Duodenal Switch Surgery in Mexico

The Duodenal Switch, short for Biliopancreatic Diversion with Duodenal Switch (BPD/DS), is a powerful metabolic bariatric surgery that combines two popular weight loss procedures: the sleeve gastrectomy and the RNY gastric bypass. The BPD/DS and its variations SADi-S are performed in two stages: resecting the stomach size and rerouting the small bowel.

Duodenal switch is a complex procedure that only a handful of surgeons are capable of performing. Mexico Bariatric Center® is the company with the most duodenal switch patients across all of America.

Duodenal Switch Surgery is a viable option for morbidly obese patients who have significant weight to lose, typically with a BMI of 45+. It is one of the most vigorous obesity treatments among all weight-loss surgical procedures with sustainable long-term weight loss results and reversal of comorbidities.

Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

Surgery Duration
3 – 4 Hours

Hotel Stay
1 Night Pre-Op

Hospital Stay
3 Nights

Back to Work
3 – 4 Weeks

How Duodenal Switch Surgery Works

Duodenal Switch (DS) surgery utilizes both restriction and malabsorption mechanisms to yield significant weight loss. It tackles obesity in 3 different ways,

Michelle Duodenal Switch Surgery

“140 pounds down. If you are on the fence, I suggest you leap over. 😉 It’s worth it!!”


Duodenal Switch Surgery

Common Channel (CC)

The digestive loop (alimentary limb) is the pathway for food to travel from the stomach to the common (shared) channel. The biliopancreatic loop (biliary limb) takes bile from the liver and the pancreatic enzymes to CC. Food and digestive juices get mixed when the switched intestines meet before they enter the large intestine. Here is where food digestion (fat, protein, and nutrient absorption) occurs.

Mexico Bariatric Center’s surgeons normally work with the 100-cm (40 inches) common channel.

Many bariatric surgeons use the Hess Method to determine limb and common channel lengths. Hess measures the entire small intestine length and uses 50% for the Biliopancreatic Loop, 40% for the Alimentary Loop, and 10% for the Common Loop.

Duodenal Switch Common Channel

Duodenal Switch Weight Loss Timeline

Patients are expected to lose, on average, 78% of their excess body mass because of two weight-loss components working together. Typically, patients experience losing 1/2 pound to 1 pound per day for the first 3 months after duodenal switch surgery. Weight loss typically slows down between 6 – 9 months and maximizes at 12 – 18 months postoperatively.

Average Expected Weight Loss1

  • 3 months: 35% excess weight loss*
  • 6 months: 55% excess weight loss*
  • 12 months: 75% excess weight loss*
  • 18 months: 80% excess weight loss*
  • 2 years: 82% excess weight loss*
  • 5 years: 82% excess weight loss*

In 2 years, by following the proper post-op diet, exercising, behavioral changes, and taking bariatric vitamins, patients can shed all of their excess weight. For super-obese patients, skin removal may be needed to reach their ideal weight. Long-term insufficient weight loss and weight regain seen in RNY gastric bypass patients do not appear to be an issue in patients who underwent BPD-DS.

Why Choose Mexico Bariatric Center for Duodenal Switch Surgery in Tijuana Mexico

Why Choose Mexico Bariatric Center?

Starting at $8,995 $6,695*

Mexico Bariatric Center is located just across the border in Tijuana, Mexico. MBC strives to offer the most affordable, quality, and reliable all-inclusive packages to medical tourists around the world.

Duodenal Switch Surgery All-Inclusive Package

Mexico Bariatric Center stands out as one of the few providers offering duodenal switch surgery in Mexico. Our team features some of the most skilled surgeons in the country, including Dr. Jacqueline Osuna, Dr. Jesus Ceja and Dr. Christian Rodriguez Lopez, who are exclusively specialized in DS procedures. With an outstanding record for successful patient outcomes, our surgical team is ready to provide you with the top-notch care you deserve. Discover the many benefits of the Mexico duodenal switch by getting approved today.

  • Private Ground Transportation
  • Accredited Hospital with ICU
  • Board Certified Surgeons
  • Hospital Stay & Fees (3 nights)

  • Nutrition Program
  • 1-Month Supply of Vitamins*
  • Online Support Group

  • U.S. Surgeon Liaison

  • No Hidden Fees

Duodenal Switch Surgery Before and After Photos

Tiara H Before Duodenal Switch
Tiara H After Duodenal Switch
Taylor M Before DS
Taylor M After DS
barbara before Duodenal Switch
barbara after Duodenal Switch
Jamie before Duodenal Switch
Jamie after Duodenal Switch
AJ before Duodenal Switch
AJ after Duodenal Switch
Meagan before Duodenal Switch
Meagan after Duodenal Switch
Skyler before Duodenal Switch
Skyler after Duodenal Switch
Ross before Duodenal Switch
Ross after Duodenal Switch
kate before
kate after
Christian DS before
Christian DS after
Kim DS before
Kim DS after
Roshni DS before
Roshni DS after
Justin DS before
Justin DS after
Tiffany DS before
Tiffany DS after
Christopher Before
Christopher After
David Duodenal Switch Before Picture
David Duodenal Switch After Picture
Michelle Duodenal Switch Before Picture
Michelle After
Sapp - Before Gastric Sleeve Surgery
Sapp - After Gastric Sleeve Surgery

Is Duodenal Switch Right for Me?

Duodenal Switch is a bariatric surgery that can produce the greatest overall sustainable weight loss. BPD/DS has higher success rates for patients who are super morbidly obese or at greater risk of life-threatening diseases than other surgeries. Patients must meet the following eligibility requirements:

  • Patients typically are needed to have a body mass index of 45 or more.

  • Patients with a BMI of 40 can be candidates for the duodenal switch as long as they have co-morbidities, including type 2 diabetes, hypertension, high blood pressure, or other diseases.

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Pros and Cons of Duodenal Switch Surgery

The BPD+DS can yield a substantial reduction of body fat, in many cases 150 pounds or more. It reduces your stomach’s capacity and detours fat and calorie absorption achieved by intestinal reconfiguration. Extreme weight loss is followed by many years of weight maintenance compared to any other bariatric operation.

Duodenal switch is so efficacious that 98% of patients with type II diabetes are “cured” after surgery.

The duodenal switch surgery dramatically improves and cures more obesity-related health issues in the long run, even better than gastric bypass or vertical sleeve gastrectomy.  Some of these comorbidities include type 2 diabetes, stroke, high blood pressure, heart disease, sleep apnea, depression, and many more.

  • 98% of patients with type II diabetes cease diabetic medications by 12-36 months
  • 70% of hypertensive patients with high blood pressure will be cured, and 10% improved
  • 75% of patients with high cholesterol are in remission or even cured after the surgery
  • 90% of patients with obstructive sleep apnea will be relieved[3]

Another significant benefit of the duodenal switch procedure is the preservation of the pyloric valve – leaving the bile and pancreatic fluid intact. This prevents marginal ulcers and dumping syndrome experienced by patients with Roux-en-Y gastric bypass.

Advantages of Duodenal Switch

The duodenal switch procedure is an effectual weight loss surgery that benefits life-threatening obesity conditions.

  • Partially Reversible: The malabsorptive aspect can be reversed, acting as a standalone gastric sleeve.

  • Eat Broad Range of Foods: Patients can consume a broad range of foods, similar to gastric sleeve and bypass.

  • Dumping Syndrome is Uncommon: We are one of the few U.S. companies with multiple surgeons on our team specializing in Mexican duodenal switch surgery.

  • Improve Health: A benefit of duodenal switch surgery is that it has high rates to improve or cure the most severe obesity-related health problems.

  • Obesity-Related Health Issues: Type 2 diabetes, High blood pressure, Sleep apnea, Dyslipidemia, Hypertension, Lung disease, Arthritis, Headaches and migraines, High cholesterol, Infertility/PCOS syndrome, Cardiovascular disease, Back and joint pain, Nonalcoholic fatty liver disease

Disadvantages of Duodenal Switch

Due to intestinal re-routing, stools tend to be stronger smelling similar to gastric bypass. The stool becomes loose if too much fat is consumed. Consuming excess carbohydrates, fiber, or carbonated drinks can also worsen flatulence.

  • Requires Vitamins: Requires close nutritional surveillance and following strict vitamin and supplementation in order to combat nutrient deficiencies. Protein-calorie malnutrition can cause loss of lean body mass.

  • No Revision Options: If the duodenal switch was not successful, there are no available revision options that have a high chance of success.

  • May Cause Anemia: Lack of iron after BPD/DS can cause anemia. This is why vitamins are so essential after surgery.

  • Risk of Gallstones: Gallstones are a common risk factor caused by losing weight after the operation.

Surgical Steps of the DS Procedure

The Duodenal Switch BPD-DS/SADI-s procedures take around 3 hours from start to finish. The operation time depends on the patient’s BMI, pre-op diet, and the surgeon’s skillfulness as well as experience. Patients’ healing is rather fast, and patients can return to work after two to three weeks following the surgery in Mexico. Mexico Bariatric Center keeps the patients for 3 nights in the hospital for safer recovery.

These are the specific steps the surgeons use to ensure the highest level of patient safety and outcomes. After the patient is placed on the surgical table with their face up and the arms spread apart. This procedure is performed in two stages: First, the gastric volume reduction is similar to sleeve gastrectomy to lose weight (about 60 to 80 lbs). Second, rerouting the intestines creates two pathways and a common channel to induce malabsorption and, therefore, additional weight loss.

Anesthisia Icon

1. Anesthesia Administered

General anesthesia is administered by the anesthesiologist and a breathing tube (endotracheal tube) is inserted into the esophagus.

Laparoscopic Incisions Minimal Invasive Icon

2. Cut 5 Laparoscopic Incisions

Surgeon makes 3 to 5 laparoscopic incisions in the abdomen and trocars (hollow steel tubes) are placed through as a passageway for surgical instruments.

Trocars Gastric Sleeve Icon

3. Abdomen Filled and Liver Lifted

The abdomen is filled with CO2 to separate stomach wall from the small intestine. The liver is gently pushed aside with a retractor by the assistant surgeon.

Removing the Stomach

4. Removing the Stomach

The greater curvature is released starting from the antrum to approximately two inches from the pylorus and an endoscopic cutter/stapler then cuts and staples the stomach along the bougie inserted through the mouth as a guide.

Reroute Intestine

5. Duodenal Switch

The GI tract is diverted into the [1] jejunum (60% of the small intestine which then hooks up with the ileum) and the [2] duodenum. The small intestine is then detached from the new stomach, 3 cm below the pyloric valve, and attaches to the last 40% of the small intestine (ileum).

gastric sleeve drain inserted icon

6. Biliopancreatic Diversion

The remaining small intestine is reconnected back to itself approximately 5 feet from its entrance back to the colon. Upon completion, the small incisions are closed by dissolvable sutures. The surgeon leaves a drain in the abdominal cavity to detect any possible leaks after surgery.

Is BPD/DS in Mexico Safe?

Mexico Bariatric Center® offers Duodenal Switch in Tijuana starting from only $9,600 $6,695! This saves patients over 70% of the price that you can expect to pay in the United States and Canada.

  • 1

    We are the most qualified provider of duodenal switch surgery in Mexico. Our team of highly trained bariatric surgeons has successfully completed hundreds of successful DS procedures.

  • 2

    Out of the dozen or so weight loss surgery providers in Tijuana, none are as experienced as super surgeons Dr. Jacqueline Osuna and Dr. Rodriguez Lopez.

  • 3

    We work in a high-volume hospital that specializes in bariatric surgery. Our private facility that goes above and beyond safety to practice under strict COVID-19 protocols and always using personal protective equipment.

  • Christian-before-and-after-DS-surgery-800x800px
  • Kate-before-and-after-DS-surgery-800x800px
  • Jamie-before-and-after-DS-surgery-800x800px
  • Justin-before-and-after-DS-surgery-800x800px
  • Dave-before-and-after-DS-surgery-800x800px
  • Tiffany-after-DS-surgery-800x800px
  • Danielle-before-and-after-DS-surgery-800x800px
  • Michelle-before-and-after-DS-surgery-800x800px
  • Roshini-before-and-after-DS-surgery-800x800px
  • David-before-and-after-DS-surgery-800x800px
  • Michelle-Christina-Duodenal-Switch-Surgery-Before-and-After-Photo-800x800
  • Kim-before-and-after-DS-surgery-800x800px
  • Christopher - Duodenal Switch Surgery Before and After Photo
Traveling with Mexico Bariatric Center

Cost of Duodenal Switch Surgery in Mexico

Duodenal switch surgery is the most intricate procedure, which only a small percentage of medical tourism companies offer. The cost of duodenal switch surgery in Tijuana, Mexico, however, is considerably less expensive than that of the U.S. and Canadian counterparts.

Mexico Bariatric Center has established itself as the center for DS surgeries worldwide. MBC is proud to be one of the few select centers in Mexico to offer duodenal switch surgery. Mexico Bariatric Center has priced its all-inclusive DS packages well below the competition, from $9,600 to $6,695.

Single Anastomosis Duodenal Switch (SADi-S)

Single Anastomosis Duodeno–ileal Bypass with Sleeve Gastrectomy (SADI-S), 0r SIPS, is a new type of classic DS surgery that uses a single union (reconnection process).

In Single Anastomosis DS, there is only one surgical connection between the stomach and the small intestines, as opposed to two in the conventional DS. This new procedure is showing promising results.

+ The total length of the small intestines varies from patient to patient, averaging about 6 meters or 20 feet long.

Duodenal Switch Surgical Procedure: Open vs. Laparoscopic

Duodenal Switch surgery can be performed open or laparoscopically. In open (traditional) duodenal switch, a long incision is made in the abdomen area. Open bariatric procedures are no longer performed by surgeons in the U.S. and Mexico.

Laparoscopic surgery is a modern surgical technique that helps faster healing, less trauma to the body and fewer complications. In the laparoscopic duodenal switch procedure, also called Minimally Invasive Surgery (MIS), five small incisions are made in the abdomen.

SADi - Single Loop Duodenal Switch

* Prices are subject to change. Not valid on blackout dates. Prices depend on the surgeon, surgery, additional fees, and schedule. Prices may rise because of BMI levels and previous abdominal surgeries.

** All of the testimonials are covered in our disclaimers. Individuals’ results may vary. There is no guarantee made by statements on this website.

Last Updated: May of 2024, by Ron Elli, Ph.D.

Reviewed by Dr. Kimberly Langdon, M.D. August 2018