{"key":"op_381_ES","page":{"url":"https://ua.bookimed.com/clinics/country=spain/procedure=metabolic-surgery/","procedure":{"id":381,"slug":"metabolic-surgery","name":"Метаболічна хірургія","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"endocrinology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Іспанія"},"currency":"USD","data_date":"2026-03-11"},"pages":{"clinics_url":"https://ua.bookimed.com/clinics/country=spain/procedure=metabolic-surgery/","cost_url":"https://ua.bookimed.com/clinics/country=spain/procedure=metabolic-surgery/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":16500,"to":24300,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":18000,"to":30000},"uk":{"from":9500,"to":14000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Барселона","from":16500},{"city":"Аліканте","from":9800},{"city":"Мадрид","from":11500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":4000,"to":4800},{"country_iso":"FR","from":8500,"to":13500},{"country_iso":"GB","from":9500,"to":14000},{"country_iso":"US","from":18000,"to":30000},{"country_iso":"IL","from":12500,"to":17000},{"country_iso":"TR","from":3800,"to":6800},{"country_iso":"MX","from":6500,"to":9500},{"country_iso":"DE","from":14500,"to":21000},{"country_iso":"CA","from":13500,"to":22000},{"country_iso":"AE","from":8500,"to":13500},{"country_iso":"TH","from":8500,"to":14000},{"country_iso":"PL","from":5800,"to":8800},{"country_iso":"KR","from":9500,"to":14000},{"country_iso":"CZ","from":5200,"to":7500},{"country_iso":"AT","from":11500,"to":16000},{"country_iso":"IT","from":11500,"to":17500},{"country_iso":"CN","from":9500,"to":16500},{"country_iso":"AU","from":11500,"to":18500},{"country_iso":"IN","from":6500,"to":9000},{"country_iso":"MY","from":7500,"to":11000},{"country_iso":"VN","from":5200,"to":8500},{"country_iso":"BR","from":9500,"to":13000},{"country_iso":"EG","from":4800,"to":5300}],"base_country":"US","base_is_fallback":false},"savings":{"pct":8,"variant":"ranges_overlap"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":4,"items":[{"id":78,"name":"Centro Médico Teknon","city":"Barcelona","rating":4.7,"reviews_count":497,"accreditations":["Joint Commission International","European Foundation for Quality Management","THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","Patient choice in Neurology","Patient choice in Neurosurgery","Patient choice for Epilepsy treatment","World's Best Hospitals 2021 by Newsweek"],"rank":1,"has_procedure":true,"why_ranked":"Certified IFSO Center of Excellence with JCI accreditation. 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Lasting results depend on the operation, diet, supplementation and lifelong follow-up.","main_risks":["Bleeding","Staple-line or anastomotic leak and infection","Venous thromboembolism","Stricture or obstruction, internal hernia (bypass)","Gastroesophageal reflux (especially after sleeve)","Nutritional deficiencies (iron, B12, vitamin D, calcium, protein)","Dumping syndrome or hypoglycemia","Gallstones","Weight regain or inadequate response","Anesthesia-related complications","Need for reoperation"],"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any postoperative complication within 30-90 days; major complications such as leak or bleeding about 1-4%."},"revision_rate_pct":{"min":3,"max":15,"unit":"percent","qualifier":"Reoperation or conversion for complications, reflux or weight regain within about 5-10 years."},"success":{"metric":"Excess weight loss after surgery","value":65,"horizon":"12-18 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liquids.","restrictions":["Frequent small sips of fluids","No heavy lifting"]},{"phase":"Early recovery (weeks 1-2)","description":"Liquid then pureed diet; increasing walking; return to light activity.","restrictions":["Avoid lifting heavy objects","Follow staged diet"]},{"phase":"Weeks 2-6","description":"Progression to soft then regular-texture small meals; many return to desk work.","restrictions":["Avoid strenuous exercise and heavy lifting until cleared"]},{"phase":"Months 3-12+","description":"Ongoing weight loss, supplementation and metabolic monitoring; full activity.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"First postoperative review, typically 1-3 weeks after surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":80,"max":100,"unit":"days","qualifier":"Around 3 months: weight, nutrition, diabetes/medication 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them","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Some of the facilities participating in medical tourism may not have the capability, such as a modern Intensive Care Unit, imaging capabilities and interventional radiology, etc., to optimally care for major post-operative complications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that the clinic will provide all medical records and documentation","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Surgical providers should ensure that all medical records and documentation are provided and returned with the patient to their local area.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Check that postoperative follow-up is arranged with a qualified local bariatric surgery program","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Prior to undergoing surgery, the patient should establish a plan for postoperative follow-up with a qualified local bariatric surgery program to monitor for nutritional deficiencies and long-term complications, and to provide ongoing medical, psychological and dietary supervision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer includes unproven therapies used outside true clinical trials","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Certain countries may offer unproven therapies to patients outside true clinical trials, and it can be difficult to differentiate between acceptable medical innovation and unacceptable patient 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traveling abroad.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Difficulty breathing with leg pain and swelling","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/weight-loss-surgery/risks","host":"nhs.uk","quote":"you have difficulty breathing and pain and swelling in your leg","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Regular vomiting (being sick)","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/weight-loss-surgery/risks","host":"nhs.uk","quote":"regular vomiting (being sick)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"High temperature, feeling hot, cold or shivery","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/conditions/weight-loss-surgery/risks","host":"nhs.uk","quote":"a high temperature, or you're feeling hot, cold or shivery","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs it to know what was done","document":"operative report","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Often an operative report is not available, there may be uncertainty of what was done, and there are concerns whether assuming the care of the patient will make them liable for any complications the patient may have in the future.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"The home doctor needs the band type and adjustment information when applicable","document":"band 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plan","source":{"url":"https://asmbs.org/patients/medical-tourism","host":"asmbs.org","quote":"Prior to undergoing surgery, the patient should establish a plan for postoperative follow-up with a qualified local bariatric surgery program to monitor for nutritional deficiencies and long-term complications, and to provide ongoing medical, psychological and dietary supervision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T5","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T6","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Desk-based work after uncomplicated laparoscopic sleeve or gastric bypass; physical work needs longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any postoperative complication within 30-90 days; major complications such as leak or bleeding about 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Follow-up visits usually done remotely or at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the facility is accredited, since accreditation evaluates safety, training, follow-up and surgical volume","scope":"procedure","source":{"url":"https://asmbs.org/patients/making-choices/","host":"asmbs.org","quote":"To become accredited, a facility undergoes a rigorous process of evaluations to ensure their level of quality across safety, training, followup, and surgical volume standards.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the surgeon has specialized experience and training in bariatric and metabolic surgery","scope":"procedure","source":{"url":"https://asmbs.org/patients/is-metabolic-and-bariatric-surgery-right-for-you/","host":"asmbs.org","quote":"The NIH, as well as the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) also recommend that surgery be performed by a board certified surgeon with specialized experience/training in bariatric and metabolic surgery, and at a center that has a multidisciplinary team of experts for follow-up care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that the center has a multidisciplinary team of experts for follow-up care","scope":"procedure","source":{"url":"https://asmbs.org/patients/is-metabolic-and-bariatric-surgery-right-for-you/","host":"asmbs.org","quote":"The NIH, as well as the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) also recommend that surgery be performed by a board certified surgeon with specialized experience/training in bariatric and metabolic surgery, and at a center that has a multidisciplinary team of experts for follow-up care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that continuity of care and long-term follow-up are arranged, since they are not necessarily provided with medical travel","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Preoperative education, continuity of care and long-term follow-up are proven essential components for successful outcomes in bariatric surgery and these are not necessarily provided in the setting of medical travel.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that intensive care, imaging and interventional radiology are available for major complications, as some facilities may lack them","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Some of the facilities participating in medical tourism may not have the capability, such as a modern Intensive Care Unit, imaging capabilities and interventional radiology, etc., to optimally care for major post-operative complications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that the clinic will provide all medical records and documentation","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Surgical providers should ensure that all medical records and documentation are provided and returned with the patient to their local area.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Check that postoperative follow-up is arranged with a qualified local bariatric surgery program","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Prior to undergoing surgery, the patient should establish a plan for postoperative follow-up with a qualified local bariatric surgery program to monitor for nutritional deficiencies and long-term complications, and to provide ongoing medical, psychological and dietary supervision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer includes unproven therapies used outside true clinical trials","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Certain countries may offer unproven therapies to patients outside true clinical trials, and it can be difficult to differentiate between acceptable medical innovation and unacceptable patient exploitation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The clinic does not say an operative report will be provided","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Often an operative report is not available, there may be uncertainty of what was done, and there are concerns whether assuming the care of the patient will make them liable for any complications the patient may have in the future.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"An offer provides no clear plan for follow-up care after surgery","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Patients and their providers should ensure that follow-up care, including the management of short and long-term complications, are covered by the insurance payer or purchased as a supplemental program prior to traveling abroad.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Difficulty breathing with leg pain and swelling","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/weight-loss-surgery/risks","host":"nhs.uk","quote":"you have difficulty breathing and pain and swelling in your leg","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Regular vomiting (being sick)","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/weight-loss-surgery/risks","host":"nhs.uk","quote":"regular vomiting (being sick)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"High temperature, feeling hot, cold or shivery","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/conditions/weight-loss-surgery/risks","host":"nhs.uk","quote":"a high temperature, or you're feeling hot, cold or shivery","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs it to know what was done","document":"operative report","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Often an operative report is not available, there may be uncertainty of what was done, and there are concerns whether assuming the care of the patient will make them liable for any complications the patient may have in the future.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"The home doctor needs the band type and adjustment information when applicable","document":"band details","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"This includes the type of band placed and any adjustments performed in the case of laparoscopic adjustable gastric banding, as well as any postoperative imaging performed.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"The home doctor needs postoperative imaging to support ongoing care","document":"postoperative imaging","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"This includes the type of band placed and any adjustments performed in the case of laparoscopic adjustable gastric banding, as well as any postoperative imaging performed.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T4","text":"The home doctor needs the plan for monitoring deficiencies and long-term complications","document":"follow-up plan","source":{"url":"https://asmbs.org/patients/medical-tourism","host":"asmbs.org","quote":"Prior to undergoing surgery, the patient should establish a plan for postoperative follow-up with a qualified local bariatric surgery program to monitor for nutritional deficiencies and long-term complications, and to provide ongoing medical, psychological and dietary supervision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T5","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T6","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your body mass index is between 30 and 40","name":"Intragastric balloon","source":{"url":"https://my.clevelandclinic.org/departments/bariatric/treatments/intragastric-balloon","host":"my.clevelandclinic.org","quote":"The devices are for use in obese adult patients with a body mass index between 30 and 40.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want a medicine to help you lose weight","name":"Prescription weight loss medication","source":{"url":"https://www.healthline.com/health/obesity/treatments-to-manage-obesity","host":"healthline.com","quote":"Ask your doctor if a prescription medication can help you lose weight.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"laparoscopic-sleeve","name":"Laparoscopic sleeve gastrectomy","how_it_works":{"text":"The stomach is made smaller, limiting food intake","source":{"url":"https://www.chelwest.nhs.uk/services/surgery/weight-loss-surgery/surgical-options/sleeve-gastrectomy/","host":"chelwest.nhs.uk","quote":"The remaining stomach is around 30% of its original size.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/recovering/","host":"nhs.uk","quote":"After 4 to 6 weeks start to return to your normal activities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"laparoscopic-roux-en-y","name":"Laparoscopic Roux-en-Y gastric bypass","how_it_works":{"text":"The stomach becomes smaller and food bypasses part of the small bowel","source":{"url":"https://www.nth.nhs.uk/resources/laparoscopic-gastric-bypass/","host":"nth.nhs.uk","quote":"The operation makes your stomach smaller and bypasses part of your small bowel.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/recovering/","host":"nhs.uk","quote":"After 4 to 6 weeks start to return to your normal activities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"one-anastomosis-gastric","name":"One-anastomosis (mini) gastric bypass","how_it_works":{"text":"The stomach is narrowed and looped onto the small intestine","source":{"url":"https://my.clevelandclinic.org/health/procedures/mini-gastric-bypass","host":"my.clevelandclinic.org","quote":"It involves a surgeon making your stomach narrower and connecting it in a loop to the middle of your small intestine.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"laparoscopic-sleeve","name":"Laparoscopic sleeve gastrectomy","how_it_works":{"id":"H1","text":"The stomach is made smaller, limiting food intake","source":{"url":"https://www.chelwest.nhs.uk/services/surgery/weight-loss-surgery/surgical-options/sleeve-gastrectomy/","host":"chelwest.nhs.uk","quote":"The remaining stomach is around 30% of its original size.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/recovering/","host":"nhs.uk","quote":"After 4 to 6 weeks start to return to your normal activities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Patients with obesity with or without type 2 diabetes who want a non-bypass option; less suited to severe reflux.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Hospital stay about 1-2 nights; return to desk work in about 2-3 weeks."},{"id":"laparoscopic-roux-en-y","name":"Laparoscopic Roux-en-Y gastric bypass","how_it_works":{"id":"H1","text":"The stomach becomes smaller and food bypasses part of the small bowel","source":{"url":"https://www.nth.nhs.uk/resources/laparoscopic-gastric-bypass/","host":"nth.nhs.uk","quote":"The operation makes your stomach smaller and bypasses part of your small bowel.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/recovering/","host":"nhs.uk","quote":"After 4 to 6 weeks start to return to your normal activities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Patients with obesity and type 2 diabetes, or significant reflux, often favored for stronger metabolic effect.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Hospital stay about 2-3 nights; return to desk work in about 2-4 weeks."},{"id":"one-anastomosis-gastric","name":"One-anastomosis (mini) gastric bypass","how_it_works":{"id":"H1","text":"The stomach is narrowed and looped onto the small intestine","source":{"url":"https://my.clevelandclinic.org/health/procedures/mini-gastric-bypass","host":"my.clevelandclinic.org","quote":"It involves a surgeon making your stomach narrower and connecting it in a loop to the middle of your small intestine.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected patients with obesity or diabetes; practiced in many centers.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Hospital stay about 1-3 nights; similar recovery to gastric bypass."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your body mass index is between 30 and 40","name":"Intragastric balloon","source":{"url":"https://my.clevelandclinic.org/departments/bariatric/treatments/intragastric-balloon","host":"my.clevelandclinic.org","quote":"The devices are for use in obese adult patients with a body mass index between 30 and 40.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want a medicine to help you lose weight","name":"Prescription weight loss medication","source":{"url":"https://www.healthline.com/health/obesity/treatments-to-manage-obesity","host":"healthline.com","quote":"Ask your doctor if a prescription medication can help you lose weight.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["azerbaijan","china","colombia","dominican-republic","egypt","germany","greece","india","italy","mexico","poland","republic-of-korea","romania","turkey","ukraine","united-arab-emirates","united-kingdom","united-states"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.7,"count":517,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Metabolic surgery in Spain typically costs from _op_381_price_from_ to _op_381_price_to_. Final prices depend on the surgical technique, such as gastric bypass or sleeve gastrectomy, and the clinic location. Patients save approximately _price_percent_discount_% compared to the US, where the average price is _price_compare_US_average_. Packages usually include preoperative tests, the surgical procedure, anesthesia fees, medications, and hospital stay.</p>\n\n<ul>\n<li><strong>Gastric bypass:</strong> _op_381_price_from_ to _op_381_price_to_ for the gold standard in diabetes remission.</li>\n<li><strong>Gastric sleeve:</strong> Typically costs 15-20% less than bypass procedures in most Spanish medical hubs.</li>\n<li><strong>Robotic-assisted surgery:</strong> Often adds a premium of 20-30% due to advanced Da Vinci technology.</li>\n<li><strong>Regional variations:</strong> Major hubs include Madrid, Barcelona, and Alicante, with Barcelona hosting premium specialized centers.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing a high-volume surgeon provides the best value for complex metabolic cases. For instance, Dr. Carlos Ballesta Lopez at Centro Médico Teknon has performed over 12,000 surgeries. This clinic is JCI-accredited and a top choice for celebrities and athletes. While premium packages can reach approximately $29,550, they include comprehensive follow-up and care from world-renowned pioneers in laparoscopy.</p>","faq":[{"q":"What are the qualifications/requirements for surgery?","a":"<p>Metabolic surgery in Spain requires a Body Mass Index (BMI) over 40 or a BMI over 35 with weight-related comorbidities like Type 2 diabetes. Patients must document 3–6 months of supervised weight loss attempts and pass mandatory psychological and nutritional evaluations before surgical approval.</p> <ul> <li><strong>Body Mass Index:</strong> Requirements start at BMI 35 with comorbidities or BMI 40 without them.</li> <li><strong>Clinical documentation:</strong> Patients must prove failure of lifestyle or medication management via medical records.</li> <li><strong>Mandatory evaluations:</strong> Candidates require clearance from a multidisciplinary team including psychologists and dietitians.</li> <li><strong>Surgeon credentials:</strong> Reputable Spanish surgeons, like those at Centro Médico Teknon, hold European medical degrees.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain attracts high-profile patients because top centers like Centro Médico Teknon treat celebrities and athletes. Surgeons here often have massive experience, such as Dr. Carlos Ballesta Lopez with over 12,000 procedures. This high volume typically correlates with lower complication rates and refined laparoscopic techniques.</p> <p><strong>Patient Consensus:</strong> Expect a 12–15 month timeline from initial inquiry to the actual surgery date. Patients emphasize that proving long-term weight stability and failed previous interventions is the hardest part of the process.</p>"},{"q":"What are the common risks or adverse outcomes?","a":"<p>Metabolic surgery in Spain is highly safe when performed by experienced specialists in JCI-accredited facilities. Common risks include nutritional deficiencies, dumping syndrome, and gastrointestinal issues like acid reflux. Most adverse outcomes are preventable through strict adherence to lifelong dietary protocols and regular medical follow-ups.</p> <ul> <li><strong>Nutritional deficiency:</strong> Risks include anemia or osteoporosis requiring ongoing vitamin supplementation.</li> <li><strong>Gastrointestinal symptoms:</strong> Dumping syndrome may cause nausea, dizziness, or vomiting after eating.</li> <li><strong>Vascular safety:</strong> Venous thromboembolism is a standard surgical risk managed with anticoagulants.</li> <li><strong>Weight regain:</strong> Around 50% of patients may regain weight without lifestyle changes.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many overlook hospital stay duration, Spanish clinics like Centro Médico Teknon provide a 5-day inpatient period. This extended monitoring is crucial for detecting early complications like anastomotic leaks. Higher-tier packages often prioritize this safety window over quicker discharge times favored in other regions.</p> <p><strong>Patient Consensus:</strong> Patients often find managing dumping syndrome and severe reflux more challenging than the surgery itself. Success depends heavily on being fully educated and following dietary guidelines to avoid hospital visits for malnutrition.</p>"},{"q":"What types of metabolic surgeries are available?","a":"<p>Available metabolic surgeries include Vertical Sleeve Gastrectomy (VSG), Gastric Bypass (Roux-en-Y), and Single Anastomosis Duodenal-Sleeve with Intestinal Switch (SADI-S). Surgeons in Spain also perform Mini Gastric Bypass and Duodenal Switch to treat obesity and type 2 diabetes by altering digestive pathways and hormone levels.</p> <ul> <li><strong>Sleeve gastrectomy:</strong> Removes 75–80% of the stomach to limit food intake and hunger hormones.</li> <li><strong>Gastric bypass:</strong> Creates a small pouch connected directly to the lower small intestine.</li> <li><strong>SADI-S technique:</strong> Combines a sleeve gastrectomy with one intestinal connection to limit calorie absorption.</li> <li><strong>Revision surgery:</strong> Corrects or adjusts previous procedures to improve results or address complications.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain is a hub for the advanced SADI-S technique, which simplifies the traditional Duodenal Switch. Dr. Carlos Ballesta Lopez at Centro Médico Teknon has pioneered these laparoscopic methods through over 12,000 surgeries. This specific expertise often leads to shorter 5-day hospital stays compared to standard open procedures.</p> <p><strong>Patient Consensus:</strong> Patients emphasize the necessity of lifelong vitamin supplements after malabsorptive procedures like SADI-S. Many also note a strict dietary progression from clear liquids to solids over several weeks for safety.</p>"},{"q":"How long is the recovery time?","a":"<p>Metabolic surgery in Spain typically requires 5 to 7 days for initial recovery and 2 weeks for full recuperation. Surgeons use advanced laparoscopic techniques at JCI-accredited centers like Centro Médico Teknon to minimize tissue trauma, reducing post-operative pain and accelerating your return to daily activities.</p> <ul> <li><strong>Hospital stay:</strong> Expect 5 days of inpatient monitoring for safety and stabilization.</li> <li><strong>Work return:</strong> Most patients resume sedentary office duties within 5 to 7 days.</li> <li><strong>Physical activity:</strong> Avoid strenuous overexertion for 1 month to ensure internal healing.</li> <li><strong>Dietary transition:</strong> Liquid and soft meals are required for the first 2 weeks.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many international clinics offer 1-night stays, top Spanish hospitals like Centro Médico Teknon prioritize a 5-day inpatient window. This longer clinical observation period is a major differentiator. It allows surgeons like Carlos Ballesta Lopez, who has performed 12,000+ surgeries, to manage the peak discomfort period before discharge.</p> <p><strong>Patient Consensus:</strong> Patients report that the first 3 to 5 days are the most challenging for managing discomfort. Most feel significantly better by day 7 as gas pain fades and incisions begin to heal securely.</p>"},{"q":"Which cities in Spain are best for metabolic surgery?","a":"<p>Barcelona and Madrid are the premier Spanish cities for metabolic surgery, offering internationally accredited centers like Centro Médico Teknon and Hospital Ruber Internacional. These hubs provide advanced robotic and laparoscopic gastric bypass options for treating Type 2 diabetes, typically costing _op_381_price_from_ to _op_381_price_from_.</p> <ul> <li><strong>Barcelona expertise:</strong> Features world-renowned centers like Centro Médico Teknon with Joint Commission International accreditation.</li> <li><strong>Madrid facilities:</strong> Home to Hospital Ruber Internacional, ranked among Spain top hospitals by Forbes.</li> <li><strong>Surgeon experience:</strong> Specialists like Dr. Carlos Ballesta Lopez have performed over 12,000 laparoscopic surgeries.</li> <li><strong>Inpatient care:</strong> Most metabolic procedures include a 5 day hospital stay for monitoring.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While basic surgery costs range from _op_381_price_from_ to _op_381_price_to_, highly specialized diabetes-focused packages at elite clinics like Centro Médico Teknon reach $28,400. This investment covers a pioneer surgeon with 12,000+ operations and an extensive 5-day hospitalization. For complex metabolic cases, choosing these high-volume surgeons often ensures superior glycemic control post-surgery.</p> <p><strong>Patient Consensus:</strong> Patients value the comprehensive 2-year follow-up programs but caution others to discuss long-term acid reflux risks before choosing specific techniques. Many find Spain a reliable self-pay alternative within Europe, especially when they require immediate surgical intervention.</p>"}],"h2":[{"text":"Як це працює","kind":"content"},{"text":"Яка вартість метаболічної хірургії в Іспанії?","kind":"content"},{"text":"Дізнайтеся про найкращі клініки з метаболічної хірургії у Іспанії: 4 перевірені клініки та ціни","kind":"content"},{"text":"Огляд процедури Метаболічна хірургія в Іспанії","kind":"content"},{"text":"Отримайте медичну консультацію щодо метаболічної хірургії в Іспанії: Обирайте серед найкращих фахівців у галузі","kind":"content"},{"text":"Відгуки про Bookimed: дізнайтеся про реальний досвід пацієнтів","kind":"content"},{"text":"Поділитися цим контентом","kind":"content"},{"text":"Відеоісторії пацієнтів Bookimed","kind":"content"},{"text":"Ключові факти про метаболічну хірургію","kind":"content"},{"text":"FAQ з метаболічної хірургії в Іспанії","kind":"content"},{"text":"Отримати безкоштовну консультацію","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}