Bilmar Dominican Health Solution offers bariatric surgery options for patients struggling with obesity and related health issues. Bariatric surgery (weight loss surgery) is often sought by American patients abroad due to the high costs and long wait times at home. The Dominican Republic has become a popular destination for these procedures, thanks to highly qualified surgeons and modern medical facilities. At Bilmar, we provide comprehensive weight loss solutions, including gastric sleeve, gastric bypass, and gastric balloon procedures. These surgeries are proven to help achieve significant, sustained weight loss when diet and exercise alone have not been successful. Our partner bariatric surgeons are board-certified experts (many with U.S. or international training) who have performed hundreds of successful cases. We understand that deciding on bariatric surgery is life-changing, and we support you through every step – from the initial evaluation and nutritional guidance to surgery and post-op follow-up. With Bilmar’s bariatric services, patients can improve their health, resolve obesity-related conditions, and increase their quality of life, all while saving substantially on medical costs.

Gastric sleeve in Dominican Republic 

What the Procedures Are: We offer the three primary weight loss procedures, each suited to different needs:

• Gastric Sleeve (Sleeve Gastrectomy): This is a surgical procedure where the surgeon removes about 75–80% of the stomach, leaving a smaller, sleeve-shaped stomach about the size of a banana. The new stomach sleeve restricts the amount of food you can eat and also leads to a drop in hunger hormones (ghrelin), helping you feel full sooner and less hungry overall. Gastric sleeve surgery is currently the most popular bariatric procedure worldwide and in the Dominican Republic because it’s relatively straightforward and highly effective. It does not involve rerouting the intestines, so the digestive process remains normal aside from the smaller stomach capacity.
• Gastric Bypass (Roux-en-Y Gastric Bypass): Gastric bypass is a more complex surgery that involves creating a small stomach pouch (about 1 ounce in volume) by stapling off a portion of the stomach. The surgeon then connects this pouch directly to a lower segment of the small intestine, effectively bypassing a large part of the stomach and upper intestines. This results in two mechanisms for weight loss: a smaller stomach pouch (restricting food intake) and reduced calorie absorption due to the shortened digestive pathway. Gastric bypass has been performed for decades and yields excellent weight loss and health improvement, though it requires adherence to vitamin supplementation for life (since it can reduce absorption of nutrients). It can be a good option for patients with severe GERD or type 2 diabetes, as bypass often leads to quick improvement in diabetes control.
• Gastric Balloon (Intragastric Balloon): For patients who prefer a non-surgical option, we offer gastric balloons. A gastric balloon is a soft, expandable balloon that is placed inside the stomach and then filled with saline solution (or in the case of one product, gas) to occupy space. The balloon induces a feeling of fullness, so you eat less and lose weight over a period of months. At Bilmar, we provide two balloon options: the Allurion Balloon, which is an innovative swallowable capsule balloon that does not require endoscopy or anesthesia (it self-inflates in the stomach and after ~4 months deflates and passes naturally), and the Endoscopic Gastric Balloon, which is placed and later removed using an endoscopic procedure (via the mouth under sedation). Balloons are temporary (usually left in for 6 months) and are ideal for individuals who need to jump-start weight loss or who don’t qualify for surgery. They typically result in a moderate amount of weight loss and require commitment to diet and lifestyle changes during the treatment period.

Each of these options has its own indications, benefits, and considerations. Our medical team will carefully evaluate your health, BMI, and preferences to recommend the best approach for you. In some cases, if a patient has a very high BMI or specific medical conditions, one procedure might be favored over another. We ensure you fully understand the differences and expected outcomes of each bariatric solution before making a decision.

Gastric Bypass Dominican Republic cost

How It Works: Undergoing bariatric surgery with Bilmar involves a coordinated, step-by-step process focused on safety and success:

1. Pre-Operative Assessment: Before any procedure, you will have a comprehensive evaluation. This includes a review of your medical history, current health status, and possibly some tests (blood work, etc.) to ensure you’re a good candidate. You’ll also have a consultation (virtually or in-person) with our bariatric surgeon who will explain the procedure in detail and answer questions. A pre-op diet (often a low-calorie or liquid diet for 1–2 weeks) is usually required to shrink the liver and make surgery safer. We will provide detailed dietary guidance and support during this phase.
2. Travel and Preparation: We assist you in arranging your travel to the Dominican Republic. Plan to spend about a week in-country for surgery and initial recovery (exact time depends on the procedure; for example, our packages typically require ~7 days for a sleeve or bypass). Upon arrival, you’ll meet our team and have in-person consultations, including meeting the surgeon, anesthesiologist, and other staff. Final pre-op tests (like imaging or an endoscopy if needed) are done at the hospital before surgery for maximum safety.
3. The Surgery: Our bariatric surgeries are performed in a modern, fully equipped hospital or surgical center. Gastric sleeve and bypass are done laparoscopically, meaning the surgeon makes a few small keyhole incisions in the abdomen and uses a camera and specialized instruments. Laparoscopic (minimally invasive) surgery results in less pain, smaller scars, and faster recovery than open surgery. You will be under general anesthesia, so you’ll be asleep and feel no pain during the operation. A gastric sleeve procedure typically takes about 60–90 minutes, while a gastric bypass might take 2–3 hours. The Allurion balloon placement is even quicker – you simply swallow the capsule attached to a thin tube, the balloon is filled in a brief outpatient procedure, and you’re done in 20 minutes or so (no anesthesia needed). An endoscopic balloon placement takes about 20–30 minutes under mild sedation. During surgical procedures, our anesthesiology team closely monitors you, and the surgeon employs advanced techniques (such as staple-line reinforcement in sleeve or leak testing in bypass) to maximize safety. Once the procedure is complete, you’ll be moved to a recovery room as you wake up from anesthesia, and then to a comfortable hospital room.
4. Post-Op & In-Hospital Recovery: After a sleeve or bypass, the typical hospital stay is 1 to 3 nights for monitoring. Our team provides attentive care – including pain management, IV fluids, and getting you started on a clear liquid diet usually the next day. We also encourage you to start walking with assistance within hours of surgery (moving early helps prevent blood clots and speeds recovery). If you have a companion with you, they are welcome to stay or visit, and our Bilmar staff often check on you to ensure all your needs are met. For gastric balloon patients, hospital stay isn’t needed – you’ll be observed for a short time after placement (a few hours) and can return to your hotel the same day, though you will have some nausea initially that we manage with medications.
5. Discharge and Follow-Up in DR: Before discharge, the surgeon will visit you to explain home care instructions. You will be given a specific post-bariatric diet plan to follow (usually starting with liquids, then purees, then soft foods over the next weeks). We’ll supply any necessary medications (such as pain relievers, antacids to protect your stomach, and vitamins). If you had a drain or catheter (sometimes placed in bypass patients), it would typically be removed before discharge. Our team or the hospital’s case manager will help you with any paperwork and follow-up appointments. We often arrange a follow-up check a few days after surgery while you’re still in the DR – this could be an in-person exam or at least a phone check to ensure you’re doing well. Once you’re medically cleared (usually by day 5-7 post-op for sleeve/bypass), you are safe to fly home.
6. Long-Term Aftercare: Bariatric surgery is the start of a lifelong change. Bilmar’s support doesn’t end when you leave the country. We provide extensive aftercare instructions including diet progression, activity guidelines, and signs of any complications to watch for. You’ll also have scheduled follow-ups: for instance, we encourage you to have blood tests and check-ins at 1 month, 3 months, 6 months, and 12 months after surgery (these can be done with your local physician – we can coordinate sharing of information). Many of our patients join virtual support groups or stay in touch with our nutritionist for guidance on eating habits and vitamins. If any issues or questions arise after you’re home, you can reach out to us anytime – we will connect you with the medical team to address your concerns. For balloon patients, we coordinate the balloon removal at 6 months (either you return for a short endoscopic removal procedure, or if it’s the Allurion balloon, it will pass naturally and we’ll follow up to confirm it). Our goal is to ensure you have a smooth journey to health, with all the tools and knowledge you need to succeed in losing weight and keeping it off.

Benefits:

• Significant Weight Loss: Bariatric surgery is by far the most effective tool for achieving major, long-term weight loss. On average, patients lose 60–70% of their excess body weight within one year after a gastric sleeve, and gastric bypass patients often lose slightly more, sometimes up to 70–80% of excess weight. This can translate to losing dozens or even over a hundred pounds, depending on your starting weight. Such weight loss isn’t just cosmetic – it dramatically improves health and mobility.
• Improvement of Health Conditions: One of the greatest benefits is the resolution or improvement of obesity-related health problems. After surgery, many patients see type 2 diabetes go into remission, often within days or weeks (especially with gastric bypass). Hypertension (high blood pressure) typically improves or resolves, meaning you may reduce or stop medications. Conditions like sleep apnea, high cholesterol, fatty liver disease, joint pain, and acid reflux often significantly improve as you shed weight. In fact, bariatric surgery can add years to your life by reducing risks of heart disease, stroke, and even certain cancers associated with obesity. Overall quality of life increases – patients have more energy and can be more active.
• High Safety and Success Rate: In the hands of experienced surgeons, bariatric procedures are very safe with a low complication rate (often comparable to or even safer than common surgeries like gallbladder removal). For example, improvements in surgical techniques have reduced gastric sleeve complication rates to well below 1% for serious issues like leaks. We use laparoscopic methods, which means smaller incisions, less pain, and faster healing. Our partner hospitals are fully equipped for bariatric care, including excellent anesthesia and intensive care teams if needed. The success rate in terms of achieving weight loss is also high – around 80–90% of patients reach significant weight loss goals when combined with lifestyle changes. You are setting yourself up for success with our comprehensive program that includes nutritional and psychological preparation.
• Long-Term Weight Control: Unlike fad diets or short-term programs, bariatric surgery provides a sustainable tool for long-term weight management. The physical changes to your stomach (and intestines in bypass) help control hunger and portions permanently. This makes it much easier to adhere to a healthier diet and maintain weight loss. Many patients find their tastes and appetite change after surgery, aiding them in preferring nutritious foods and smaller portions naturally. With commitment, it’s possible to maintain the weight loss indefinitely – we have patients years out from surgery who have kept the weight off and even continued to lose beyond the initial year. This surgery essentially gives you a “reset” on your health and weight.
• Fast Access and Affordable Care: By choosing Bilmar in the Dominican Republic, you skip the long wait times that can occur in the U.S. (for insurance approvals or surgical scheduling). We can often accommodate surgery dates within a much shorter timeframe. Additionally, you gain cost savings that are enormous: bariatric surgeries in the DR typically cost a fraction of U.S. prices. For example, a gastric bypass here averages around $5,500–$8,500 total whereas in the U.S. the same procedure can cost $20,000–$25,000 or more. That’s a savings of 60–70% which puts this life-changing surgery within reach for many who couldn’t afford it at home. And our prices often include hospital stay, surgeon fees, anesthesia, and initial post-op care, giving you excellent value.
• Comprehensive Health Transformation: Weight loss surgery is not just about the pounds you lose – it’s about gaining a new, healthier life. Patients frequently report higher confidence, improved mood, and increased ability to engage in activities they couldn’t before (like playing with their kids, traveling comfortably, or starting new hobbies). Many also find they can reduce or stop numerous medications (for blood sugar, pressure, etc.), simplifying their healthcare needs. The positive ripple effects extend to mental health and social life as well. In essence, bariatric surgery can help you break free from the limitations obesity imposed and allow you to truly enjoy life to the fullest.
• Weight loss surgery abroad

Risks:

• Surgical Risks: Bariatric surgeries are major procedures and carry some general surgical risks. These include risks of anesthesia, bleeding, blood clots (deep vein thrombosis), and infection. Blood clots are a concern in obese patients, especially after travel, but we take preventive measures such as blood thinners and compression devices on the legs during and after surgery. Infections are minimized by prophylactic antibiotics and sterile techniques, but if an incision infection occurs, it can be treated with antibiotics and care. Our team’s vigilance and the short hospital stay help catch and address any such issues promptly.
• Procedure-Specific Complications: Each bariatric procedure has particular risks. In a gastric sleeve, the most serious potential complication is a staple line leak (a leak of stomach contents from the stapled edge). This is relatively rare (well under 1% in experienced hands), but if it occurs it can require intervention and a longer hospital stay. Our surgeons test the sleeve during surgery to ensure it’s sealed, and some reinforce the staple line to reduce this risk. Gastric bypass carries a small risk of leaks at the connections (anastomoses) and a risk of intestinal obstruction or strictures later. There’s also something called “dumping syndrome” – where eating sugary foods causes rapid digestion leading to nausea and dizziness – but this is more of a manageable side effect than a complication, and it actually helps patients avoid sweets. Gastric balloons can cause nausea and vomiting especially in the first week; rarely, a balloon might deflate and migrate (which is why the fluid is usually tinted with a dye so you notice blue-green urine if it leaks). An early removal might be needed if side effects are intolerable, but many patients adjust after a few days. Our medical staff monitors you closely for all these potential issues and is prepared to act immediately should a complication arise. It’s important to note that while these complications sound scary, they are infrequent – and the vast majority of our patients go through surgery with no major issues. We will discuss all risks in detail during consultation so you are fully informed.
• Nutritional Deficiencies: Because bariatric surgery alters how you eat (and how your body absorbs nutrients, especially with gastric bypass), there is a risk of vitamin and mineral deficiencies. This is mitigated by taking prescribed vitamin supplements for life. For example, you’ll need daily multivitamins, calcium, vitamin B12, iron, etc., as directed. Not taking your supplements or eating a very poor diet after surgery could lead to anemia, bone loss, or other deficiency-related problems. We educate you thoroughly on this and set you up with a nutrition plan. Following our guidelines, patients can avoid significant deficiencies – it’s all about adherence to the recommended supplements and periodic blood tests.
• Adjustment Period & Side Effects: The first few months after surgery involve big adjustments. You may experience side effects like fatigue, body aches, hair thinning, or mood changes as your body rapidly loses weight and adjusts hormonally. These are generally temporary. You’ll also have to adapt to new eating habits (chewing very well, eating slowly, very small portions). Eating too much or too fast can cause discomfort or vomiting. Some patients experience dumping syndrome after gastric bypass when consuming sugar – which, while unpleasant (causing sweating, nausea, etc.), actually reinforces healthier eating choices. These effects are not dangerous but require lifestyle changes. We prepare you through pre-surgery counseling so you know what to expect and how to cope.
• Excess Skin: Significant weight loss can result in loose or excess skin, which isn’t a health risk but a cosmetic concern for some patients. Areas like the abdomen, arms, and thighs might appear saggy once the fat is gone. This depends on factors like your age and skin elasticity. Some patients later opt for cosmetic surgery (like a tummy tuck or body lift) to remove excess skin, which is something Bilmar can also assist with via our cosmetic surgery partners if desired. It’s just important to have realistic expectations that massive weight loss may leave behind some loose skin. We consider it a small trade-off for the health benefits gained, and garments or later surgery can address it if it bothers you.
• Psychological Impact: Undergoing such a big change can have emotional effects. While most patients are happy, a few may struggle with adjusting to their new body image or changes in how others treat them. There’s also a risk (though low) of transfer addiction – for instance, if someone was very emotionally tied to eating, they need new coping strategies post-surgery. This is why our program emphasizes psychological readiness and, if needed, counseling support. We want you not only to lose weight but also to feel mentally well during the journey.

Overall, our approach at Bilmar is to minimize risks at every stage – from careful patient selection, employing expert surgeons and quality facilities, to thorough post-op care. Bariatric surgery has an excellent safety profile nowadays, and the potential health benefits far outweigh the risks for most obese individuals. We will ensure you are fully educated and monitored, turning what could be risks into well-managed parts of the treatment process.

Recovery Time & Aftercare: Recovery from bariatric surgery is a gradual process that unfolds over weeks and months, with plenty of support along the way. Here’s what to expect:

• Hospital Recovery: In the first 1–3 days after a sleeve or bypass, you’re in the hospital focusing on pain control, hydration, and taking short walks. Thanks to minimally invasive techniques, most patients find pain is manageable – often described as soreness or tightness in the abdomen. By the second day, many patients are surprised they feel better than expected and can move around more easily. You’ll start sipping clear liquids usually the day after surgery. We ensure you can tolerate liquids and that your vital signs are stable before discharge. For balloon patients, the initial recovery is dealing with nausea; we prescribe medications like anti-nausea and antispasmodics to keep you comfortable, and these symptoms typically improve after a few days.
• First Week after Surgery: If you remain in the DR for a few days post-discharge (which we recommend), you’ll stay in a comfortable hotel or recovery facility. We or our nurse will check on you daily. You’ll be on a liquid diet (broth, sugar-free drinks, protein shakes) for about one week after a sleeve/bypass. It’s crucial to stay hydrated by sipping water frequently. You should be walking regularly (short strolls every few hours while awake) to promote circulation and healing. Avoid heavy lifting or strenuous activity. By the end of week one, many patients are able to slowly increase their activity level (like doing light household tasks) and are feeling much more energetic as they shed some initial weight. If you’re flying home around 5-7 days post-op, we advise walking during your flight periodically and wearing compression socks – we provide all guidance to ensure a safe trip.
• Diet Progression & Restrictions: After the initial liquid phase, you’ll move to pureed or soft foods (such as protein shakes, yogurt, blended soups, mashed potatoes) typically during weeks 2 and 3 post-op. By around one month, you transition to soft solids and then gradually to regular textured healthy foods by about 4-6 weeks. We will give you a detailed diet booklet outlining each stage, including high-protein food suggestions and sample menus. You’ll also begin taking your prescribed vitamins (multivitamins, B12, calcium, etc.) as directed. We emphasize protein intake and hydration as key parts of recovery. You will likely find your appetite is greatly reduced; this is normal. It’s important to listen to your body’s cues and not force eating. Overeating or eating too fast can cause vomiting or discomfort, so new eating habits (tiny bites, chewing well, taking 20-30 minutes for a small meal) must be learned. We often arrange for you to meet with a nutritionist (in person or virtually) in the early post-op period to help with this adjustment.
• Follow-Up Care: Bilmar will schedule follow-up calls or video consultations at regular intervals (for example, 1 week, 1 month, 3 months, etc.). These check-ins are to track your progress, answer any questions, and ensure you’re on track with nutrition and exercise. If you have a primary care physician or bariatric specialist at home, we’ll provide them with your surgical report and recommendations so they can continue your care collaboratively. You will also get labs done at around 3–6 months and 12 months post-op to check nutrient levels; any deficiencies can be corrected by adjusting supplements. We encourage patients to join a support group (there are online communities and local groups for bariatric patients) – sharing experiences and tips with others can be very helpful and motivating. We are happy to connect you with resources.
• Physical Activity: As you heal, exercise will be introduced. Generally, you should avoid heavy lifting or vigorous exercise for about 4-6 weeks after surgery to allow your internal sutures to fully heal. However, light activity (walking, gentle stretching) is encouraged as early as week 1. By week 4, many patients start doing low-impact workouts (like stationary biking, swimming if incisions healed, etc.). Regular exercise will amplify your weight loss and toning. We will provide guidelines on gradually increasing activity, tailored to your ability.
• Psychological Aftercare: Adjusting to the “new you” is a journey. We remind you that stalls in weight loss can happen (it’s not always linear), but that’s normal – sticking to the plan will get you to your goal. We also prepare you for the emotional aspects: some patients experience mood swings as the body undergoes hormonal changes with rapid weight loss. Having a strong support system or counselor can be beneficial. Bilmar can refer you to bariatric counselors or therapists if needed to ensure your mental well-being keeps pace with your physical changes.
• Long-Term Lifestyle: After about 2-3 months, most patients are fully healed from surgery and are seeing significant weight loss each week. You’ll be eating a variety of healthy foods – mainly lean proteins, vegetables, fruits, and whole grains, but in small portions. By 6 months, a sleeve/bypass patient often has lost 50-70% of excess weight. You’ll have routine lab checks to ensure all is well internally. The key long-term is adhering to the healthy eating and exercise habits developed during the program. The aftercare never truly ends – maintaining weight loss is a lifelong commitment, but with your smaller stomach capacity and our ongoing support, it becomes second nature. We celebrate with you as you hit milestones (like dropping clothing sizes or getting off medications). And if ever you hit a bump (such as weight plateau or any nutritional issue), our team is just a call away to help adjust your plan. We succeed when you succeed, so we stay invested in your outcome.
• Affordable bariatric surgery Dominican Republic 

Why Bilmar Dominican Health Solution is Superior:

• World-Class Surgical Expertise: Bilmar connects you with some of the best bariatric surgeons in the Dominican Republic, each with extensive experience in weight loss surgeries. Our surgical partners are board-certified and many have trained internationally or are members of organizations like IFSO (International Federation for the Surgery of Obesity). They utilize proven surgical techniques and continually update their skills with the latest advancements. Importantly, they have excellent track records of safety and patient success. For example, many of our surgeons boast leak rates far below the global averages due to meticulous technique, and have performed hundreds (if not thousands) of bariatric procedures. When you come to Bilmar, you can be confident you’re entrusting your care to a top-tier surgical team that matches or exceeds the standards you’d expect in the U.S.
• Accredited Hospitals & Facilities: Your surgery will take place in a modern, accredited hospital equipped with state-of-the-art operating rooms, advanced monitoring equipment, and fully stocked ICUs. Many leading hospitals here have international accreditation or affiliations and maintain strict protocols for quality and patient safety. The nursing staff is experienced in caring for post-bariatric patients, which is a crucial factor in recovery. Additionally, the facilities often provide private rooms with amenities to make your hospital stay comfortable. Bilmar’s close partnerships with these institutions mean we have hand-picked where our patients go, choosing hospitals known for excellence in surgical care.
• Comprehensive, All-Inclusive Packages: We distinguish ourselves by offering all-inclusive packages that handle all aspects of your medical trip. This often includes the surgery cost, hospital fees, surgeon and anesthesiologist fees, pre-op tests, post-op medications. By bundling these services, we remove the logistical burden from you – there are no surprise costs or gaps in service. You can relax knowing that from the moment you land to the moment you depart, Bilmar has arranged everything necessary for a successful treatment and recovery. This level of coordination is something many competitors lack; we essentially serve as your personal medical concierge.
• Personalized Patient Care: Bilmar’s approach is highly patient-centric. We maintain a low patient-to-staff ratio, ensuring you get individualized attention. Our Medical Director and patient coordinators will know you by name and understand your case details. Throughout your stay, you’ll have direct access to our team for any needs – whether it’s a question about your diet or a request for extra pillows, we are there to assist. We also recognize that traveling for surgery can be daunting, so we strive to provide a warm, supportive environment. For instance, our staff will frequently check on you in the hospital, and we can arrange for a nurse or aide to assist at your hotel if you’re traveling alone and want extra help. We treat our patients like family, with genuine compassion and encouragement at every step.
• Focus on Safety and Success: Bilmar is committed to upholding the highest safety standards. From thorough pre-op screening (we won’t approve surgery unless it’s safe for you) to using U.S.-sourced surgical materials (like high-quality staples and sutures) and adhering to international protocols, patient safety is our foremost priority. We also emphasize success beyond the operating table – our comprehensive program includes nutritional counseling, psychological readiness assessment, and follow-up support, which significantly enhance the likelihood of long-term success. We educate you extensively, because an informed patient achieves better results. By choosing Bilmar, you’re not just getting a surgery; you’re getting a partner invested in your weight loss journey.
• Affordable Excellence: While there are other medical tourism facilitators, Bilmar stands out by combining affordability with top-notch quality. It’s not just about being cheaper – it’s about delivering equal (or better) outcomes and care as you’d get at home, but at a sensible cost. We are transparent about pricing; for example, an average gastric bypass with us is between $5.5k and $8.5k total, with no hidden fees, compared to $20k+ in the U.S. The cost savings are undeniable, yet we ensure that every dollar you do spend goes towards high-quality care, not administrative waste. We also offer financing guidance and can connect you with financing companies if paying in installments would help. Our aim is to make bariatric surgery accessible to those who need it, without any compromise on the safety or patient experience.
• Proven Patient Satisfaction: We are proud of the success stories we’ve been part of. Many Bilmar bariatric clients have shared testimonials about their positive experiences – from the professionalism of our staff to the transformative results they achieved. We’ve helped clients shed weight, come off medications, and gain a new lease on life. Our high referral rate (many new patients come to us because a friend or family member had a great outcome) speaks to the trust we’ve earned. By choosing us, you align yourself with a provider that has consistently delivered life-changing results and satisfied patients. We even continue to cheer on our patients through their weight loss milestones, celebrating their victories as our own, because your success is our success.

In summary, Bilmar Dominican Health Solution offers an unparalleled bariatric surgery program for American medical tourists: expert surgeons, top facilities, full-service care, and affordable pricing, all tailored to ensure you return home healthier and happier. Your journey to a healthier weight will be in the best of hands with Bilmar.