★★★★★ 4.9 from 850+ reviews
Laparoscopic sleeve gastrectomy · Tijuana and Cancún
Gastric sleeve surgery, also called sleeve gastrectomy or vertical sleeve gastrectomy (VSG), removes about 75% to 80% of the stomach and leaves a narrow, banana-shaped sleeve. At Renew Bariatrics it is $4,899 all-inclusive, with double board-certified surgeons in Tijuana and Cancún.
Private hospital room and bathroom, and 1 companion included. HSA and FSA accepted, with financing.
Free, no-obligation review
A coordinator will contact you about your options and quote, with no commitment.
Prefer to talk? Call (844) 736-3963, available 24/7.
Prefer to talk? Call 24/7 (844) 736-3963
How it works
The gastric sleeve is a laparoscopic bariatric surgery. It decreases how much your stomach holds and changes the signals that control appetite. It does not reroute the intestines, and it is permanent.
What to expect
How much you lose depends on your starting weight and on your diet, activity and follow-up. These are the figures from Mayo Clinic and the two largest randomized trials of the sleeve.
Reflux matters. The sleeve can cause new reflux or make existing reflux worse. In the 10-year SLEEVEPASS trial, reflux-related esophagitis was found in 31% of sleeve patients vs 7% after gastric bypass. If you have severe reflux or Barrett’s esophagus, gastric bypass may suit you better. Sleeve side effects.
Compare
Is the gastric sleeve the right tool for you? Your BMI, reflux history, medications, diabetes, previous surgeries and goals all affect which option fits best.
| Gastric sleeveSleeve gastrectomy | Gastric bypassRoux-en-Y | ESGEndoscopic | |
|---|---|---|---|
| Surgery required | Yes, laparoscopic | Yes, laparoscopic | No. Done through the mouth |
| Intestines rerouted | No | Yes | No |
| Permanent change | Yes. Part of the stomach is removed | Yes | The stomach is folded with sutures, not removed |
| Reflux | May cause or worsen reflux | Often preferred for severe reflux | Depends on the patient |
| Vitamins | Required for life | Required for life, with more monitoring | Depends on diet and medication |
| Price at Renew | $4,899 all-inclusive | $6,299 all-inclusive | Custom quote |
Also compare gastric sleeve vs gastric balloon.
Surgery or medication?
| Gastric sleeve | GLP-1 medication | |
|---|---|---|
| Treatment | One laparoscopic procedure that permanently reduces stomach size | Ongoing prescription treatment that affects appetite and metabolic signaling |
| Average weight loss | 25% to 30% of body weight within two years (Mayo Clinic) | 13.7% with semaglutide 2.4 mg and 20.2% with tirzepatide at 72 weeks (SURMOUNT-5) |
| How long | Permanent, with lifelong follow-up | Continued treatment is usually needed to keep the full effect |
| Main trade-offs | Surgical risk, recovery, reflux and vitamin monitoring | Stomach side effects, ongoing cost and weight regain after stopping |
The studies had different patients and time periods, so they aren’t a direct comparison. Medication and surgery can also work together: GLP-1 medication may be used before surgery, or after it for weight recurrence, as the ASMBS statement on weight recurrence describes. Renew’s GLP-1 program.
Am I a candidate?
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. BMI is only one factor.
Recommended regardless of obesity-related conditions.
Considered when you have a metabolic condition, such as type 2 diabetes.
Diet, exercise and medication haven’t given you the results you need.
You are healthy enough for surgery and anesthesia.
Tell your surgeon about heartburn or reflux. It can change which procedure is safest for you.
Long-term success depends on your diet, activity, vitamins and follow-up.
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The estimate uses 25% to 30% of total body weight within two years, from Mayo Clinic. It is not a medical assessment. Results vary. Get my free surgeon reviewOne price, everything you need
Your all-inclusive package covers everything except airfare and passport costs. Pay with financing, major credit cards or HSA and FSA funds. Your written quote lists every item.
In good hands
All four of our double board-certified surgeons perform the gastric sleeve in Tijuana. Dr. Pérez also operates in Cancún. Each one reviews your BMI, reflux, diabetes and prior surgeries before recommending a sleeve or another procedure.
Tijuana and Cancún. Also performs single-incision sleeves and revisions.
About Dr. Pérez →Tijuana. A laparoscopic specialist with 3,000+ bariatric procedures.
About Dr. Armenta →Tijuana. An early gastric sleeve pioneer and a sleeve patient himself.
About Dr. Cueva →In Tijuana, sleeve surgery is performed at SER Hospital and Obesity Surgical Center, under 25 miles from the San Diego airport. In Cancún, Dr. Pérez operates at Hospital Joya Cancún.
Safety and recovery
Bleeding, infection, reactions to anesthesia, blood clots, breathing problems and leaks from the staple line. About leaks.
Reflux, blockage, hernias, low blood sugar, malnutrition and vomiting.
Liquids first, then pureed foods, then regular foods about four weeks after surgery. Post-op diet.
Most people take 2 to 4 weeks off work and heal within 4 to 6 weeks. Strenuous work takes longer.
Risk and diet information from Mayo Clinic. Read the full gastric sleeve side effects guide and the pre-op checklist.
Getting started
Send your health history and our surgeons will review it. Virtual consultations are available.
Renew Bariatrics patients who had the gastric sleeve with each of our four surgeons.
“After having three children back to back, I literally turned to food as a coping mechanism for depression. The tool that you guys gave me a saved my life. It taught me how to have a different relationship with food.”
“15 months post op same clothes crazy progress”
Video testimonial
A Renew patient from Texas shares their gastric sleeve experience.
5-star Google reviews. Want to talk with a past patient? Ask your coordinator.
“We went to Tijuana and I had the gastric sleeve done. Dr. Green was my physician and surgeon. He made me feel very relaxed and at home and was very informative about the procedure. I couldn’t have asked for a better experience.”
“I had my gastric sleeve on 3-3-23 by Dr. Perez. The very next day I was up walking and climbed a set of stairs. The staff was very sweet, even with me not speaking Spanish.”
“Dr Armenta and all the staff are fantastic at Renew Bariatrics in Tijuana! I had the gastric sleeve and they have gone above and beyond to make sure I’ve had the best experience!”
“An excellent experience from the day I requested more information and they contacted me the next day. Everyone at the hospital was very kind and made my stay the best ever. I was fortunate to see Dr. Cuevas, an excellent professional for my gastric sleeve surgery.”
“I was very nervous but the staff answered my questions and made me completely confident in my decision to have gastric sleeve surgery with Renew. They shepherded me through the whole process including airport transfers and made it as easy as possible.”
“Everything went so smoothly from the time I began the process to actually having my gastric sleeve surgery. Nurses were on top of the call button. It never took more than 3 minutes for them to respond.”
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The gastric sleeve at Renew Bariatrics is $4,899 all-inclusive. It covers your surgeon and anesthesia, pre-op testing, 2 hospital nights in a private room, 1 hotel night, transportation, 1 companion, three leak tests, take-home medications, nutrition support and FMLA forms. Airfare is not included.
No surgery is risk-free. Patient selection, surgeon and anesthesia experience, the hospital, monitoring and follow-up all affect safety. Renew handles your transportation, and your surgeon will discuss your personal risks before surgery.
According to Mayo Clinic, most people lose about 25% to 30% of their total body weight within two years. In the SM-BOSS randomized trial, patients had lost 61.1% of their excess BMI at five years. Results vary.
The package includes 2 nights in the hospital and 1 night in the hotel. Your travel dates may vary depending on your surgeon’s advice and your recovery.
Most people take 2 to 4 weeks off work and heal within 4 to 6 weeks. Strenuous work takes longer. Follow your surgeon’s instructions for returning to work.
You follow a staged diet, starting with liquids and moving to purees, soft foods and finally small bariatric portions. In the first weeks, meals are about 2 to 4 tablespoons.
Yes. The sleeve can cause new reflux or worsen existing reflux. Patients with severe reflux or Barrett’s esophagus may be better suited to gastric bypass.
No. The removed part of the stomach can’t be restored. Revision surgery may be possible when it’s medically needed, but the sleeve itself is permanent.
Yes, for life, with regular lab monitoring. Your bariatric team will give you a plan based on your needs.
Weight recurrence can be treated with nutrition support, behavior changes, GLP-1 medication or revision surgery, after a medical evaluation.
Yes. 1 companion is included in your package.
If you travel between the United States and Mexico, carry an accepted passport or travel document. Rules can change, so check before you travel.
Free surgeon review
Tell us a little about you, and our team will follow up with your options and quote. No commitment.
Double board-certified surgeons with 9,000+ surgeries.
Prefer to talk? Call 24/7 (844) 736-3963
Free, no-obligation review
Form loading. Prefer to talk? Call (844) 736-3963, available 24/7.
No commitment. A coordinator will contact you.
