Before & After Surgery Process

Finally, the time has arrived for you to have your surgery. You have made many changes and sacrifices in preparation for this big day. The staff at Elias Ortiz and Company (E.O.C.) recognize this, and we strive to make this experience as comfortable and stress-free as possible.

Day Before Surgery

Our drivers have your travel itinerary, so they know when you are arriving in San Diego. They will call or text you to confirm pick-up times and location. Once you are picked up by our fantastic drivers, you will be taken directly to the hospital for routine pre-surgery lab work and an EKG. There may also be some paperwork for to you sign. This should only take about an hour.

After the hospital visit, you will be taken to the Grand Care Hotel. The Grand Care Hotel is a beautiful 5-star facility. There are many amenities within walking distance for patients and their companions. Each patient is entitled to have 3 broths, 3 juices, and 3 popsicles, complements of E.O.C. Remember, nothing by mouth after midnight! The E.O.C. staff will give you instructions as to when your pick-up time will be. Some will be early, while others can arrive to the hospital a bit later.

Morning of Surgery

At the hospital, you will get to meet our awesome hospital staff and patient advocates. They are there to assist you and make sure that you get to the correct places for signing more paperwork and consent forms. They will also show you to your room, give you a bariatric gown, a hair cap, apply compression wraps to your legs and get an IV started. While here, you can rest, read, watch TV, email, text, and use the private bathroom. Take time to pause and reflect on all the amazing things that you made happen to get to this point and the wonderful outcomes and benefits to your health that are coming your way very soon.

While You Are Waiting

A doctor that is part of the E.O.C. team will come to see you and complete a physical exam – nothing too invasive. He will discuss your medications and allergies, listen to your heart and lungs, and address any concerns you may have. This is a good time to discuss the medications you take and decide on a plan for after surgery, regarding how and when to restart them. Please do not take any medications while you are admitted to the hospital without specific approval from the doctors of E.O.C.

Doctor Pre-Surgery Visit

Your surgeon will visit you and introduce himself. He will discuss the surgery process and address any concerns you may have at this point. Feel free to ask him any questions. Make sure to address any allergies and other health issues that may be important to you. Once that visit is finished, in a short time, a team member will come and assist you in getting ready and transport you to the surgery area. There you will meet the anesthesiologist and have a few moments to talk with him or her. The whole process may take an hour or an hour and a half, depending on the procedure you are having done.

After Surgery

You will be observed in the post-surgery area by several specially trained nurses. The surgeon will always be close by. You will be there for approximately 1 to 2 hours, then transported to your room. Most people sleep for about four hours after surgery. The first night can be the toughest, but it is manageable and gets much better by the next day. Do not smoke. Smoking can cause a serious lung infection and hinder healing.

Once you wake up, the nurses will:
  •  Instruct you to walk when you are ready. This helps to wake you up, get the anesthesia from your system, and prevent blood clots from forming. You cannot be too sleepy during this, as we do not want you to fall.
  • Help you use the restroom.
  • Follow post-op dietary instructions. You can have nothing to drink until after your leak test the next day is completed.
  • Manage your pain with medications. The nurses will be administering medications for pain control, nausea, acids, to help you to wake up, etc.
  • Monitor your IV bags.

The Next Day

The day following surgery is a busy day. We want you to walk, chat, move around, and rest when you can. You will be taken for a leak test. You will be asked to drink a small cup of a liquid medium called Contrast, then you will have a fluoroscope completed to check for leaks. You will simply stand in front of a screen. It is a quick and easy process.

Once the test is completed, the results will be sent to a doctor for review, and you will be given some ice chips and liquids, such as apple juice and/or Gatorade.

Later in the day, the surgeon’s assistants will come to talk with you and remove your drain tubes, if it is acceptable to do so. If you had bypass, you may have the drain tube for one day longer.

Discharge Day

Someone from the E.O.C. staff will come to talk with you and let you know the process for discharging from the hospital. The staff member will remove the IV from your arm. You will then be able to shower, and afterward, the staff member will change your bandages and you can dress in your own clothes.

If you need assistance to do this, please ask; but you should be able to shower and get dressed on your own at this point. All this takes place early in the morning.

Returning to the Grand Care Hotel

Once you return to the Grand Care Hotel, the staff will get you checked in and escort you to your room. The drivers will bring your luggage in for you. You can now rest, watch TV, and/or sit by the pool.

Make sure to get instructions for contacting the nurses. Dialing 1-711 will connect you directly to the E.O.C. office. After 9:00pm, you will need to call the receptionist, who will contact the nurses for you.

A good exercise plan will include aerobic or cardio exercise, which gets the heart rate up gradually, resistance or strength training, and flexibility or stretching. Before you start any exercise regimen, make sure to get approval from your doctor at home.

The E.O.C. nurses will change your wound dressing as many times as you need, but it is a good idea to take over this task as soon as you can, because they will not be going back home with you.

The office staff will inform you of any aftercare meetings with the doctors, how the checkout process works, and how to schedule the ride back to San Diego in a few days. Have fun, relax, and make new friends. The E.O.C. staff is here to assist you in any way we can.

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Health Disclaimer: This website provides information about health and related subjects. The information provided on this site, or in any linked materials, is for informational purposes only and is not a substitue for receiving direct professional medical expertise and / or treatment. If you think you have a medical emergency, call your doctor or emergency services immediately. 

Recipe & Food Disclaimer: We are not responsible for any outcome of any recipe you try from the website. Take care when using cookware including knives and other sharp or hot objects. Review all ingredients prior to ingesting to ensure you are not allergic to anything in the recipes. We do not provide any assurances or accept liability in regards to quality, nutritional value or safety when using the recipes provided on this site. 

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Dr. Almino Ramos Joins Elias Ortiz & Company

Dr. Almino Ramos is a world famous bariatric surgeon and former president of the IFSO who we are excited to welcome to our team!


Dr. Elías Ortiz, Bariatrics

Professional License Number: 8684409

Federal Taxpayers Registry: OIGJ810323D28



Undergraduate Degree in Medicine (1999–2004), Faculty of Medicine of the Autonomous University of Baja California
– Overall average: 8.85 / 10

Undergraduate Internship (2004–2005), Regional General Hospital No. 1, IMSS, Tijuana, Baja California, Mexico.
– Overall average: 9.49 / 10

Social Service (2005–2006), Mobile Unit No. 19, SSA, Tijuana, Baja California Mexico.

Graduate Professional XXXI National Aspiring medical residencies
– Place finish in specialty group (Surgery): 32 of 3602.

General Surgery Specialty (2008-2012), Medical Unit of High Specialty, West National Medical Center, Mexican Social Security Institute
– Total Rating: 96.40 / 100.


Certificate of Accreditation of Foreign Language Skills: English. April 22, 2006, at the Autonomous University of Baja California, Mexico

Resident Coordinator of General Surgery, generation 2008–2009, Regional General Hospital No. 45, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.

Chief Resident in General Surgery, 2011–2012 in Medical Unit of High Specialty, West National Medical Center, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.

Professional Experience

2nd Regional and International Congress on Obesity conducted by the Association for the Study of Obesity and its complications AC.
– May 2004, Tijuana, Baja California, Mexico.

Natural Orifice Transluminal Endoscopic Surgery
– General session speaker
– Regional General Hospital No. 45, May 15, 2008, Guadalajara, Jalisco, Mexico

Natural Orifice Transluminal Endoscopic Surgery
– General session speaker
– Zapopan General Hospital, November 5, 2008, Guadalajara, Jalisco, Mexico

ERCP (endoscopic retrograde cholangiopancreatography)
– General session speaker
– Regional General Hospital No. 45, February 12, 2009, Guadalajara, Jalisco, Mexico.

1stCourse News and Controversies in Surgical GERD
– April 2009, Regional General Hospital No. 45, Guadalajara, Jalisco, Mexico

Laparoscopic Surgery Program in the Regional General Hospital No. 1
– Social Security Institute, April–May 2010, Tijuana, Baja California, Mexico

Laparoscopic Surgery Program in the Regional General Hospital No. 1
– Social Security Institute, June–August 2011, Tijuana, Baja California, Mexico

Gastric Plication Surgery Mini Fellowship
– Hospital Angeles Tijuana, November 2011

Adjustable Gastric Band Surgery Mini Fellowship
– Hospital Angeles Tijuana, December 2011

Bariatric Surgery Program at Hospital Angeles Tijuana
– November–December 2011, Tijuana, Baja California, Mexico

Theoretical and Practical Course XIV of Endoscopic Surgery, AMCE, AC
– Medical Unit of High Specialty, West National Medical Center Gdl, Jal. January–February 2012

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