Duodenal Switch Surgery for Weight Loss

The Duodenal Switch, or Biliopancreatic Diversion with Duodenal Switch (BPD/DS), is a powerful bariatric and metabolic surgery that combines two methods of popular weight loss procedures; the sleeve gastrectomy and the RNY gastric bypass. The BPD/DS is performed in two stages; restricting the stomach size and rerouting the small bowel.

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 aggressive obesity treatments among all weight-loss surgical procedures with sustainable long-term weight loss results and reversal of comorbidities.

BPD/DS (and its variations SADi-S & SIPS) is a complex procedure that only a handful of surgeons are capable of. Dr. Rodriguez Lopez is recognized globally as the “Super Surgeon” for completing the most complicated surgeries.

With our leading surgical team, we believe that Mexico Bariatric Center® is the company with more duodenal switch patients across all of America.

Duodenal Switch Biliopancreatic Diversion with Duodenal Switch (BPD DS) in Mexico logo

Surgery Duration:
3 – 4 Hours

Hospital Stay:
3 Nights

Hotel Stay:
1-2 Nights

Back to Work:
3 – 6 Weeks

What is DS?

Duodenal Switch (DS or Switch for short) surgery utilizes both restriction and malabsorption mechanisms to yield significant weight loss.

  1. The duodenal switch surgery reduces your stomach’s capacity to hold less food and control calorie intake.
  2. The fat and calorie absorption reduction achieved by intestinal reconfiguration causes extreme weight loss compared to any other bariatric operation.

Due to its level of complexity, the risks of complications are slightly higher compared to other bariatric procedures. Nutrient deficiencies are also common as there is less food to digest and not all the nutrients get absorbed in the intestine. It offers an alternative to gastric sleeve patients who are seeking revisional second surgery.

Losing weight with Affordable Duodenal Switch BPD-DS in Tijuana Mexico

“Hotel is very clean, hospital staff speaks excellent English, and the drivers are sooo kind. As far as the surgery itself, mine has been amazing!”


Duodenal Switch Surgery

Duodenal Switch in Mexico $9,600 $7,995*

How Duodenal Switch Surgery Works

This procedure is performed in two stages: First, the gastric volume reduction similar to sleeve gastrectomy to lose weight (about 60 to 80 lbs); Second, rerouting the intestines creating two pathways and a common channel to induce malabsorption and therefore additional weight loss.

The digestive loop is the pathway for food to travel from the stomach to the common channel. The biliopancreatic loop takes bile from the liver and the pancreatic enzymes to the common channel. Food digestion occurs when the switched intestines meet in the common channel. That is where food and digestive juices get mixed before it enters the large intestine.

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

Restrict Stomach Capacity

Limits food intake and feel full from smaller sized portions.

Improves Satiety Hormones

Increased sensitivity to Leptin (protein) responsible for feeling full.

Absorb Less Calories

Food spends less time in the digestive tracts.

Reduce Hunger Hormones

Significantly reduces Ghrelin in the stomach so you feel less hungry.
Bariatric Specialized Hospital at Mexico Bariatric Center

Is Duodenal Switch Right For Me?

Duodenal Switch is a powerful weight loss surgery that requires a patient with greater life-threatening diseases more than other surgeries. Because of duodenal switch high expected weight loss, patients will be necessary these requirements:

  • Patients typically are needed to have a body mass index of 40 or more.
  • Patients with a BMI of 35 can be candidates for the duodenal switch as long as they have co-morbidities including type two diabetes, hypertension, high blood pressure, or other diseases.

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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.

On average 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 to 9 months and maximizes at 12 to 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*

In 2 years by following the proper post-op diet, exercise, 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.

Christopher - Duodenal Switch Surgery Before and After Photo
Traveling with Mexico Bariatric Center

Cost of Duodenal Switch Surgery in Mexico

The duodenal switch surgery is the most expensive procedure and far more complicated which only a small percentage of surgeons have the expertise to perform. In the U.S., the duodenal switch out-of-pocket costs are between $24,000 to $32,500.

The cost of duodenal switch surgery in Tijuana, Mexico, however, is considerably less expensive than the U.S. and Canadian counterparts. Mexico Bariatric Center is proud to be one of the few select centers in Mexico to offer duodenal switch surgery starting at $9,600 $7,995.

Why Choose Mexico Bariatric Center for Duodenal Switch Surgery?

Our All-Inclusive Duodenal Switch Package

Mexico Bariatric Center is one of the only providers providing duodenal switch surgery in Mexico. We represent some of the most qualified surgeons in Mexico, with two exclusive DS specialized surgeons Dr. Rodriguez Lopez and Dr. Jacqueline Osuna. Our surgical team has an impeccable track record for patient outcomes and success rates. If you are curious to learn more about the great benefits the duodenal switch has to offer, get approved today.

  • Private Ground Transportation

  • Accredited Hospital with ICU (2-3 nights)

  • Board Certified Surgeons

  • State-of-the-Art Medical Equipment

  • 4.5 Star Hotel (1-2 nights)

  • Pre-Op + Post-Op Nutrition Program

  • Online Support Group

  • U.S. Surgeon Liaison

  • Prepare Time-Off Requests Forms (FMLA)

  • No Hidden Fees

Ready for Duodenal Switch Surgery?

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  • Roshni - Duodenal Switch Before and After Picture at Mexico Bariatric Center-min
  • David - Duodenal Switch Before and After Picture at Mexico Bariatric Center
  • Michelle - Duodenal Switch Before and After Picture at Mexico Bariatric Center-min

Is Duodenal Switch in Mexico Safe?

Mexico Bariatric Center® offers Duodenal Switch in Tijuana starting from only $9,600 $7,995! This saves patients over 70% of the price that you can expect to pay in the United States and Canada.


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.

Out of dozen of weight loss surgery providers in Tijuana, there is nobody as experienced as super surgeon Dr. Rodriguez Lopez.
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.

Surgical Steps of the Duodenal Switch Surgery

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

These are the specific steps the surgeons use to ensure the highest level of safety and results for patients. After the patient is placed on the surgical table with the face-up and the arms spread apart.

Advantages of Duodenal Switch

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

Side Effects, Complications, and Risks

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.

Major Benefits of Duodenal Switch Surgery

A benefit of duodenal switch surgery is that it has high rates to improve or cure the most severe obesity-related health problems. Some of these comorbidities include type 2 diabetes, stroke, high blood pressure, heart disease, sleep apnea, depression, and many more.[2]

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.

An estimated 98% of patients with type II diabetes, 70% of patients with high blood pressure, and 75% of patients with high cholesterol are in remission or even cured after the surgery.[3]

  • Asthma/Breathing Issues
  • Type II Diabetes
  • Sleep Apnea
  • Dyslipidemia
  • Hypertension
  • Arthritis
  • Headaches and Migraines
  • High Cholesterol
  • Infertility/PCOS Syndrome
  • GERD and Acid Reflux
  • Cardiovascular Disease
  • Back and Joint Pain

Single Anastomosis Duodenal Switch

Single Anastomosis Duodenal Switch (Single Anastomosis Duodeno–ileal Bypass with Sleeve Gastrectomy, SADI-S) is a new type of DS surgery that uses a single anastomosis (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 classical 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 the 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: July 4, 2021, by Ron Elli, Ph.D.

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