Procedure comparison · Tijuana and Cancún

Compare Bariatric Procedures

Compare the weight loss and revision procedures Renew Bariatrics offers side by side: how each one works, how much weight people lose in studies at 1, 2 and 5 years, the risks, pros and cons, and the price. Our surgeons will recommend one based on your BMI, health history and goals.

11Procedures compared
9,000+Surgeries performed
From $3,999All-inclusive
4.9From 850+ reviews

Prices are all-inclusive except airfare. HSA and FSA accepted.

Weight loss calculator Compare procedures →

Interactive tools

Weight loss calculator and procedure tools

Estimate your weight loss with each procedure, see which ones to ask about, or compare any two side by side. Nothing you enter is saved or sent.

Your sex, height and weight

Sex

Height5′ 6″

Weight260 lb

Your BMI–

Excess weight–

Estimated weight loss at 1 year

Hover over or tap an amount to see the studies behind it.

Surgical procedures

Gastric sleeve
Gastric sleeve, 1 yearPCORnet Bariatric Study, Annals of Internal Medicine, 2018: 25.2% at 1 year (PCORnet, US health systems)Kollmann et al., international cohort, BJS Open, 2026: 30.2% at 1 year (1,413 patients, BMI over 50)Your estimate applies this range to your current weight.
25–30% of body weight at 1 year
Single-incision gastric sleeve
Single-incision gastric sleeve, 1 yearAtaya et al., single-incision vs multiport sleeve meta-analysis, Cureus, 2023: Single-incision and standard sleeves had similar results. Figures below are for the standard sleevePCORnet Bariatric Study, Annals of Internal Medicine, 2018: 25.2% at 1 year (PCORnet, US health systems)Kollmann et al., international cohort, BJS Open, 2026: 30.2% at 1 year (1,413 patients, BMI over 50)Your estimate applies this range to your current weight.
25–30% of body weight at 1 year
Roux-en-Y gastric bypass
Roux-en-Y gastric bypass, 1 yearPCORnet Bariatric Study, Annals of Internal Medicine, 2018: 31.2% at 1 year (PCORnet)Kollmann et al., international cohort, BJS Open, 2026: 31.2% at 1 year (1,390 patients, BMI over 50)Your estimate applies this range to your current weight.
about 31% of body weight at 1 year
Mini gastric bypass
Mini gastric bypass, 1 yearKaragul et al., randomized trial, Medicina, 2024: 36.6% at 1 year (randomized trial, 20 patients)Your estimate applies this range to your current weight.
about 37% of body weight at 1 year
SADI-S
SADI-S, 1 yearSánchez-Pernaute et al., long-term SADI-S results, Obesity Surgery, 2022: 42% at 1 year (153 patients, one center)Your estimate applies this range to your current weight.
about 42% of body weight at 1 year

Non-surgical procedures

ESG
ESG, 1 yearSingh et al., ESG meta-analysis, 8 studies: 16.4% at 12 months (6 studies, 673 patients)Your estimate applies this range to your current weight.
about 16% of body weight at 1 year
Gastric balloon
Gastric balloon, 1 yearBalloon vs ESG meta-analysis, 2020: 10.35% at 12 months (meta-analysis)StatPearls, citing the ASGE balloon meta-analysis: 11.3% at 12 months (Orbera, 55 studies)FDA summary of the Spatz3 trial: 15.0% at 8 months, when the Spatz3 balloon is removed (187 patients)Your estimate applies this range to your current weight.
10–11% of body weight at 1 year

Revisional procedures

TORe
TORe, 1 yearMaselli et al., TORe in 284 patients, World J Gastrointest Endosc, 2023: 17.3% at 1 year with heat (argon plasma) plus a purse-string stitch (284 patients, one US practice)Jirapinyo et al., ABE TORe meta-analysis, Gastrointest Endosc, 2025: 12.8% at 1 year with the purse-string stitch pattern (5 studies, 687 patients), vs 6.5% with other patternsJirapinyo et al., ABE TORe meta-analysis, Gastrointest Endosc, 2025: 8.9% at 1 year across all techniques (12 studies, 1,154 patients)Ortega et al., TORe meta-analysis, Obesity Surgery, 2026: 8.0% at 1 year across all techniques (25 studies, 2,667 patients)Your estimate applies this range to your current weight.
8–17% of body weight at 1 year
Re-sleeve
Re-sleeve, 1 yearEl Khoury et al., re-sleeve study and review of 13 studies, Int J Surg, 2023: About 17% to 22% at 12 months in 4 studies (109 patients), calculated from the BMI before and after re-sleeveFilip et al., 3-year re-sleeve results, Chirurgia, 2019: About 24% at 1 year (27 patients), calculated from BMI 35.7 to 27.2Your estimate applies this range to your current weight.
17–24% of body weight at 1 year
Sleeve to bypass
Sleeve to bypass, 1 yearMatar et al., sleeve-to-bypass meta-analysis, Obesity Surgery, 2021: 22.8% at 1 year (17 studies, 556 patients)Diaz Del Gobbo et al., sleeve-to-bypass study, 2022: 20% at 1 year (32 patients, Roux-en-Y)Kermansaravi et al., sleeve to mini bypass, 5-year outcomes, Sci Rep, 2022: 26.6% at 1 year (mini bypass, 23 patients)Your estimate applies this range to your current weight.
20–27% of body weight at 1 year
Lap-Band to sleeve
Lap-Band to sleeve, 1 yearNazari et al., Lap-Band conversion study, 2022: 18.4% at 1 year (163 patients)Your estimate applies this range to your current weight.
about 18% of body weight at 1 year

These estimates are the averages we see across published studies. Your weight loss will be different. Renew Bariatrics makes no guarantees or warranties about results.

Faded procedures are outside Renew’s BMI range for that option. Revision estimates use your weight at the time of the revision. This isn’t a medical assessment, and our surgeons make the final recommendation.

Detailed comparison

Bariatric procedures compared in detail

How each procedure works, who it suits, how much weight people lose in studies, the risks, and the pros and cons. Weight loss is the share of total body weight lost, measured from the weight just before that procedure.

Surgical procedures

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Compare	Gastric sleeve	Single-incision gastric sleeve	Roux-en-Y gastric bypass	Mini gastric bypass	SADI-S
The procedure
Type	Laparoscopic surgery through small incisions	Laparoscopic surgery through one small incision at the belly button	Laparoscopic surgery through small incisions	Laparoscopic surgery through small incisions	Laparoscopic surgery through small incisions
How it works	About 80% of the stomach is removed, leaving a narrow sleeve	The same sleeve, done through one small incision at or just above the belly button	A small pouch is connected to the small intestine, so food bypasses part of it	A long, narrow pouch is connected to a loop of small intestine, with one connection	A sleeve is made, and the duodenum is connected to the lower small intestine
How it causes weight loss	Restrictive. The smaller stomach holds less food, and hunger hormones change	Restrictive, like the standard sleeve	Restrictive and malabsorptive. A small pouch limits food, part of the intestine is bypassed, and gut hormones change	Restrictive and malabsorptive, with one connection to the small intestine	Restrictive and malabsorptive. A sleeve limits food, and food skips a long section of intestine
Operating time	68 minutes (median)MBSAQIP	No significant difference from the standard sleevemeta-analysis	113 minutes (median)MBSAQIP	About 35 minutes shorter than Roux-en-Y on averagemeta-analysis	70 minutes on average in a matched studyASMBS
Stay at Renew	2 hospital nights, 1 hotel night	2 hospital nights, 1 hotel night	2 hospital nights, 1 hotel night	2 hospital nights, 1 hotel night	2 hospital nights, 1 hotel night
Who it suits
BMI range at Renew	29.5 to 65	29.5 to 35	29.5 to 55	29.5 to 55 (up to 50 with Dr. Pérez)	40 to 65
Best fit for	A BMI in Renew’s range with little or no reflux, who want a simpler surgery with no intestinal rerouting	A BMI of 29.5 to 35, no significant reflux, and a preference for the smallest scar	People with reflux or type 2 diabetes, up to a BMI of 55	People who want more weight loss than a sleeve, with no significant reflux. Up to a BMI of 55 (50 with Dr. Pérez)	A BMI of 40 to 65, or type 2 diabetes, for people who want the most weight loss
Not ideal for	People with significant reflux (GERD), which the sleeve can make worse	A higher BMI or past abdominal surgeries, where the standard approach may be better. Significant reflux	People who can’t avoid NSAID pain relievers or quit smoking, both of which raise ulcer risk	People with significant reflux	People with significant reflux, or who can’t commit to daily supplements and lab checks
Weight loss in studies
At 1 year	25–30%PCORnet Bariatric Study, Kollmann et al.	25–30%Ataya et al., PCORnet Bariatric Study, Kollmann et al.	about 31%PCORnet Bariatric Study, Kollmann et al.	about 37%Karagul et al.	about 42%Sánchez-Pernaute et al.
At 2 years	25–33%Mayo Clinic, Franken et al.	25–33%Ataya et al., Mayo Clinic, Franken et al.	about 33%Franken et al.	36–37%Franken et al., Karagul et al.	about 42%Sánchez-Pernaute et al.
At 5 years	19–27%PCORnet Bariatric Study, Kollmann et al., Franken et al.	19–27%Ataya et al., PCORnet Bariatric Study, Kollmann et al., Franken et al.	26–29%PCORnet Bariatric Study, Kollmann et al., Franken et al.	about 33%Franken et al., Musella et al.	34–39%Sanchez-Cordero et al., Sánchez-Pernaute et al.
Risks
Common side effects	Nausea and fatigue while healing, reflux, constipation and hair thinning during fast weight loss	The same as the standard sleeve	Dumping syndrome (up to 40%), nausea, loose stools and low iron or B12dumping consensus	Reflux, including bile reflux, loose stools and low iron or vitamins	Looser, more frequent stools and gas, plus vitamin and protein deficiencies
Serious risks	Staple-line leak, bleeding, narrowing and blood clots. 1.0% needed another operation within 30 daysMBSAQIP	Leak in 1.28% vs 0.6% for the standard sleeve, not a significant difference. Incisional hernia rates were similarmeta-analysis	Leak at a connection, bleeding and bowel obstruction. 2.5% needed another operation within 30 days, vs 1.0% after the sleeveMBSAQIP	Leak, bleeding and marginal ulcer. 8% were converted to Roux-en-Y within 5 yearsYOMEGA trial	Leak, bleeding and bowel obstruction. Short-term complications of 5.4% to 11.6% across 4 studiesreview
Long-term risks	Reflux. 31% had reflux-related esophagitis at 10 years, vs 7% after bypassSLEEVEPASS	The same reflux risk as the standard sleeve	Marginal ulcers (0.9% at 1 year to 11.4% over 8 years) and internal hernia (2% when gaps are closed)ASMBS, meta-analysis	Reflux symptoms in 41% at 5 years, vs 18% after Roux-en-YYOMEGA	Low vitamins A, D and K, iron and protein. The sleeve part can worsen refluxASMBS
Vitamins and follow-up	Daily vitamins and follow-up for life	Daily vitamins and follow-up for life	Lifelong vitamins, including B12, iron and calcium, with regular lab checks	Lifelong vitamins and lab checks	Higher-dose supplements and lab checks for lifeASMBS
Pros and cons
Pros	A simpler operation, with no intestinal rerouting Lowest surgical price at Renew Can be converted later if needed	One small scar, usually hidden in the belly button Similar results to the standard sleeve	Often preferred with reflux More weight loss than the sleeve on average The longest track record of these surgeries	The most weight loss of the bypasses at 5 years One connection and a shorter operation than Roux-en-Y	The most weight loss of Renew’s procedures Strong results for type 2 diabetes One intestinal connection
Cons	Permanent. Part of the stomach is removed Can cause or worsen reflux Less weight loss than bypass or SADI-S at 5 years	Only up to a BMI of 35 at Renew Same reflux trade-off as the sleeve Custom quote	Longer surgery than the sleeve Ulcer and internal hernia risk Lifelong vitamins and lab checks	Reflux is more common than after Roux-en-Y Lifelong vitamins and lab checks Less long-term data than Roux-en-Y	The highest risk of nutritional deficiencies Looser stools Only from a BMI of 40 at Renew
Cost
Price at Renew	$4,899	Custom quoteDr. Pérez	$6,299	$6,299	$6,899Dr. Pérez

Non-surgical procedures

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Compare	ESG	Gastric balloon
The procedure
Type	Endoscopic, through the mouth. No incisions	Endoscopic, through the mouth. No incisions
How it works	Stitches placed through the mouth make the stomach smaller. No part of it is removed	A balloon in the stomach helps you feel full on less food, and is removed after 6 to 12 months
How it causes weight loss	Restrictive. Stitches fold the stomach into a smaller tube. Nothing is removed	Space-occupying and temporary. The balloon fills part of the stomach so you feel full sooner
Operating time	80 minutes on averagemeta-analysis, 3 studies	Less than 30 minutes, under sedation
Stay at Renew	2 hospital nights, 1 hotel night	1 hotel night
Who it suits
BMI range at Renew	29.5 to 40	25.5 to 40
Best fit for	A BMI of 29.5 to 40, for people who want to avoid surgery and incisions	A BMI of 25.5 to 40, for people who want a temporary, non-surgical start
Not ideal for	A BMI above 40, or people who need surgery-level weight loss	A BMI of 35 or more, where a sleeve may give greater weight loss. People who can’t make a second trip for removal
Weight loss in studies
At 1 year	about 16%Singh et al.	10–11%Balloon vs ESG meta-analysis, StatPearls, FDA summary of the Spatz3 trial
At 2 years	18–20%Mayo Clinic, Singh et al.	Not enough dataFDA summary of the Spatz3 trial
At 5 years	about 16%Sharaiha et al.	Not enough dataFDA summary of the Spatz3 trial
Risks
Common side effects	Pain, cramping and nausea for the first several days	Nausea (90%), vomiting (72%) and stomach pain (60%), mostly in the first daysSpatz3 FDA trial
Serious risks	2% had a serious ESG-related adverse event, with no deathsMERIT trial	3.7% had a device- or procedure-related serious adverse event. 16.6% had the balloon removed earlySpatz3 FDA trial
Long-term risks	Less long-term data than surgery. Stitches can loosen over time	Weight can return after removal without lasting habit changes
Vitamins and follow-up	Vitamins and follow-up as advised by your care team	Follow-up and diet coaching while the balloon is in
Pros and cons
Pros	No incisions and nothing removed Quicker recovery than surgery	No incisions and nothing removed Temporary The lowest starting price at Renew
Cons	Less weight loss than surgery Less long-term data Custom quote	The least weight loss Removal is a second trip ($2,599) Nausea is common at first
Cost
Price at Renew	Custom quoteDr. Pérez	From $3,999Dr. Pérez

Revisional procedures

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Compare	TORe	Re-sleeve	Sleeve to bypass	Lap-Band to sleeve
The procedure
Type	Endoscopic, through the mouth. No incisions	Laparoscopic surgery through small incisions	Laparoscopic surgery through small incisions	Laparoscopic surgery through small incisions
How it works	A revisional surgery for gastric bypass patients. Stitches placed through the mouth tighten the stretched outlet of the pouch	A sleeve that has stretched is trimmed and stapled into a narrower sleeve	The sleeve is converted to a Roux-en-Y or mini gastric bypass	The Lap-Band is removed and the stomach is made into a sleeve, in one or two stages
How it causes weight loss	Restrictive. Tightening the outlet slows food leaving the pouch, so you feel full sooner	Restrictive. The stretched sleeve is made smaller again	Restrictive and malabsorptive, like a first bypass	Restrictive, like a first sleeve
Operating time	About 60 minutes	Longer than a first sleeve: 133 vs 106 minutesstudy	Longer than a first bypass: 145 vs 125 minutes on averagestudy	Longer than a first sleeve: 133 vs 106 minutes for revisional sleevesstudy
Stay at Renew	Same-day discharge or one monitored night, plus hotel nights	Confirmed in your quote	Confirmed in your quote	Confirmed in your quote
Who it suits
BMI range at Renew	Not set yet. Dr. Pérez confirms if it suits you	29.5 to 65	29.5 to 55 (up to 50 with Dr. Pérez)	29.5 to 65
Best fit for	Weight regain after a gastric bypass, when the pouch outlet has stretched	A sleeve that has stretched, with weight regain and no significant reflux	Reflux after a sleeve, or weight regain after a sleeve	Band problems such as slippage or pain, or weight regain, with no significant reflux
Not ideal for	Anyone who hasn’t had a gastric bypass	People with reflux after a sleeve, for whom conversion to bypass is usually considered	People who can’t commit to lifelong vitamins and follow-up	People with significant reflux, who may do better with a bypass
Weight loss in studies
At 1 year	8–17%Maselli et al., Jirapinyo et al., Jirapinyo et al., Ortega et al.	17–24%El Khoury et al., Filip et al.	20–27%Matar et al., Diaz Del Gobbo et al., Kermansaravi et al.	about 18%Nazari et al.
At 2 years	about 8%Ortega et al.	21–24%El Khoury et al., Gerges et al.	17–27%Diaz Del Gobbo et al., Kermansaravi et al.	about 19%Nazari et al.
At 5 years	about 9%Jirapinyo et al., Ortega et al.	15–22%El Khoury et al., El Khoury et al., Filip et al.	18–21%Diaz Del Gobbo et al., Kermansaravi et al.	17–23%Nazari et al., Lap-Band to sleeve study of 600 patients
Risks
Common side effects	Sore throat, nausea and upper belly discomfort in the first days	Similar to a first sleeve: nausea while healing, reflux and fatigue	The same as a first bypass: dumping, nausea, loose stools and low iron or B12	Similar to a first sleeve: nausea while healing, reflux and fatigue
Serious risks	Serious adverse events in 0.3% to 1.5% across meta-analysesOrtega, ABE	Leak in 2.0% and complications in 7.6% across 10 studiesmeta-analysis	Complications in 16.4% within 30 days and 11.4% after 30 daysmeta-analysis	Serious complications in 3.3% within 30 days. Leak in 2.5% vs 0.9% for a first sleeve, and higher with an eroded band12,085 US patients, 600 patients
Long-term risks	The outlet can stretch again, and weight loss fades over time	Reflux can continue or get worse. The sleeve can stretch again	Ulcers, internal hernia and nutrient deficiencies, as with any bypass	More reoperations than a first sleeve: 7.3% vs 3.2%study
Vitamins and follow-up	Continue your bypass vitamins and follow-up	Daily vitamins and follow-up for life	Lifelong vitamins and lab checks	Daily vitamins and follow-up for life
Pros and cons
Pros	No incisions, and the bypass stays in place Fewer adverse events than surgical revision: 6.5% vs 29%Dolan	No intestinal rerouting Keeps the sleeve anatomy	Often recommended for reflux after a sleeve Can be a Roux-en-Y or a mini gastric bypass	Removes the band and its adjustments No intestinal rerouting
Cons	Less weight loss than surgical options Results depend on the stitching technique Only after a gastric bypass	Higher leak risk than a first sleeve Fewer and smaller studies than other procedures Custom quote	More complications than a first bypass Weight loss varies widely between studies Custom quote	Higher leak risk than a first sleeve Less weight loss than a first sleeve Custom quote
Cost
Price at Renew	$8,599Dr. Pérez	Custom quote	Custom quote	Custom quote

Studies measure weight loss over different periods and in different groups of patients, so compare figures with care. Side effects are general descriptions, and your surgeon will go over the risks that apply to you. Prices are all-inclusive except airfare. See what’s included.

How they work

How each procedure works

Surgical proceduresDone laparoscopically, through small incisions

Illustration of a gastric sleeve, with up to 80% of the stomach removed — Gastric sleeveAbout 80% of the stomach is removed, leaving a narrow sleeve.

Illustration of a single-incision gastric sleeve, with one small incision at the belly button — Single-incision gastric sleeveThe same sleeve, done through one small incision at or just above the belly button.

Illustration of a Roux-en-Y gastric bypass, showing the small pouch and bypassed stomach — Roux-en-Y gastric bypassA small pouch is connected to the small intestine, so food bypasses part of it.

Illustration of a mini gastric bypass, with a long narrow pouch joined to a loop of small intestine — Mini gastric bypassA long, narrow pouch is connected to a loop of small intestine, with one connection.

Illustration of SADI-S, a sleeve with the duodenum joined to the lower small intestine — SADI-SA sleeve is made, and the duodenum is connected to the lower small intestine.

Non-surgical proceduresEndoscopic, done through the mouth with no incisions

Illustration of endoscopic sleeve gastroplasty, with internal stitches narrowing the stomach — ESGStitches placed through the mouth make the stomach smaller. No part of it is removed.

Illustration of single and dual gastric balloons in the stomach — Gastric balloonA balloon in the stomach helps you feel full on less food, and is removed after 6 to 12 months.

Revisional proceduresFor people who’ve already had weight loss surgery

Illustration of TORe, with an endoscope and stitches tightening the gastric bypass outlet — TOReA revisional surgery for gastric bypass patients. Stitches placed through the mouth tighten the stretched outlet of the pouch.

Illustration of a re-sleeve, with a stretched sleeve trimmed into a narrower sleeve — Re-sleeveA sleeve that has stretched is trimmed and stapled into a narrower sleeve.

Illustration of a gastric sleeve converted to a gastric bypass — Sleeve to bypassThe sleeve is converted to a Roux-en-Y or mini gastric bypass.

Illustration of a Lap-Band removed and the stomach made into a gastric sleeve — Lap-Band to sleeveThe Lap-Band is removed and the stomach is made into a sleeve, in one or two stages.

Which fits you?

Which procedure may suit you

You want the most common surgery

The gastric sleeve is the most performed weight loss surgery in the US (ASMBS estimate, 2023).

You have reflux

Gastric bypass is often preferred. In SLEEVEPASS, 64% of sleeve patients took reflux medication at 10 years, vs 36% after bypass (SLEEVEPASS).

You want the most weight loss, or have type 2 diabetes

The ASMBS describes SADI-S as highly effective for long-term weight loss and type 2 diabetes remission (ASMBS).

You’d rather avoid surgery

Renew offers ESG for a BMI of 29.5 to 40, and the gastric balloon for a BMI of 25.5 to 40.

You want the smallest scar

The single-incision sleeve is done through one incision at the belly button, with results similar to the standard sleeve (2023 meta-analysis).

You’ve already had weight loss surgery

See bariatric revision surgery for options after a sleeve, bypass or Lap-Band. After a bypass, TORe, an endoscopic revisional surgery, tightens a stretched outlet with no incisions.

You’d prefer medication

Our GLP-1 program offers oral and injectable medication with telehealth visits.

The 2022 ASMBS and IFSO guidelines recommend weight loss 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. Our surgeons also look at reflux, past surgeries and your health history.

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How to get a recommendation

Apply freeTell us about your weight, health history and the procedures you’re considering. Submit your health application.
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ScheduleA deposit secures your date. Pay the rest by card, HSA or FSA, or finance it.

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Send your health history, and our surgeons will review it and recommend an option. Virtual consultations are available.

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Gastric sleeve results from Renew patients

See more before and after photos →

All four patients had a gastric sleeve at Renew. Results vary.

Holly M. gastric sleeve before and after photo, lost 83 lbs — **Holly M.**Gastric sleeve
Lost 83 lbs
211 → 128 lbs · 1 year after surgery · Dr. Green
“I'm a physical therapy tech now I would have never been able to physically dp the job before it's been an amazing year.”

Lynzee E. gastric sleeve before and after photo, lost 101 lbs — **Lynzee E.**Gastric sleeve
Lost 101 lbs
273 → 172 lbs · 1 year after surgery · Dr. Armenta
“My weight has slowed down, maintaining in the 170s for the past few months, but I’m not giving up hope of reaching my goal!”

Catherine B. gastric sleeve before and after photo, lost 56 lbs — **Catherine B.**Gastric sleeve
Lost 56 lbs
196 → 140 lbs · 4 months after surgery · Dr. Perez
“The best thing is I accomplished my goal of getting off insulin and I’m off all 3 blood pressure meds I was taking!! I will be forever grateful to Dr Perez and the Renew team!”

Gena B. gastric sleeve before and after photo, lost 81 lbs — **Gena B.**Gastric sleeve
Lost 81 lbs
236 → 155 lbs · 2 years after surgery · Dr. Green
“I am very satisfied with my weight loss journey!”

Reviews from Renew patients

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5-star Google reviews from gastric sleeve patients. Want to talk with a past patient? Ask your coordinator.

★★★★★

“Staff is very friendly and very helpful. Dr. Green was so good and explained everything that was gonna happen. I had the gastric sleeve in Tijuana and couldn’t have been more satisfied with the whole experience.”

Brandy F. · Gastric sleeve · Google review

★★★★★

“I had the gastric sleeve done in Tijuana and it was great! Everything was very well explained, planned, and professional. I can not say one negative thing about my experience or the people I encountered.”

Tonia S. · Gastric sleeve · Google review

★★★★★

“I received gastric sleeve surgery in Tijuana. Dr.Armenta was my doctor. The staff and faculty are great and very friendly and made the process smooth and relaxing.”

Charles A. · Gastric sleeve · Google review

Read all patient reviews →

4.9

from 850+ reviews across 4 platforms

Ratings and review counts as listed on each platform. Select a platform to read reviews there.

Frequently asked questions

Which bariatric procedure is best?

There isn’t one best procedure for everyone. The right choice depends on your BMI, reflux, type 2 diabetes, past surgeries and goals. Our surgeons review your health history and recommend an option.

Which procedure leads to the most weight loss?

In studies, SADI-S and gastric bypass lead to more weight loss than the gastric sleeve. Endoscopic options such as ESG and the gastric balloon lead to less weight loss than surgery.

Is the gastric sleeve or gastric bypass better for reflux?

Gastric bypass is often preferred if you have reflux. In the SLEEVEPASS trial, 64% of sleeve patients were taking reflux medication 10 years after surgery, vs 36% after bypass.

What is the least invasive option?

The gastric balloon and ESG are done through the mouth with no incisions. TORe is too. It’s a revisional surgery for people who’ve had a gastric bypass. Our GLP-1 program is a medication option with no procedure.

How much does each procedure cost at Renew?

The gastric sleeve is $4,899, gastric bypass and mini gastric bypass are $6,299, SADI-S is $6,899, TORe is $8,599 and the gastric balloon starts at $3,999. The single-incision sleeve, ESG, re-sleeve, sleeve to bypass and Lap-Band to sleeve are custom quotes. Prices are all-inclusive except airfare.

Do you offer the Lap-Band?

Renew does not place new Lap-Bands. If you already have one, we offer Lap-Band removal and revision.

Can I change to another procedure later?

Often, yes. A gastric sleeve can be re-sleeved or converted to gastric bypass, mini gastric bypass or SADI-S, and a Lap-Band can be converted to a sleeve. See our revision surgery page for options.

Can I use HSA or FSA funds?

Yes. Renew accepts HSA and FSA funds and offers financing.

Procedure pages

Gastric sleeve$4,899Learn more →Gastric bypass$6,299Learn more →SADI-S$6,899Learn more →Gastric balloonFrom $3,999Learn more →

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Sleeve, bypass, SADI-S, ESG, balloon and revisions
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