Don't Forget To Read Our Insider's Guide Click Here to get the Insider's Guide The 26 Questions You Need To Ask Before Having Surgery In Mexico Click Here to see the 26 Questions Weight Loss Surgery Quote & Contact Form (Beta) Here you can request someone to contact you and also request an accurate quote. Personal InformationName* First Last Email* Enter Email Confirm Email Phone*Age*Sex*Please Make a SelectionFemaleMaleWhich Weight Loss Procedure*Please Make a SelectionGastric Sleeve ProcedureGastric Bypass ProcedureGastic Plication ProcedureWould you like to request a quote?*Please Make a SelectionYesNoAdditional Required InformationHeight (inches)*List your height in inches. (12" = 1ft.)Weight (lbs)*BMI*Body Mass Index is automatically calculatedHeight (m)*Weight (kg)*Height (squared)*Do you have any cardiac issues?*Please Make a SelectionNoYesYou’ve selected YES. Are you able to get a cardiac clearance letter from your Doctor?*Please Make a SelectionNoYesHave you recently had weight loss surgery?*Please Make a SelectionNoYesYou are eligible for Single Incision Laparoscopic Surgery (SILS) starting at $5,499. Would you like a quote for this procedure?*Please Make a SelectionNoYesSingle Incision Laparoscopic Surgery (SILS)* Price: $5,499.00 Gastric Sleeve Procedures*Please Make a SelectionGastric Sleeve (Regular)Gastric Sleeve (Revision)Gastric Band to Sleeve (Revision)Gastric Bypass Procedures*Please Make a SelectionGastric Bypass (Mini)Gastric Bypass (Full)You may be eligible for Gastric Bypass (Revision) Surgery starting at $7,000. Would you like to receive a quote for this procedure?*Please Make a SelectionNoYesGastric Bypass (Revision)* Price: $7,000.00 Gastric Plication Surgery* Price: $3,999.00 Do you currently smoke?*Please Make a SelectionNoYesWARNING! You must stop smoking 2 weeks prior to surgery and cannot resume until 4 weeks after the surgery.Do you currently have symptoms of Heart Burn and/or Acid Reflux?*Please Make a SelectionNoYesWARNING! An additional cost of $500 if a Hiatal hernia is discovered.Are you currently prescribed any pain medications?*Please Make a SelectionNoYesWARNING! You must bring your own pain medication for your surgery.Do you currently use a CPAP Machine?*Please Make a SelectionNoYesWARNING! You must bring your own CPAP machine or there will be an extra charge.Have you been diagnosed with/or do you have a Hiatal Hernia?*Please Make a SelectionNoYesHernia Repair Price: $500.00 Do you wish to have your Gall Bladder removed?*Please Make a SelectionNoYesBladder Removal Price: $500.00 Total $0.00 NameThis field is for validation purposes and should be left unchanged.