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My question to you is...do you have a dr. here in the states that is willing to take over your care once you are done??? From what I have heard, they have a terrible time getting your records from MX. Just be careful.

Not always the case. My doctor sent me home with a folder full of information to give my doctor in the US. It included my pre-op test results, and the surgeon's description and notes of my surgery. Everything that was done to me, and it was all in English. My US doctor actually commented on how thorough it was.

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My question to you is...do you have a dr. here in the states that is willing to take over your care once you are done??? From what I have heard, they have a terrible time getting your records from MX. Just be careful.

I have never found it necessary to request my medical records from any of my MX surgeries. Surgeons up here have never hesitated in treating me

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My surgery was 18K and I had it done in the same city in which I live in the #1 ranked hospital. My surgeon has a perfect record (he has never had a leak and mortaliy is 0%) and while he's kind of full of himself, I absolutely feel like I got what I paid for. I don't have to worry about any type of complications being untreated or unrecognized because his office is 20 minutes from my house. Also, as a self-pay patient I had BLIS insurance which covers any kind of issue I may have for the first several months. When I first found out the price it was a bit of sticker-shock, but I feel like there are some things in life where low cost leadership is not the marketing strategy that appeals to me.

There are great surgeons in Mexico, but the personal cost of traveling out of the country for a surgery that could ultimately kill me if I didn't have access to my doctor after the surgery, was not worth saving 10K.

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My question to you is...do you have a dr. here in the states that is willing to take over your care once you are done??? From what I have heard, they have a terrible time getting your records from MX. Just be careful.

I was discharged with everything I needed. They included a description of what was done to me, my blood work, EKG results, a video of my leak test, list of medications given and discharge and diet instruction.. This was all included in my $4,500 surgery cost. What more "records" does one need? I received follow up care from my GP. Couldn't be easier.

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The skill. You get what you pay for.

Nope- there is nothing that's further from the truth. Sorry I respectfully disagree with ya :)

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Nope- there is nothing that's further from the truth. Sorry I respectfully disagree with ya :)

Everyone is entitled to their opinion.

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Everyone keeps saying you get what you pay for. I bet there is truth to that in a way that if someone has been doing it since the 80's as opposed to the past 3 years. I've been trying to decide which surgeon and facility to go with and and I think there is not truth in a way that complications can arise from any surgery and surgeon and facility. I would like to think that if I am paying more to have someone - like a skilled and experienced surgeon perform my surgery in a hospital, keep me on an iv to administer fluids and meds to control my pain and antibiotics for 2 nights instead of taking me right to a hotel to recover with pills... I think I can make the generalization make more sense.

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I was discharged with everything I needed. They included a description of what was done to me' date=' my blood work, EKG results, a video of my leak test, list of medications given and discharge and diet instruction.. This was all included in my 4,500 surgery cost. What more "records" does one need? I received follow up care from my GP. Couldn't be easier.[/quote'] Same here and I have had no problems. It was easy and economical, and I couldn't be happier!

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Everyone keeps saying you get what you pay for. I bet there is truth to that in a way that if someone has been doing it since the 80's as opposed to the past 3 years. I've been trying to decide which surgeon and facility to go with and and I think there is not truth in a way that complications can arise from any surgery and surgeon and facility. I would like to think that if I am paying more to have someone - like a skilled and experienced surgeon perform my surgery in a hospital' date=' keep me on an iv to administer fluids and meds to control my pain and antibiotics for 2 nights instead of taking me right to a hotel to recover with pills... I think I can make the generalization make more sense.[/quote'] Two people I personally know, had the surgery here in reputable hospitals, by experienced surgeons, have had repeated problems! Both had to return to the operating room several days after the initial surgery, due to complications. I went to a surgeon in Mexico, who probably has more experience with the sleeve than the US surgeon and have not had any issues. Lots of people here were still getting the lap band, at their surgeons suggestion, because the approval for the sleeve was still up in the air. The claim was, the research was not complete, and insurance was calling it experimental. They have been doing them in Mx for much longer. The fact i, though that each individual is different, any surgery comes with some risks, you just have to decide if you are willing to take the risk...I was, I couldn't afford the surgery here at home and my weight was slowly killing me anyway. My trip to TJ was a lifesaver for me...

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If you get what you pay for then you get a rich hospital!! When I inquired at the hospital near me in Indiana the surgeon wanted 6000 but the hospital 20 000 dollars!!! Truth is, you really just get ripped off by the hospitals and not by the surgeons...so not sure what you pay for, but the surgeon isn't really expensive.

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If you get what you pay for then you get a rich hospital!! When I inquired at the hospital near me in Indiana the surgeon wanted 6000 but the hospital 20 000 dollars!!! Truth is, you really just get ripped off by the hospitals and not by the surgeons...so not sure what you pay for, but the surgeon isn't really expensive.

Since the surgeon has to do the procedure in the hospital, why separate the two costs? That could be misleading for those seeking to self pay...

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No clue why they separated it - but that was the way I was given the quote...

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Most docs who have self pay rates that I have researched do break things down - since insurance isn't involved, all the money is going straight to the entity. My center gave me the fees broken down by surgeon, hospital, and anesthesiologist.

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my fees have been broken down also.

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I like this thread. I was quoted a self-pay price in Evansville, IN of $32,000 out the door for sleeve surgery. Turns out the I would have been the surgeon's 23rd sleeve procedure EVER...(only found that out after deciding to pursue other options). How scary is that?! My cost in Tijuana by a much more experienced surgeon was about 80% less. Oh, and I got my surgical notes about 10 days after my procedure and took them to my US primary care physician who told me I did a great job selecting my surgeon!

Conversely, I was quoted about $8,900 for plastics in Tijuana and $11,200 in Indy for the same procedures.

My thought is this...US hospitals charge more because they CAN - usually insurance companies pay the bills. Plastics is an elective thing, so doctors have to compete to get business and don't have insurance companies paying unlimited amounts. So, I think the US hospitals would be more competitively priced if they determined they HAD to be more competitive. My two cents!

I finally got to the point where I had to decide if I was open to the possibility that there was good medical care outside the US. And I was so pleasantly surprised by Tijuana. Would definitely go back and would be confident sending friends/family there. It's a really personal decision.

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

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    • ChunkCat

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      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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