Bariatric Surgery in Mexico City

Bariatric surgery is a group of weight-loss surgeries that involves making changes to the digestive system, some of which are non-reversible. The idea behind these types of surgeries is to help patients lose weight by either limiting the amount of food they can consume/digest at any one time or reducing their body’s ability to absorb nutrients. Some procedures do both. 

Bariatric surgeries should only ever be the final option when diet and exercise have proved inadequate and there are now serious health concerns caused by a person's weight. In general, these surgeries can only be an option for patients whose body mass index (BMI) is 40 or higher (extreme obesity). In certain cases, patients whose BMI is 30 to 39.9 may qualify for certain types of bariatric surgery if they have serious weight-related problems, such as type 2 diabetes.

The three most common types of Bariatric Surgeries are as follows:

1. Gastric Sleeve – The most common surgery, in which about 80% of the stomach is irreversibly removed, resulting in a sleeve or tube-like structure. This smaller stomach will not be able to hold as much food and produces less of the hormone that regulates appetite (ghrelin), which can lessen the patient’s desire to eat. 
2. Gastric Bypass – A more complicated procedure in which the stomach is divided into two parts; a small upper pouch and a large lower ‘remnant’ pouch. The small intestine is rearranged to bypass the large pouch. As a result, the volume of the stomach is significantly reduced. This causes food to go into the small upper pouch of the stomach and then directly into the small intestine. The small upper pouch can only hold around an ounce of food. Gastric Bypass is typically not reversible. 
3. Gastric Band – Involves an inflatable silicone device that is fitted around the top portion of the stomach to create a smaller stomach pouch. This procedure causes the patient to feel fuller with less food but still allows the body to digest food as usual, without malabsorption. The device can be removed when the patient reaches their desired weight.

The bariatric surgeries mentioned above are typically performed laparoscopically, in which the surgeon creates around one to five small incisions in the abdomen to insert a laparoscope (a long narrow tube with a camera) and surgical tools. The patients are usually given a general anesthetic, so they will not feel anything throughout the surgery.

How Long Should I Stay in Mexico City?

After bariatric surgery, an overnight stay in the hospital is usually required. In some cases, you may need to stay longer (around 3 to 5 days). However, it is not advisable to leave Mexico City as soon as you are discharged from the hospital. Stay at least 10 to 14 days following your surgery for initial recovery and follow-up checkups. During the follow-up checkups, your surgeon will remove your stitches and check your overall condition.

What's the Expected Recovery Time?

The recovery time may take around 3 to 6 weeks until you are allowed to go back to your normal activities, including work, with some restrictions. You must avoid heavy work and strenuous activities, such as lifting, pushing, or carrying heavy loads for at least the first three months after surgery. You should also avoid sitting and standing without moving for long periods to avoid blood clots forming in your legs.

What Aftercare is Required?

You will be given a special diet plan immediately after your surgery, as well as detailed post-operative instructions. Make sure to follow the diet plan and instructions to avoid complications and speed up your recovery. In order to maximize and maintain weight loss, it is important that you commit to healthy eating and regular exercise. There may be restrictions on how much food you can consume. You may also need to change your eating habits, such as eating 6 small meals instead of 3 large meals each day. You should take vitamins and mineral supplements to ensure proper nutrition. 

What's the Success Rate?

The success rates vary for each of the different types of bariatric surgery. In general, within the first six months following the surgery, most patients lose around 30% to 55% of their excess weight. Then, as early as 12 months after surgery, most patients lose over 70% of their excess weight. Patients could also maintain a 50% to 60% loss of excess weight for 10 to 14 years after their bariatric surgery. Although the success rates are high, there are risks associated with bariatric surgery, such as bleeding, deep vein thrombosis, infections, spleen injury, stenosis, and infections.

Are there Alternatives?

There is a non-surgical Bariatric procedure, known as the Gastric Balloon. This involves an inflatable device that is temporarily inserted into the stomach via endoscopic placement. A sizable area of the stomach is obstructed by the balloon or balloons, thus reducing the amount of food it can contain at any one time, leading to eventual weight loss. The balloons are usually removed after 6 or 12 months. 

If you cannot or do not want to undergo any surgery or medical procedure, you may be able to work with a doctor who is experienced in treating extreme obesity and a dietician as the alternative. They may recommend you to change your diet, adding physical activity, and prescribe medications.

Bariatric Surgery in and around Mexico City

About Mexico City

Mexico City is the capital of Mexico and is the largest and populated city with a population of around 9 million, whereas the greater metropolitan area has around 21.2 million.

Mexico City is not only the political, administrative, and financial center of Mexico but also a major center for medical tourism within the country. It is a popular destination for affordable and quality medical care for many US and Canadian citizens and recently has started to attract Europeans and some Asian medical.

The City offers health care facilities and procedures at international standards and at a fraction of the cost when compared to the US and other countries. According to the Ministry of Health in Mexico, the competitive cost of medical care in the country allows an average saving of about 50% to 70% in various treatments and surgical procedures, and with the added benefit of small waiting times.

Mexico City offers state-of-the-art medical care in Cosmetic and Plastic Surgery, Cardiology, Orthopaedic, fertility treatments, and dental procedures. It has many famous hospitals with well-trained and board-certified doctors, and advanced medical equipment. Medica Sur, Hospital Espagnol, and Hospital Angeles, Dentalia Mexico City, and Ortopedia DF are some renowned hospitals and clinics in Mexico City. They have private rooms with all modern facilities and offer high standards of nursing care and the hospital staff all speak good English, which makes communication very easy.

Popular Areas in Mexico City

The City is located in the valley of Mexico and is surrounded by Mountains and two stunning snow-covered volcanoes, Popocatepetl and Iztaccihuatl tower above it. Though the city is very large, most of the popular attractions are in the historic city center, ‘Centro Historico de la Ciudad’. This is a 5.8 square mile UNESCO World Heritage site that has more than 14,000 important structures from the 16th to 19th Century.

Some important landmarks to visit in Mexico City are –

• Zocalo – The Constitution Square is right at the heart of the city. It measures around 240 meters in each direction and is the largest square in the world. The three major tourist attractions, the National Palace, the Metropolitan Cathedral, and the Templo Mayor dominate this area.
• The National Palace –is the official seat of power of the President and is situated on the east side of the Zocalo, The combination of history, beautiful architecture, and the best Diego Rivera murals in Mexico City make it a must-visit destination.
• Mexico City Metropolitan Cathedral – Made out of basalt and grey sandstone, this structure rests on top of the old Aztec temple precinct. It is one of the oldest and largest churches in the western hemisphere. Its prominent features are the bell towers and the statues of Faith, Hope, and Charity on the Clock Tower.
• Templo Mayor – It comprises the remains of the Great Temple of Tenochtitlan (of the Aztec period). It includes the finely sculpted circular disc which is more than three meters in diameter and weighs eight-and-a-half tons.
• The National Museum of Anthropology – One of the famous museums in the world and is in Chapultepec Park. It is very prominent due to the large monolithic figure at its entrance. It has a vast and impressive collection of archaeological discoveries and information about the life of the contemporary Indian inhabitants of Mexico.

The Palace of Fine Arts, Chapultepec Park, National History Museum, and Paseo de la Reforma and the Angel of Independence are other important landmarks of the city.

Weather and Climate in Mexico City

Mexico City has a subtropical climate because of its location in the high plateaus. It experiences mild and pleasant weather throughout the year. Summers are warm and winters are mild. The annual average temperature is 64°F. The temperature does not vary much throughout the year but the warmest month is May and the coldest is January. The average maximum temperature in summer is 77°F and the average winter temperature is 45°F.

The average annual rainfall of Mexico City is high at 33.31 inches (846.0 mm). June to September is the rainy season, with July being the wettest month. During the summer, there can be a few spells of rain.

The City has dry periods from January to April and November to December. February is the driest month of the year.

Getting Around in Mexico City

You can reach Mexico City by flying into Mexico International Airport which is known as Benito Juarez International Airport. It is the busiest airport in Mexico and serves many airlines. The major Mexican airlines Aeromexico and Aeromexico Connect operate flights to many Latin American cities and domestic and international destinations from this airport. Many American Carriers also have direct flights to Mexico City. Domestic carriers like Interjet and Volaris also operate out of the airport, connecting Mexico City to other domestic cities. The other airport in the city, Licenciado Adolfo Lopez Mateos International Airport (TLC) services low-cost domestic airlines.

There are many bus operators that offer bus service from US cities to Mexico City. The City also offers a well-planned transportation system to get around in which is the metro system, the downtown rail, light rail, normal buses, BRT (bus rapid transport), minibusses, and trolleybuses. Public transportation is very cost-effective and efficient, but can also be very crowded.

If you don’t want to travel by public transport, then you can choose Uber and other private taxi services. They are a bit more expensive but are stress-free.   

Tourist Visas in Mexico City

Foreign Nationals wanting to enter Mexico must get a visa in advance unless they belong to any of the 67 eligible visa-exempt countries like the United States, UK, Canada, and Australia, or one of the three Electronic Authorization System eligible countries. Mexico also offers visa exemption to the people of any nationality who have a valid visa from the US, UK, Canada. They can travel to Mexico with their valid passports and can stay for up to 180 days.

However, citizens of countries like India, Russia, China, Sri Lanka, and many other countries need to apply and get a visa in advance to travel to Mexico for tourism.

Additional Information

• The currency used in Mexico City is the national currency of Mexico, the Mexican Peso (MXN). You can exchange your national currency for Pesos at any of the banks, or at Foreign Exchange Bureaus. The currency value of one US dollar is 18.84 MXN. You can also use your debit, credit, and travel cards in the city.
• Mexico City has all the major national and international banks. In such a large city, there are no shortages of ATMs.
• Spanish is the language widely spoken in Mexico City. Nahuatl, Otomi, Mixtec, Zapotec, and Mazahuaare are other commonly spoken indigenous languages. Due to the large expat population, English is also popular in the city.
• The family community is an important aspect of Mexican life. The locals are very conscious of their responsibilities towards their family members.
• Catholic Christianity or Roman Catholicism is the major religion in Mexico City. 83% of the population follow this religion.
• You will find the City celebrating Mexican holidays, both historic and religious throughout the year. Some of the important holidays are the –
  • Constitution Day – First Monday of February
  • Benito Juarez Day – Third Monday in March
  • Independence Day – September 16
  • Revolution Day – Third Monday in November
  • Navidad (Christmas) – December 25