes on average in a matched study | 137 minutes in the same study |
| Total weight lost at 5 years | 36.0% in a multicenter study | 42.1% in the same study |
| Vitamin and mineral levels | Higher vitamin B12, iron, vitamin E and zinc levels | Lower levels of these nutrients |
| At Renew | $6,899, all-inclusive, with Dr. Pérez | Not performed. We perform SADI-S instead. |
Sources: ASMBS, the ASMBS updated statement on SADI-S, 2020 (operation time) and a multicenter DS vs SADI-S study, 5-year results (weight loss and nutrient levels).
Food goes through the smaller stomach and skips a large section of the small intestine, then mixes with digestive juices farther down. You feel less hunger and more fullness, with better blood sugar control.
The surgery starts like a gastric sleeve, making a smaller, tube-shaped stomach.
The first part of the small intestine (duodenum) is divided just after the valve at the bottom of the stomach.
The duodenum is connected to a lower part of the small intestine (ileum). This is the only intestinal connection.
For international patients
Approximate conversions of $6,899 USD at exchange rates from October 12, 2026. Packages are priced and paid in USD, so your final amount depends on the rate when you pay.
One price, everything you need
Some surgeons charge separately for pre-op testing and post-op visits. That’s why it’s important to choose an all-inclusive provider like Renew Bariatrics. We keep our prices low and transparent, without compromising on quality.
Compare locations
Typical duodenal switch prices, in USD. Many providers don’t include everything Renew includes, so transportation, hotel and nutritional support can be extra.
| Location | Typical duodenal switch cost | You save with Renew |
|---|---|---|
| Renew Bariatrics, Mexico | From $6,899All-inclusive | — |
| United States | $25,000–$35,000 | 72%–80% |
| Canada | $12,500–$20,000 | 45%–66% |
| Australia | $15,000–$27,000 | 54%–74% |
| Brazil | $15,000–$30,000 | 54%–77% |
| Japan | Up to $25,000 | Up to 72% |
| Europe | Up to $50,000 | Up to 86% |
See Houston vs Mexico, Dallas vs Mexico and costs for New Zealand patients.
Self-pay vs insurance
Renew Bariatrics is a fully self-pay company. We don’t accept insurance or Medicare. Only a few insurance plans cover the duodenal switch, so most patients pay out of pocket.
| Self-pay with RenewSADI-S in Mexico | Insurance in the US | |
|---|---|---|
| Your cost | From $6,899, all-inclusive | Only a few insurance plans cover the duodenal switch, so most patients pay $25,000–$35,000 |
| Time to your surgery | Weeks | Often months |
| Approval | In as fast as 24 hours | Doctor visits and evaluations first |
| Hotel, transportation and companion | Included | Usually separate |
Your exact quote
Our team reviews your health history and BMI before you get an exact price.
If you’ve had a gastric sleeve and want more weight loss, SADI-S can be done as a revision. Revisions are quoted after your medical review.
Flights, getting a passport or travel documents if you need them, and food for your companion are not included.
Paying for surgery
Renew Bariatrics is a fully self-pay company. We don’t accept insurance or Medicare, so you choose how to pay.
Use your health savings or flexible spending account card.
Apply with United Credit, with multiple plans and decisions within seconds.
Bariatric surgery financing →Compare personal loan offers through SuperMoney. Checking rates won’t hurt your credit score.
See loan options →Use a withdrawal or loan from your 401(k) or retirement plan, if your plan allows it.
Your surgery may be a deductible medical expense. Check with a tax professional.
Is bariatric surgery tax deductible? →Our team reviews your health history and sends your all-inclusive quote. Virtual consultations are available.
What patients say about our team and process, from Google. Want to talk with a past patient? Ask your coordinator.
“At first I was nervous and confused about location. But once it was all sorted out I had a great experience. The nurses, coordinators, and Dr. Perez were amazing. I would recommend Renew to anyone. I can already tell this is changing my life for the better.”
“The experience here was truly unmatched. Every person I came into contact with treated me like family. Dr. Perez had so much knowledge and compassion. I really can’t say enough good things about this entire experience.”
“The facility was so clean and the nurses and doctors were so kind and patient. Way better than US patient care. I would definitely come back.”
“It was an amazing experience with Renew. The health care team really do care for patients who come in. It was a pleasure.”
from 850+ reviews across 4 platforms
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At Renew Bariatrics, SADI-S is $6,899, all-inclusive. US estimates for a duodenal switch range from about $25,000 to $35,000.
SADI-S is a newer, simpler version of the duodenal switch. Like the traditional duodenal switch (BPD-DS), it combines a gastric sleeve with a bypass of part of the small intestine, but it uses one intestinal connection instead of two.
SADI-S uses one intestinal connection instead of two and takes less time to perform. The ASMBS found its outcomes did not differ substantially from BPD-DS. In a five-year multicenter study, BPD-DS patients lost somewhat more weight, and SADI-S patients had better vitamin and mineral levels.
Dr. Héctor Pérez is the only Renew surgeon who performs SADI-S. He operates at SER Hospital in Tijuana and Hospital Joya Cancún.
Yes. SADI-S can be done as a revision if you already had a gastric sleeve and want more weight loss. Revisions are a custom quote after your medical review.
Only a few insurance plans cover the duodenal switch. Renew Bariatrics is a fully self-pay company, so we don’t accept insurance or Medicare. Patients pay with HSA or FSA cards, financing, personal loans or a 401(k) withdrawal.
Renew’s $6,899 USD SADI-S is about CA$9,840 in Canadian dollars, £5,210 in British pounds, €6,150 in euros, A$9,890 in Australian dollars, NZ$12,300 in New Zealand dollars and MX$125,700 in Mexican pesos, at October 2026 exchange rates.
The 2022 ASMBS and IFSO guidelines recommend bariatric surgery for a BMI of 35 or more and say it should be considered for a BMI of 30 to 34.9 with a metabolic condition such as type 2 diabetes. Dr. Pérez reviews your health history before recommending SADI-S.
Yes. Vitamins and minerals aren’t absorbed as well after SADI-S as after a gastric sleeve, so you’ll take supplements and follow up with our nutritionists.
Since SADI-S is a medical procedure, many of its costs can be tax deductible, including surgery and related travel. Speak with your tax preparer about what you can claim.
You can get approved in as fast as 24 hours and have surgery within weeks.
Free personalized quote
Tell us a little about you, and our team will send your all-inclusive SADI-S quote. No commitment.
Double board-certified surgeons with 9,000+ surgeries.
Prefer to talk? Call 24/7 (844) 736-3963
Free, no-obligation quote
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No commitment. A coordinator will contact you.
