Start Here: Common FAQs

Elias Ortiz & Company is the #1 medical surgery company in Tijuana, Mexico. Headed by our Chief Surgeon, Dr. Ortiz, who is the president of the College of Surgeons in Tijuana Mexico and has been featured in Newsweek.  Our staff is the top in the industry with well over 100 years’ experience collectively. All our coordinators have had either a gastric sleeve, RnY bypass, plastic surgery or a combination of them. When we say we have been where you are, we mean it!


Approval process

The approval process for surgery is remarkably simple.  Just fill out the application on the link provided in your welcome email.

Once  I have received your surgical application. I will send your form to the doctor and I will email you as soon as you’re approved. I will let you know if I need any clarification on the information provided.

Please allow one week for the approval.


Pre-Approval– Based off of guidelines set forth by Dr Ortiz our coordinators can preapprove some applications to help streamline the approval process.  A pre-approval gives you the benefit of getting a faster approval allowing you, to get a date scheduled on the calendar, to get your journey started.  The surgeon will still review your application and give a final approval.  Usually there will be no changes, but there could always be a case something additional may be needed.  Your coordinator will notify you if this is the case.

Once you are approved, you can email me up to 3 dates to check for availability. I am sorry but I do not have a way to check for multiple dates at once or send a list of dates available.

There is a $300 deposit due within 5 days of booking your date. Once you are booked on a date you will receive an email with payment methods that are accepted, you choose the one that works best for you.

Our surgery packages include the following:

Transportation to and from the San Diego Airport (SAN), the Grand Hotel and Baja Hospital.

  • One day pre op hotel stay, two nights hospital stay and two nights post op at the hotel. We are incredibly happy to be using the Grand Hotel Tijuana as our pre and post op hotel. This resort style hotel will make your stay with us even more enjoyable. WiFi is available for you at both the hospital and the hotel.
  • You would arrive in San Diego the day before surgery 3PM and our drivers will pick you up at the airport. They will then take you to the hotel, where you spend your first night. If you are having the gastric sleeve, gastric bypass or mini-bypass then you will go to the hospital the next day and have surgery. You will stay 2 nights in the hospital, then go back to the hotel and spend 2 nights. If you are having the endoscopic sleeve then you will not stay in the hospital, you will stay in the hotel. You would fly out of San Diego after 1PM on your last day.
  • Schedule: Gastric Sleeve (VSG), Gastric Bypass (RNY), One Anastomosis Bypass (Mini-Bypass), SADI-S

o   Day 1 – fly in before 3PM (hotel)

o   Day 2 – surgery (hospital)

o   Day 3 – (hospital)

o   Day 4 – (hotel)

o   Day 5 – (hotel)

o   Day 6 – fly home after 1pm

  • Schedule: Endoscopic Sleeve (ESG)

o   Day 1 – fly in before 3PM (hotel)

o   Day 2 – surgery (hospital)

o   Day 3 – (hotel)

o   Day 4 – (hotel)

o   Day 5 – fly home after 1pm

  • Pre-operative blood work, EKG, all standard medications in the hospital and upon discharge from our care and post-op x-ray (leak test).
  • One companion at no additional charge – must be 18 years of age or older.
  • Aftercare services including post op diet help from our aftercare specialist who is a certified bariatric nurse. 


Endoscopic Sleeve Gastroplasty (ESG)

$7095 Dr Galvao

Endoscopic Sleeve Gastroplasty IS done by endoscopy where a flexible device called an “ endoscope” with a high-definition camera. We introduce into the patient’s mouth throughout the esophagus until it reaches the stomach. Once in the stomach, the surgeon will apply stitches to the inside of your stomach.  by using an endoscopic suturing machine, significantly reducing its size and volume by 50% or more.

There is no incision or cuts. And the stomach also will not be cut or bypassed. The procedure is done under general anesthesia and lasts around 30 to 50min.

Gastric Sleeve (VSG)

$4750 Dr. Ortiz  |  $4750 Dr. Ramos  |  $4650 Dr. Covarrubias

A sleeve gastrectomy is typically performed laparoscopically. During this procedure, approximately 80 percent of the stomach is removed. The stomach then becomes more of a tube shape, similar in shape to a banana. The surgeon will make small incisions in the upper abdomen and then insert small instruments through those incisions to complete the procedure. Since the stomach becomes much smaller, the amount of food a person can consume after this procedure is much more limited. This surgery also prompts hormonal changes, which often causes weight loss as well. The hormonal changes can also help with certain weight-related health conditions, such as high blood pressure and heart disease.

RnY bypass (RNY)


Gastric bypass surgery makes the stomach much smaller. The new stomach (pouch) has a capacity of about two ounces. This surgery also allows food to bypass part of the small intestine. You will feel full more quickly than when your stomach was its original size of about two quarts, which reduces the amount of food you eat and thus the calories consumed. However, you will not feel hungry after eating those small portions like you would if your stomach were its original size. Plus, the calories contained in the foods that you eat aren’t absorbed as well by your system due to the intestinal bypass, further reducing total calories taken in. The combination of these two factors leads to weight loss.

One Anastomosis Bypass (OAGB -Mini Bypass)


During a mini gastric bypass surgery, the stomach is made smaller, and the intestines are rerouted. It is performed laparoscopically by making 4 to 6 small incisions in the abdomen. The stomach is reduced by up to 90 percent, and then it is attached approximately 6 feet down the small intestines; this allows for food to bypass the upper intestines. It is sometimes chosen over a regular Roux-en-Y gastric bypass because it has a lower likelihood of complications, it has less side effects, and it is reversible. The weight loss results for mini gastric bypass are usually fairly comparable to those of Roux-en-Y gastric bypass. Mini gastric bypass makes patients feel fuller faster, allows for less absorption of calories and minerals, and is known to significantly improve overall health. Weight loss with this procedure is often fast and dramatic. Most people are also able to keep the weight off long term.



One Anastomosis Duodeno Ileo + Sleeve (SADIS), or also referred to as the Single Anastomosis Duodenal Switch

This surgery combines two of our popular surgeries the Gastric sleeve surgery and the One Anastomosis Bypass.  The Single Anastomosis Duodenal Switch is performed laparoscopically, meaning it’s minimally invasive and involves making small incisions in the abdomen.  One of the benefits of SADIS is that it’s a one-stage procedure.  Additionally, SADIS has been shown to be effective in helping patients achieve significant weight loss. 

Hernia Repair


A condition in which the upper part of the stomach bulges through an opening in the diaphragm.



BMI Fee (50+)

Only applies if your BMI is 50 or more

starting at $400 (only applies if your BMI is 50 or more)

BMI 50-59 $400

BMI 60-69 $750

BMI 70-79 $1100

BMI 80-89 $1450

BMI 90-99 $1850

BMI 100+  $2250

Gall Bladder Removal: $750

Revision fee


Revisions fee only applies if you have had a previous weight loss surgery before.

Acceptable Payment Methods

Elias Ortiz & Company accepts the following payment methods: 

To Pay Online with a Credit Card: (Immediate)
If you would like to pay with any major credit card, you can do so by going to our online, secure credit card site here.   

**Please be advised, there is a 2.9% fee, plus $.30 for each transaction.  We do offer a cash discount that does not include any additional fees by using any of our other payment methods.

To Pay at any Bank of America: Send copy of tellers receipt to your coordinator (Immediate)
Payments may be directly deposited at any Bank of America. Should you choose this payment method, please be sure to send a photo of your deposit receipt to your coordinator so the deposit can be properly credited to your account.  The bank will need the following information:

To Pay with Zelle Pay: (Can take up to 3 days to reach use and usually has daily or weekly limits)
To pay with Zelle, please send payments to Michele Riter at: not .com Payments will be made into our business account RitePitch LLC

To Pay at any other Bank with a Wire Transfer: (takes 3 days to reach us)
You can send a Wire Transfer from your bank. Please notify your coordinator you have initiated a wire transfer and the expected date the wire transfer will be sent to EOC.  Wire transfers will not automatically be added to your account; you must notify your coordinator for her to apply the funds.  Your bank will need the following information: 

To Pay with a Financing Company:
If you plan to finance any portion of the fee, your financing company will need to send the funds to you so you are able to pay us directly.  Contact your coordinator if this is not able to be done within the required time to meet the 30 day deadline for account finalization.

To Pay with a Cashier’s Check: (sent a picture to me by email and then take the check with you to Mexico)
If you decide to bring a cashier’s check for the full amount of your final payment, it must be certified funds, (cashier’s check, official bank check, etc.)  The deposit can’t be paid with a check.

You must email a copy of the check to your coordinator no later than 30 days before your surgery date.

Go to your bank and get a cashier’s check for the full amount of your final payment made out to:

RitePitch LLC.

To Pay Using our Layaway Plan:

Should you wish to make additional payment other than your required deposit, you will automatically be enrolled in our layaway plan.  The layaway plan gives you the convenience of being able to make small payments between your deposit due date and your final payment due date.

**Please be advised, there is a 20% layaway fee on all funds paid (minus your deposit) should you cancel your surgery.  If you cancel your surgery after making any additional payments (not including your deposit), you will be subjected to the 20% cancel fee of all funds paid other than your deposit. 

This fee only applies if you choose to cancel your surgery date.

We will not accept payment in cash in Tijuana.

All payments must be in US funds.

Financing options

eFinancing solutions:

Medicard for Canadians:

Elias Ortiz & Company Payment plan

EOC is not just about price.  We are the only company in Tijuana that offer a full staff Welcome Center at the hotel where you will be staying.  A full staff office at Elias Ortiz surgical center.  Certified drivers with licensed, registered, legal transportation vans to and from San Diego Airport.  A total staff of over 40.  The only bariatric certified aftercare RN who is available to you pre and post op.  Bariatric, plastic and dental coordinators who have ALL been where you are.  Who have had every procedure we offer and have used the doctors we recommend to you.  Our team is just that, an entire team.  With EOC, you’re never alone!  From start to finish, we are there for you.

Scheduling Information

Important info to think about when scheduling:

  • Dr. Ortiz is off every Sunday and every other Saturday
  • Dr. Ramos and Dr Galvao are with us at different times.  Talk with your coordinator about availability
  • Dr. Covarrubias is off Saturday and Sunday
  • There is a $300 deposit due within 5 days of booking your date.

You would arrive in San Diego the day before surgery before 3PM and our drivers will pick you up at the airport. They will then take you to the hotel, where you spend your first night. You will then go to the hospital the next day and have surgery. You will stay 2 nights in the hospital for the sleeve, then go back to the hotel and spend 2 nights. You would fly out of San Diego after 1PM on your last day.

Day 1 – fly in before 3PM (hotel)

Day 2 – surgery (hospital)

Day 3 – (hospital)

Day 4 – (hotel)

Day 5 – (hotel)

Day 6 – fly home after 1pm

Important: please see a copy of the pre-op guide:

Our reschedule/cancelation policy.

Pre-Op Diet

For information on the pre-op diet, please see our pre-op FAQ

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