Beyond weight

Bariatric surgery can become an important tool for taking care of your health, improving your quality of life, and helping you move toward the goals that truly matter to you. But your journey is not defined solely by a procedure, weight loss, or a number on the scale.
It is a deeply personal process that builds over time. It comes with new learnings, adjustments, lifestyle changes, and often a new way of understanding your body and its needs. There will be easier steps and others that will require more adaptation, and that is completely normal.
The goal is not perfection. It is to give yourself the best possible chance to build a more sustainable health, regain a better quality of life, and care for the body that carries you every single day. That same body that allows you to be present for the people you love, pursue your projects, travel, move, and experience everything that gives meaning to your life.
Because beyond weight loss, what matters most is everything you still want to experience.

A tool to support you

Surgery can become an important support system in your journey. It offers you a new tool, but it is over time, through learning and new habits, that you will learn to use it to its full potential.

A procedure tailored to you

There is no single surgery that suits everyone. Your health, medical history, lifestyle habits, and goals are carefully evaluated by the surgeon to determine the options that best correspond to your situation.

Preparing to better experience what comes next

Fully understanding your procedure, its risks, diet, supplementation, and upcoming changes allows you to approach this new stage with greater confidence, tools, and realism.

Being supported beyond

Your journey continues long after the procedure. Nutrition, supplementation, movement, medical follow-ups, and adapting to your new reality are all part of this evolution. And you don’t have to learn it all alone.

A project tailored to your health and your reality

Two people can have a similar weight or goal without sharing the same history or needs.

Your BMI is only one part of the picture. Your weight journey, health status, medical and surgical history, medications, eating habits, digestive symptoms, and personal goals can all be relevant when evaluating your situation.

So you don’t need to arrive knowing whether you should have a sleeve, a bypass, a bipartition, or another procedure.

Your starting point is you.

Your story, your health, and your goals kick off the process. The possibilities come next, in light of the medical evaluation.

01

Primary surgeries

Sleeve, bypass, mini-bypass, bipartition, and SADI-S are among the procedures that can be evaluated when considering primary bariatric surgery.

02

Revision surgeries

Have you already had bariatric surgery and your situation has evolved? A revision or conversion can sometimes be considered, depending on your initial procedure, your health, and your current situation.

03

Endoscopic approaches

Endoscopic sleeve or certain endoscopic revisions when this approach can be considered based on your initial procedure, your health, and your current situation.

Which approach might be right for you? It is your situation that serves as the starting point for the evaluation, not a pre-chosen procedure.

Procedures

Multiple tools, a decision tailored to your situation

Bariatric surgery includes various procedures that do not all work in the same way. Some primarily reduce stomach capacity, while others also alter the path food takes through the digestive system.

Therefore, choosing a procedure should not rely solely on its popularity or on someone else’s experience. Your health, your weight journey, your goals, your eating habits, certain symptoms or medical conditions, and your surgical history can all influence the options.

Gastric sleeve

Reducing stomach capacity

The sleeve gastrectomy involves removing a significant portion of the stomach to create a narrower, tube-shaped stomach. The intestinal tract remains unchanged.
In addition to reducing the amount of food that can be consumed, the procedure can influence certain hormonal mechanisms involved in hunger and satiety.
The sleeve is one of the procedures that can be evaluated during an initial bariatric surgery project. The presence of reflux or other medical factors can notably influence the surgeon’s evaluation.

Endoscopic sleeve or re-sleeve

An approach without abdominal incisions

In certain situations, an endoscopic sleeve can be considered to reduce stomach volume using endoscopic sutures, without removing part of the stomach and without abdominal incisions.
In someone who has already had a surgical sleeve, an endoscopic approach can sometimes be evaluated to reduce the volume of a stomach that has expanded over time. This is sometimes referred to as a resleeve or endoscopic revision.
However, this approach is not suitable for all situations. The surgeon must evaluate the anatomy, previous surgery, reasons for weight regain, or present symptoms to determine whether an endoscopic procedure can be considered.

Gastric bypass

Modifying the stomach and digestive tract

Gastric bypass involves creating a small stomach pouch that is then connected to a more distant section of the intestine. Food thereby follows a modified digestive path.
This procedure notably combines a reduction in stomach capacity with digestive and metabolic modifications.
It can be considered as a primary surgery or, in certain situations, as part of a conversion following a previous bariatric surgery.

Mini-bypass

Another digestive bypass approach

The mini-bypass, also called one-anastomosis gastric bypass, involves creating a narrower stomach that is connected to the intestine in order to alter the passage of food.
While it shares certain principles with the gastric bypass, its surgical configuration is different.
As with other procedures, its benefits, limitations, and key considerations must be evaluated according to each individual’s situation.

Intestinal bipartition

An approach that modifies the path food takes

Intestinal bipartition combines a sleeve gastrectomy with a modification of the intestinal pathway. A new path allows a portion of the food to reach a more distant section of the intestine, while also maintaining passage through the natural digestive tract.
It can be considered in certain situations based on the individual’s goals and medical profile.
This approach aims to combine different mechanisms that can contribute to weight loss and the metabolic effects of the surgery.

SADI-S

A procedure combining a sleeve with a major intestinal bypass

SADI-S combines a sleeve gastrectomy with a major alteration of the intestinal pathway. It is a procedure whose effects on absorption and digestive function differ from those of a sleeve alone. Therefore, it involves specific considerations, particularly regarding diet, supplementation, and long-term follow-up. The surgeon must evaluate whether this approach may be appropriate based on the individual’s medical profile and goals.

And what if you have already had bariatric surgery?

Revision or conversion

Having already had bariatric surgery does not necessarily mean that all options have been exhausted.
Over the years, various situations may lead an individual to request a new evaluation: weight progression, digestive symptoms, reflux, complications, or other concerns related to the previous procedure.
Depending on the initial surgery and current situation, the surgeon can evaluate whether a revision, a conversion to another procedure, or a different approach can be considered.
The goal is not to assume that a new surgery is necessary, but first to understand what is happening and obtain an evaluation tailored to your current situation.

Which procedure would be the most suitable for me?

You do not need to choose between a sleeve, a bypass, a mini-bypass, a bipartition, or a SADI-S before starting your process.

Your starting point is your story.

You tell us about your journey with weight, your habits, your concerns, your state of health, your goals, and what you wish to improve. Your file is then forwarded to the independent medical team so that the possibilities can be evaluated. It is the surgeon who will be able to suggest the procedures that may be considered, their benefits, their risks, and their long-term implications so that you can participate in an informed decision regarding your health.

Choosing to have bariatric surgery abroad naturally raises several questions.

Who will evaluate my file? Who will perform my procedure? Who will be able to answer my medical questions? What if something needs to be re-evaluated during my recovery?

That is why we feel it is important for you to know who the healthcare professionals taking care of the medical aspect of your journey are.

Voyages Renaissance collaborates with the independent medical team at Tu Peso Ideal, which specializes notably in bariatric, metabolic, laparoscopic, and endoscopic surgery.

The team works in a coordinated manner to ensure continuity between the evaluation of your situation, surgical planning, the procedure, and the medical follow-ups scheduled for your journey.

Dr Israel Augusto González González

Bariatric surgeon and founder of Tu Peso Ideal

Learn more about Dr. Israel González

Dr. Israel Augusto González González is a surgeon who graduated from Universidad Anáhuac Mayab. He pursued his training in general surgery, then developed advanced expertise in various fields directly related to bariatric management.

His background notably includes advanced training in bariatric and metabolic surgery, as well as advanced endoscopic surgery.

This combination is particularly relevant in the context of bariatric surgery, since options are not necessarily limited to a single technique or a first procedure. Some patients begin their journey with primary surgery, while others consult several years after an initial surgery to have their situation re-evaluated.

Training that goes beyond traditional bariatric surgery

Dr. González notably holds:

• A medical degree from Universidad Anáhuac Mayab;
• A specialization in general surgery from IMSS, Hospital de Especialidades No. 17;
• Advanced training in endoscopic surgery from UNAM / ABC Medical Center;
• Advanced training in bariatric and metabolic surgery from UNAM;
• An international fellowship in bariatric and robotic surgery at Vall d’Hebron University Hospital, in Barcelona;
• Board certification by the Mexican Board of General Surgery.

Professional medical licenses: General Medicine 6738453 and General Surgery 10003946.

Experience also focused on education

His career is not limited to clinical practice.
Dr. González is the founder of the Tu Peso Ideal bariatric medical center and is also involved in teaching advanced specialization programs in bariatric surgery.

He also participates in national congresses dedicated to bariatric and metabolic surgery and is a member of the Synod of the Mexican Council of General Surgery.

This involvement in education and the professional community is among the aspects of his background that we find valuable when selecting the independent professionals with whom we collaborate.

Before booking, better understand your situation

At Voyages Renaissance, we have chosen to begin your journey before the official booking of your trip. For us, it is important that you obtain a more complete overview of your situation and the identified risk factors before committing to your bariatric surgery project.

The analysis begins with a virtual meeting with an independent nurse who is a member of the collaborating medical team. Together, you will complete the necessary questionnaires, and the nurse will collect relevant information regarding your health, medical and surgical history, medication, weight loss history, lifestyle and dietary habits, as well as certain factors that may influence the risks associated with your project.

A requisition for blood tests and, when required, for additional complementary examinations is also provided to you so that the results can be included in the information considered in the analysis of your file.

The independent medical team thus has several elements to study your situation, notably your health and risk factor questionnaires, your blood test results, your BMI and weight history, your background, your medication, your eating habits, certain symptoms such as reflux, your previous surgeries, as well as your expectations and goals. If you have already had bariatric surgery, the information regarding that procedure and the evolution of your situation are also considered. Depending on your profile, additional information or examinations may be requested.

A report before making your decision

Based on the available information, the independent medical team analyzes your file and the risk factors relevant to your project. You then receive a report outlining the identified elements, medical recommendations, and, where applicable, conditions, optimizations, or additional examinations that may be recommended before moving forward.

This analysis also allows the medical team to consider the different bariatric approaches that can be considered according to your situation, rather than automatically starting from the procedure you initially had in mind.

This step takes place before the official booking of your trip. It therefore allows you to have more information in hand before booking your time off and starting to practically organize your stay.

Why did we choose to operate this way?

Because a bariatric surgery project should not simply start with “choose your surgery and book your trip.”

A sleeve, a bypass, a bipartition, or a revision surgery are not necessarily suitable for the same individuals. Your health, weight loss journey, diet, background, and reality must first be considered by the relevant healthcare professionals.

We also understand everything a project like this entails: coordinating work and family, taking time off, planning the budget, adjusting certain habits, preparing physically and emotionally, and sometimes waiting for this moment for several months.

We therefore prefer that any known elements that can be evaluated at this stage be reviewed as soon as possible, so you can move forward with a better understanding of your situation and make a more informed decision.

Our role at Voyages Renaissance is to coordinate this approach, help you understand the different steps, and support you throughout the entire process, without replacing the medical team. Medical evaluations, recommendations, and decisions remain the responsibility of independent healthcare professionals.

The displayed amounts are examples for indicative purposes only and do not constitute packages or a medical offer. Actual costs may vary depending on the procedure, the professionals and suppliers chosen, travel dates, and the specific needs of your stay. Surgeons, health professionals, hospitals, hotels, carriers, and other suppliers are businesses or professionals independent of Voyages Renaissance and remain responsible for the services they provide. Voyages Renaissance acts as an organizer and coordinator of your medical trip and your support.