Obesity surgery, also known as bariatric surgery, is a life-changing procedure for individuals struggling with severe obesity.
Turkey has emerged as a popular destination for medical tourists seeking affordable and high-quality obesity surgery options.
This article aims to provide an exhaustive overview of the pricing considerations for obesity surgery in Turkey, covering all essential aspects to help patients make informed decisions.
Understanding Obesity Surgery
Obesity surgery encompasses several procedures designed to help patients achieve significant weight loss by altering the digestive process.
Common types include gastric sleeve surgery, gastric bypass surgery, and gastric banding (lap band) surgery. Each procedure varies in complexity and effectiveness, influencing their respective costs.
Prices of each type of the obesity surgery in Turkey.
Gastric Sleeve Surgery
Definition and Details:
Gastric sleeve surgery, also known as sleeve gastrectomy, is a surgical weight loss procedure that involves permanently reducing the size of the stomach by about 75-80%.
This results in a stomach that resembles a narrow tube or sleeve, significantly limiting its capacity to hold food. The procedure is performed laparoscopically under general anesthesia, where several small incisions are made in the abdomen.
A laparoscope (a small camera) and surgical instruments are inserted through these incisions to perform the surgery.
During the procedure, the outer part of the stomach is removed, leaving behind a smaller, banana-shaped stomach pouch.
This reduction in stomach size not only restricts the amount of food that can be consumed at one time but also decreases the production of the hunger hormone ghrelin. This hormonal change helps patients feel full sooner and for a longer period after eating, aiding in weight loss.
Gastric sleeve surgery is considered effective for individuals with a Body Mass Index (BMI) over 40, or those with a BMI over 35 who have obesity-related health conditions such as type 2 diabetes, hypertension, or sleep apnea.
It is generally less complex than other bariatric surgeries like gastric bypass or duodenal switch, with fewer risks of complications such as malabsorption or vitamin deficiencies.
Pricing Breakdown:
- Surgical Procedure: Approximately 10,000 – 15,000 USD Includes surgeon’s fees, operating room costs, and specialized equipment used during the procedure.
- Anesthesia: Approximately 1,000 – 2,000 USD Covers the cost of anesthesia administered during surgery.
- Hospital Fees: Approximately 5,000 – 7,000 USD Includes the cost of hospital admission, nursing care, and use of hospital facilities during recovery.
- Pre-operative Tests: Approximately 500 – 1,000 USD Costs associated with required medical evaluations, laboratory tests, and imaging studies before surgery.
- Post-operative Care: Approximately 1,000 – 2,000 USD Includes medications, follow-up consultations, and management of potential post-operative complications.
Gastric Bypass Surgery
Definition and Details:
Gastric bypass surgery, also known as Roux-en-Y gastric bypass, is a complex bariatric procedure that combines both restrictive and malabsorptive techniques to achieve weight loss.
During the surgery, the stomach is divided into a small upper pouch and a larger lower pouch. The small intestine is then rearranged to connect to both pouches, bypassing a significant portion of the stomach and the duodenum (the first part of the small intestine).
The smaller stomach pouch restricts the amount of food that can be eaten at one time, leading to reduced calorie intake.
By bypassing a portion of the small intestine, the body absorbs fewer calories and nutrients from the food consumed, promoting additional weight loss.
This procedure also affects gut hormones involved in appetite regulation and blood sugar control, making it particularly effective for patients with severe obesity and obesity-related health conditions such as type 2 diabetes.
Gastric bypass surgery is performed laparoscopically under general anesthesia, involving several small incisions in the abdomen.
It requires careful pre-operative evaluation and post-operative monitoring to manage potential complications such as dumping syndrome, nutrient deficiencies, and gastrointestinal leaks.
Pricing Breakdown:
- Surgical Procedure: Approximately 15,000 – 25,000 USD Includes surgeon’s fees, operating room costs, and specialized equipment used during the procedure.
- Anesthesia: Approximately 1,500 – 3,000 USD Covers the cost of anesthesia administered during surgery.
- Hospital Fees: Approximately 7,000 – 10,000 USD Includes the cost of hospital admission, nursing care, and use of hospital facilities during recovery.
- Pre-operative Tests: Approximately 1,000 – 2,000 USD Costs associated with required medical evaluations, laboratory tests, and imaging studies before surgery.
- Post-operative Care: Approximately 1,500 – 3,000 USD Includes medications, follow-up consultations, and management of potential post-operative complications.
Gastric Banding (Lap Band) Surgery
Definition and Details:
Gastric banding, commonly referred to as lap band surgery, is a restrictive weight loss procedure that involves placing an adjustable silicone band around the upper part of the stomach.
The band creates a small pouch with a narrow opening that limits the amount of food the stomach can hold at one time. This restriction leads to earlier feelings of fullness and reduced food intake, promoting weight loss.
During the surgery, the adjustable band is placed around the upper stomach through laparoscopic surgery under general anesthesia.
The band is connected to a port placed beneath the skin of the abdomen, allowing for adjustments to tighten or loosen the band over time.
Adjustments are made during follow-up visits to optimize weight loss and manage any side effects such as difficulty swallowing or reflux.
Gastric banding is considered a less invasive and reversible weight loss option compared to other bariatric surgeries like gastric bypass or sleeve gastrectomy.
It is suitable for patients who prefer a gradual approach to weight loss or those who may need to avoid more complex procedures due to medical reasons.
Pricing Breakdown:
- Surgical Procedure: Approximately 7,000 – 12,000 USD Includes surgeon’s fees, operating room costs, and specialized equipment used during the procedure.
- Anesthesia: Approximately 800 – 1,500 USD Covers the cost of anesthesia administered during surgery.
- Hospital Fees: Approximately 3,000 – 5,000 USD Includes the cost of hospital admission, nursing care, and use of hospital facilities during recovery.
- Pre-operative Tests: Approximately 400 – 800 USD Costs associated with required medical evaluations, laboratory tests, and imaging studies before surgery.
- Post-operative Care: Approximately 800 – 1,500 USD Includes medications, follow-up consultations, and management of potential post-operative complications.
Biliopancreatic Diversion with Duodenal Switch (BPD/DS)
Definition and Details:
Biliopancreatic diversion with duodenal switch (BPD/DS) is a complex bariatric procedure that combines both restrictive and malabsorptive techniques to achieve substantial weight loss. The surgery involves two main steps.
First, a portion of the stomach is permanently removed, creating a smaller, sleeve-shaped stomach pouch similar to sleeve gastrectomy. This reduces the stomach’s capacity and restricts food intake.
In the second step, the small intestine is reconfigured to divert bile and pancreatic enzymes away from the duodenum (the first part of the small intestine), significantly reducing the absorption of calories and nutrients from food.
This malabsorptive component enhances weight loss by limiting the body’s ability to absorb ingested fats and sugars.
BPD/DS is typically recommended for patients with a BMI over 50 or those with severe obesity-related health conditions such as type 2 diabetes, hypertension, or sleep apnea.
The procedure requires careful pre-operative evaluation, as well as lifelong monitoring and supplementation to prevent nutritional deficiencies.
Pricing Breakdown:
- Surgical Procedure: Approximately 20,000 – 30,000 USD Includes surgeon’s fees, operating room costs, and specialized equipment used during the procedure.
- Anesthesia: Approximately 1,500 – 2,500 USD Covers the cost of anesthesia administered during surgery.
- Hospital Fees: Approximately 8,000 – 12,000 USD Includes the cost of hospital admission, nursing care, and use of hospital facilities during recovery.
- Pre-operative Tests: Approximately 1,000 – 1,500 USD Costs associated with required medical evaluations, laboratory tests, and imaging studies before surgery.
- Post-operative Care: Approximately 1,500 – 2,500 USD Includes medications, follow-up consultations, and management of potential post-operative complications.
Mini Gastric Bypass Surgery
Definition and Details:
Mini gastric bypass surgery is a simplified version of traditional gastric bypass surgery, offering similar weight loss results with potentially fewer complications.
During the procedure, a small stomach pouch is created by dividing the stomach, similar to standard gastric bypass surgery. However, instead of creating a Y-shaped connection with the small intestine, a single loop is made to bypass a portion of the intestine and reduce calorie absorption.
The surgery restricts food intake and alters digestion, promoting weight loss through both mechanisms. Mini gastric bypass is performed laparoscopically under general anesthesia, involving small incisions in the abdomen.
This approach reduces recovery time and minimizes the risk of surgical complications such as leaks or infections.
Mini gastric bypass surgery is suitable for patients with a BMI over 35 or those with obesity-related health conditions such as type 2 diabetes. It requires lifelong dietary changes and regular medical follow-up to monitor weight loss progress and manage any potential complications.
Pricing Breakdown:
- Surgical Procedure: Approximately 12,000 – 18,000 USD Includes surgeon’s fees, operating room costs, and specialized equipment used during the procedure.
- Anesthesia: Approximately 1,200 – 2,000 USD Covers the cost of anesthesia administered during surgery.
- Hospital Fees: Approximately 5,000 – 8,000 USD Includes the cost of hospital admission, nursing care, and use of hospital facilities during recovery.
- Pre-operative Tests: Approximately 600 – 1,200 USD Costs associated with required medical evaluations, laboratory tests, and imaging studies before surgery.
- Post-operative Care: Approximately 1,200 – 2,000 USD Includes medications, follow-up consultations, and management of potential post-operative complications.
Adjustable Gastric Banding (AGB)
Definition and Details:
Adjustable gastric banding (AGB), commonly known as the Lap-Band procedure, is a restrictive weight loss surgery that involves placing an inflatable silicone band around the upper part of the stomach.
The band creates a small pouch with a narrow opening that limits the amount of food the stomach can hold at one time, leading to early satiety and reduced calorie intake.
The band is connected to a port placed beneath the skin of the abdomen, allowing for adjustments to tighten or loosen the band over time.
AGB is performed laparoscopically under general anesthesia, involving small incisions in the abdomen. Unlike other bariatric surgeries, AGB does not involve cutting or stapling the stomach or rerouting the intestines.
It is considered a less invasive and reversible weight loss option suitable for patients who prefer a gradual approach to weight loss or those who may have medical conditions that prevent more complex surgeries.
Pricing Breakdown:
- Surgical Procedure: Approximately 8,000 – 12,000 USD Includes surgeon’s fees, operating room costs, and specialized equipment used during the procedure.
- Anesthesia: Approximately 800 – 1,500 USD Covers the cost of anesthesia administered during surgery.
- Hospital Fees: Approximately 3,000 – 5,000 USD Includes the cost of hospital admission, nursing care, and use of hospital facilities during recovery.
- Pre-operative Tests: Approximately 400 – 800 USD Costs associated with required medical evaluations, laboratory tests, and imaging studies before surgery.
- Post-operative Care: Approximately 800 – 1,500 USD Includes medications, follow-up consultations, and management of potential post-operative complications.
Intragastric Balloon (IGB)
Definition and Details:
Intragastric balloon (IGB) placement is a non-surgical weight loss procedure that involves inserting a deflated silicone balloon into the stomach through the mouth using an endoscope.
Once in place, the balloon is filled with saline solution to occupy space in the stomach, leading to a feeling of fullness and reduced food intake. The balloon remains in the stomach for up to six months before being removed.
IGB is typically recommended for patients who are moderately overweight or obese (BMI 30-40) and have struggled to lose weight through diet and exercise alone.
It is a temporary measure designed to kickstart weight loss and encourage healthier eating habits. The procedure is performed on an outpatient basis under sedation, without the need for general anesthesia.
Pricing Breakdown:
- Procedure: Approximately 4,000 – 8,000 USD Includes the cost of the balloon device, endoscopic insertion procedure, and removal after six months.
- Anesthesia (if applicable): Approximately 500 – 1,000 USD Covers the cost of sedation administered during the procedure.
- Clinic or Hospital Fees: Approximately 2,000 – 4,000 USD Includes facility fees for the outpatient procedure, nursing care, and recovery room use.
- Follow-up Visits: Approximately 500 – 1,000 USD Costs associated with follow-up appointments to monitor balloon placement and removal.
AspireAssist System
Definition and Details:
The AspireAssist System is a non-surgical weight loss device that allows patients to remove a portion of the food they consume directly from the stomach before it is fully digested and absorbed.
The system consists of a tube (AspireAssist tube) that connects the stomach to a small, external device (AspireAssist pump).
After meals, patients attach the device to the tube and drain approximately 30% of the stomach contents into the toilet.
The AspireAssist procedure is performed in a doctor’s office under local anesthesia. A small incision is made in the abdomen to insert the tube into the stomach, which remains in place permanently. Patients are trained to use the device to aspirate (remove) food contents regularly, typically within 30 minutes after each meal.
The AspireAssist System is suitable for patients with a BMI of 35 to 55 who have not been successful with conventional weight loss methods.
It promotes weight loss by reducing calorie absorption and encouraging portion control, combined with lifestyle changes and nutritional counseling.
Pricing Breakdown:
- Device and Procedure: Approximately 8,000 – 12,000 USD Includes the cost of the AspireAssist device, insertion procedure, and training sessions.
- Anesthesia (if applicable): Approximately 500 – 1,000 USD Covers the cost of local anesthesia administered during the procedure.
- Follow-up Visits: Approximately 1,000 – 2,000 USD Costs associated with post-procedure check-ups, device maintenance, and patient support.
Sleeve Gastrectomy with Transit Bipartition (SGT)
Definition and Details:
Sleeve gastrectomy with transit bipartition (SGT) is an innovative bariatric surgery that combines the sleeve gastrectomy procedure with a transit bipartition.
The sleeve gastrectomy involves reducing the size of the stomach to a narrow tube or sleeve shape, restricting the amount of food that can be consumed. The transit bipartition modifies the intestines to change the way food is digested and absorbed.
During the procedure, the surgeon first performs a sleeve gastrectomy to remove a large portion of the stomach.
Then, a section of the small intestine is divided and rearranged to enhance the malabsorptive aspect of the surgery. This modification reduces the absorption of calories and nutrients from food, leading to significant weight loss.
SGT is recommended for patients with severe obesity (BMI over 50) or those with obesity-related health conditions such as type 2 diabetes.
It requires careful pre-operative evaluation and lifelong nutritional supplementation to prevent deficiencies and optimize weight loss outcomes.
Pricing Breakdown:
- Surgical Procedure: Approximately 20,000 – 25,000 USD Includes surgeon’s fees, operating room costs, and specialized equipment used during the procedure.
- Anesthesia: Approximately 1,500 – 2,500 USD Covers the cost of anesthesia administered during surgery.
- Hospital Fees: Approximately 8,000 – 10,000 USD Includes the cost of hospital admission, nursing care, and use of hospital facilities during recovery.
- Pre-operative Tests: Approximately 1,000 – 1,500 USD Costs associated with required medical evaluations, laboratory tests, and imaging studies before surgery.
- Post-operative Care: Approximately 1,500 – 2,500 USD Includes medications, follow-up consultations, and management of potential post-operative complications.
Vertical Banded Gastroplasty (VBG)
Definition and Details:
Vertical banded gastroplasty (VBG), also known as stomach stapling, is a restrictive weight loss surgery that involves creating a small stomach pouch using both staples and a band (prosthetic ring).
The upper stomach pouch restricts the amount of food that can be consumed at one time, promoting early satiety and reduced calorie intake.
The band helps maintain the size of the stomach opening and prevents stretching over time.
During the procedure, the surgeon uses staples to create a small stomach pouch vertically along the upper part of the stomach.
A band made of prosthetic material is then placed around the stomach pouch to regulate the size of the stomach opening. This dual mechanism limits food intake and promotes weight loss by encouraging portion control and early satiety.
VBG was one of the earliest forms of restrictive bariatric surgery but has become less common due to the availability of more effective procedures like gastric bypass and sleeve gastrectomy.
It may be considered for patients who are not suitable candidates for more complex surgeries or who prefer a less invasive weight loss option.
Pricing Breakdown:
- Surgical Procedure: Approximately 8,000 – 12,000 USD Includes surgeon’s fees, operating room costs, and specialized equipment used during the procedure.
- Anesthesia: Approximately 800 – 1,500 USD Covers the cost of anesthesia administered during surgery.
- Hospital Fees: Approximately 3,000 – 5,000 USD Includes the cost of hospital admission, nursing care, and use of hospital facilities during recovery.
- Pre-operative Tests: Approximately 400 – 800 USD Costs associated with required medical evaluations, laboratory tests, and imaging studies before surgery.
- Post-operative Care: Approximately 800 – 1,500 USD Includes medications, follow-up consultations, and management of potential post-operative complications.
Price Lists for Obesity Surgery Procedures in Istanbul, Ankara, and Izmir, Turkey
Gastric Bypass (RYGB)
Istanbul:
- Surgical Procedure: 10,000 – 15,000 USD
- Anesthesia: 1,000 – 2,000 USD
- Hospital Fees: 1,500 – 2,500 USD
- Pre-operative Tests: 500 – 1,000 USD
- Post-operative Care: 500 – 1,000 USD
- Total Cost Range: 13,500 – 21,500 USD
Ankara:
- Surgical Procedure: 9,000 – 14,000 USD
- Anesthesia: 800 – 1,500 USD
- Hospital Fees: 1,000 – 2,000 USD
- Pre-operative Tests: 400 – 800 USD
- Post-operative Care: 400 – 800 USD
- Total Cost Range: 11,600 – 18,100 USD
Izmir:
- Surgical Procedure: 8,000 – 12,000 USD
- Anesthesia: 700 – 1,200 USD
- Hospital Fees: 800 – 1,500 USD
- Pre-operative Tests: 300 – 700 USD
- Post-operative Care: 300 – 700 USD
- Total Cost Range: 10,100 – 16,100 USD
Sleeve Gastrectomy (SG)
Istanbul:
- Surgical Procedure: 8,000 – 12,000 USD
- Anesthesia: 800 – 1,500 USD
- Hospital Fees: 1,000 – 2,000 USD
- Pre-operative Tests: 400 – 800 USD
- Post-operative Care: 400 – 800 USD
- Total Cost Range: 10,600 – 17,100 USD
Ankara:
- Surgical Procedure: 7,000 – 11,000 USD
- Anesthesia: 600 – 1,200 USD
- Hospital Fees: 800 – 1,500 USD
- Pre-operative Tests: 300 – 700 USD
- Post-operative Care: 300 – 700 USD
- Total Cost Range: 8,900 – 15,100 USD
Izmir:
- Surgical Procedure: 6,000 – 10,000 USD
- Anesthesia: 500 – 1,000 USD
- Hospital Fees: 600 – 1,200 USD
- Pre-operative Tests: 200 – 600 USD
- Post-operative Care: 200 – 600 USD
- Total Cost Range: 7,500 – 13,400 USD
Adjustable Gastric Banding (AGB)
Istanbul:
- Surgical Procedure: 8,000 – 12,000 USD
- Anesthesia: 800 – 1,500 USD
- Hospital Fees: 1,000 – 2,000 USD
- Pre-operative Tests: 400 – 800 USD
- Post-operative Care: 400 – 800 USD
- Total Cost Range: 10,600 – 17,100 USD
Ankara:
- Surgical Procedure: 7,000 – 11,000 USD
- Anesthesia: 600 – 1,200 USD
- Hospital Fees: 800 – 1,500 USD
- Pre-operative Tests: 300 – 700 USD
- Post-operative Care: 300 – 700 USD
- Total Cost Range: 8,900 – 15,100 USD
Izmir:
- Surgical Procedure: 6,000 – 10,000 USD
- Anesthesia: 500 – 1,000 USD
- Hospital Fees: 600 – 1,200 USD
- Pre-operative Tests: 200 – 600 USD
- Post-operative Care: 200 – 600 USD
- Total Cost Range: 7,500 – 13,400 USD
Intragastric Balloon (IGB)
Istanbul:
- Procedure: 4,000 – 8,000 USD
- Device Cost: 2,000 – 4,000 USD
- Anesthesia: 500 – 1,000 USD
- Clinic or Hospital Fees: 500 – 1,000 USD
- Follow-up Visits: 300 – 600 USD
- Total Cost Range: 7,300 – 14,600 USD
Ankara:
- Procedure: 3,500 – 7,000 USD
- Device Cost: 1,500 – 3,000 USD
- Anesthesia: 400 – 800 USD
- Clinic or Hospital Fees: 400 – 800 USD
- Follow-up Visits: 200 – 500 USD
- Total Cost Range: 6,000 – 11,100 USD
Izmir:
- Procedure: 3,000 – 6,000 USD
- Device Cost: 1,000 – 2,000 USD
- Anesthesia: 300 – 700 USD
- Clinic or Hospital Fees: 300 – 700 USD
- Follow-up Visits: 100 – 400 USD
- Total Cost Range: 4,700 – 9,800 USD
AspireAssist System
Istanbul:
- Device and Procedure: 8,000 – 12,000 USD
- Device Cost: 5,000 – 8,000 USD
- Surgical Procedure: 3,000 – 5,000 USD
- Anesthesia: 700 – 1,200 USD
- Follow-up Visits: 300 – 600 USD
- Total Cost Range: 12,000 – 20,800 USD
Ankara:
- Device and Procedure: 7,000 – 11,000 USD
- Device Cost: 4,000 – 7,000 USD
- Surgical Procedure: 3,000 – 4,000 USD
- Anesthesia: 600 – 1,000 USD
- Follow-up Visits: 200 – 500 USD
- Total Cost Range: 10,800 – 17,500 USD
Izmir:
- Device and Procedure: 6,000 – 10,000 USD
- Device Cost: 3,000 – 5,000 USD
- Surgical Procedure: 2,500 – 4,000 USD
- Anesthesia: 500 – 800 USD
- Follow-up Visits: 200 – 400 USD
- Total Cost Range: 9,200 – 15,200 USD
Sleeve Gastrectomy with Transit Bipartition (SGT)
Istanbul:
- Surgical Procedure: 20,000 – 25,000 USD
- Anesthesia: 1,500 – 2,500 USD
- Hospital Fees: 2,000 – 3,000 USD
- Pre-operative Tests: 800 – 1,500 USD
- Post-operative Care: 800 – 1,500 USD
- Total Cost Range: 25,100 – 33,500 USD
Ankara:
- Surgical Procedure: 18,000 – 23,000 USD
- Anesthesia: 1,200 – 2,000 USD
- Hospital Fees: 1,500 – 2,500 USD
- Pre-operative Tests: 700 – 1,200 USD
- Post-operative Care: 700 – 1,200 USD
- Total Cost Range: 22,100 – 29,900 USD
Izmir:
- Surgical Procedure: 16,000 – 20,000 USD
- Anesthesia: 1,000 – 1,500 USD
- Hospital Fees: 1,200 – 2,000 USD
- Pre-operative Tests: 600 – 1,000 USD
- Post-operative Care: 600 – 1,000 USD
- Total Cost Range: 19,400 – 25,500 USD
Vertical Banded Gastroplasty (VBG)
Istanbul:
- Surgical Procedure: 8,000 – 12,000 USD
- Anesthesia: 800 – 1,500 USD
- Hospital Fees: 1,000 – 2,000 USD
- Pre-operative Tests: 400 – 800 USD
- Post-operative Care: 400 – 800 USD
- Total Cost Range: 10,600 – 17,100 USD
Ankara:
- Surgical Procedure: 7,000 – 11,000 USD
- Anesthesia: 600 – 1,200 USD
- Hospital Fees: 800 – 1,500 USD
- Pre-operative Tests: 300 – 700 USD
- Post-operative Care: 300 – 700 USD
- Total Cost Range: 8,900 – 15,100 USD
Izmir:
- Surgical Procedure: 6,000 – 10,000 USD
- Anesthesia: 500 – 1,000 USD
- Hospital Fees: 600 – 1,200 USD
- Pre-operative Tests: 200 – 600 USD
- Post-operative Care: 200 – 600 USD
- Total Cost Range: 7,500 – 13,400 USD
Mini Gastric Bypass (MGB)
Istanbul:
- Surgical Procedure: 12,000 – 18,000 USD
- Anesthesia: 1,200 – 2,500 USD
- Hospital Fees: 1,500 – 2,500 USD
- Pre-operative Tests: 600 – 1,200 USD
- Post-operative Care: 600 – 1,200 USD
- Total Cost Range: 16,900 – 25,400 USD
Ankara:
- Surgical Procedure: 10,000 – 15,000 USD
- Anesthesia: 1,000 – 2,000 USD
- Hospital Fees: 1,000 – 2,000 USD
- Pre-operative Tests: 500 – 1,000 USD
- Post-operative Care: 500 – 1,000 USD
- Total Cost Range: 13,000 – 21,000 USD
Izmir:
- Surgical Procedure: 9,000 – 14,000 USD
- Anesthesia: 800 – 1,500 USD
- Hospital Fees: 800 – 1,500 USD
- Pre-operative Tests: 400 – 800 USD
- Post-operative Care: 400 – 800 USD
- Total Cost Range: 11,400 – 18,600 USD
Biliopancreatic Diversion with Duodenal Switch (BPD/DS)
Istanbul:
- Surgical Procedure: 15,000 – 20,000 USD
- Anesthesia: 1,500 – 2,500 USD
- Hospital Fees: 2,000 – 3,000 USD
- Pre-operative Tests: 800 – 1,500 USD
- Post-operative Care: 800 – 1,500 USD
- Total Cost Range: 20,100 – 28,500 USD
Ankara:
- Surgical Procedure: 13,000 – 18,000 USD
- Anesthesia: 1,200 – 2,000 USD
- Hospital Fees: 1,500 – 2,500 USD
- Pre-operative Tests: 700 – 1,200 USD
- Post-operative Care: 700 – 1,200 USD
- Total Cost Range: 17,100 – 24,900 USD
Izmir:
- Surgical Procedure: 12,000 – 16,000 USD
- Anesthesia: 1,000 – 1,500 USD
- Hospital Fees: 1,200 – 2,000 USD
- Pre-operative Tests: 600 – 1,000 USD
- Post-operative Care: 600 – 1,000 USD
- Total Cost Range: 15,400 – 21,500 USD
SADI-S (Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy)
Istanbul:
- Surgical Procedure: 18,000 – 23,000 USD
- Anesthesia: 2,000 – 3,000 USD
- Hospital Fees: 2,500 – 3,500 USD
- Pre-operative Tests: 1,000 – 1,500 USD
- Post-operative Care: 1,000 – 1,500 USD
- Total Cost Range: 24,500 – 32,500 USD
Ankara:
- Surgical Procedure: 16,000 – 21,000 USD
- Anesthesia: 1,800 – 2,500 USD
- Hospital Fees: 2,000 – 3,000 USD
- Pre-operative Tests: 900 – 1,400 USD
- Post-operative Care: 900 – 1,400 USD
- Total Cost Range: 21,600 – 29,900 USD
Izmir:
- Surgical Procedure: 14,000 – 19,000 USD
- Anesthesia: 1,500 – 2,000 USD
- Hospital Fees: 1,800 – 2,500 USD
- Pre-operative Tests: 800 – 1,200 USD
- Post-operative Care: 800 – 1,200 USD
- Total Cost Range: 18,900 – 26,900 USD
Factors Influencing Price Variations of Obesity Surgery Between Istanbul, Ankara, and Izmir, Turkey
Healthcare Infrastructure and Facilities
Istanbul:
Istanbul, as Turkey’s largest city and economic hub, boasts a diverse array of medical facilities specializing in obesity surgery.
These facilities often feature advanced technology, luxurious amenities, and specialized care, which contribute to higher operational costs.
Patients seeking surgery in Istanbul may benefit from cutting-edge treatments and a wide range of surgical options but should expect higher price tags due to these premium services.
Ankara:
As the capital city, Ankara hosts a mix of public and private healthcare institutions. While Ankara lacks the sheer quantity of medical tourism facilities found in Istanbul, it compensates with reputable academic hospitals and government-funded clinics.
These institutions often provide competitively priced obesity surgery options, leveraging lower overhead costs and government subsidies to offer affordable healthcare services.
Izmir:
Izmir is emerging as a prominent destination for medical tourism, offering a growing number of healthcare facilities specializing in obesity surgery.
Compared to Istanbul and Ankara, Izmir benefits from a lower cost of living and operational expenses. This translates into potentially lower surgery costs while still maintaining high standards of care and access to experienced surgeons.
Surgeon Expertise and Reputation
Istanbul:
Renowned for attracting top-tier medical professionals, Istanbul hosts some of Turkey’s most esteemed obesity surgeons.
These specialists often have extensive experience, international training, and a strong track record of successful surgeries.
Patients seeking the highest level of expertise and innovative surgical techniques may find the premium worth paying for in Istanbul.
Ankara:
Ankara’s medical community is bolstered by its prestigious universities and research institutions, fostering a pool of skilled surgeons specializing in obesity surgery.
While surgeons in Ankara may not command the same fees as their Istanbul counterparts, they offer competitive pricing coupled with rigorous academic training and access to state-of-the-art facilities.
Izmir:
In Izmir, a burgeoning medical tourism industry has attracted a diverse range of surgeons specializing in obesity surgery.
These professionals often combine local expertise with international training, offering personalized care at competitive prices.
Patients benefit from the city’s collaborative medical environment, where emerging talent meets established surgical practices.
Cost of Living and Economic Factors
Istanbul:
The economic heart of Turkey, Istanbul, experiences a higher cost of living compared to Ankara and Izmir. This economic reality extends to healthcare services, influencing the overall cost structure for obesity surgery.
Higher rents, operational expenses, and salaries for medical professionals contribute to elevated pricing in Istanbul’s competitive healthcare market.
Ankara:
While Ankara maintains a more moderate cost of living than Istanbul, its healthcare sector benefits from lower operational costs and competitive pricing strategies.
Surgeons in Ankara can pass savings on to patients through streamlined services and efficient resource management, making it an attractive option for cost-conscious individuals seeking quality obesity surgery.
Izmir:
Izmir offers a lower cost of living relative to Istanbul and Ankara, translating into reduced operational expenses for healthcare providers.
This cost advantage allows medical facilities in Izmir to offer competitive pricing for obesity surgery without compromising on quality or patient care.
As a result, Izmir has gained traction as a viable alternative for patients seeking affordable medical treatments in a vibrant coastal city setting.
Regulatory and Licensing Requirements
Istanbul, Ankara, and Izmir:
All three cities adhere to Turkey’s stringent healthcare regulations and licensing requirements, ensuring patient safety and quality of care.
Compliance with national standards involves administrative costs and regulatory fees that may vary slightly between cities.
Healthcare providers factor these compliance costs into their service pricing, influencing overall surgery costs across Istanbul, Ankara, and Izmir.
Demand and Competition
Istanbul:
As a global healthcare hub, Istanbul attracts a significant volume of domestic and international patients seeking obesity surgery.
This high demand drives competition among healthcare providers, encouraging competitive pricing strategies and a diverse range of surgical offerings.
Patients benefit from a robust market with access to cutting-edge treatments and specialized care options.
Ankara:
Ankara’s healthcare market maintains a balanced demand for obesity surgery, supported by local residents and referrals from surrounding regions.
The city’s academic institutions and government hospitals play a pivotal role in meeting patient needs while fostering competition among healthcare providers.
This competitive landscape promotes affordability and accessibility for patients seeking quality surgical outcomes.
Izmir:
In Izmir, rising demand from medical tourists has spurred growth in the city’s healthcare sector, particularly for obesity surgery.
Healthcare providers in Izmir leverage competitive pricing and personalized care to attract patients seeking affordable yet high-quality treatments.
The city’s reputation as a medical tourism destination continues to grow, driven by its favorable cost structure and reputation for excellence in healthcare services.
Guide to Preparing for Obesity Surgery in Turkey
Preparing for obesity surgery involves extensive personal preparations and consultations with healthcare providers to ensure optimal safety and success.
Personal Preparations
Educational Research and Decision Making:
Before proceeding with obesity surgery, it’s crucial to thoroughly research different surgical options available in Turkey.
Educate yourself about the procedures, potential risks, benefits, and expected outcomes. Understanding these aspects will help you make an informed decision about the most suitable surgery for your health needs.
Nutritional Counseling and Pre-operative Diet:
Consult with a qualified nutritionist or dietitian well in advance of your surgery date. They will help you create a personalized pre-operative diet plan.
This plan typically includes reducing caloric intake and focusing on high-protein, low-carbohydrate foods to optimize your nutritional status and reduce liver size, which can facilitate a smoother surgical procedure.
Lifestyle Modifications:
Begin implementing lifestyle changes several weeks before surgery. These changes may include incorporating regular physical activity into your routine and quitting smoking if you are a smoker.
Smoking cessation is particularly important as it reduces the risk of post-operative complications such as impaired wound healing and respiratory issues.
Psychological Evaluation and Counseling:
Many healthcare providers in Turkey require patients to undergo a psychological evaluation before obesity surgery.
This evaluation helps assess your mental readiness for the procedure and ensures you understand the psychological aspects of undergoing significant weight loss surgery.
Counseling sessions may also be recommended to prepare you for the emotional challenges associated with the surgery and subsequent lifestyle changes.
Building a Support Network:
Establish a strong support system among family members, friends, or support groups who can provide encouragement and practical assistance throughout your surgical journey.
Support from loved ones can significantly contribute to your emotional well-being and recovery post-surgery.
Financial Planning and Insurance Coverage:
Obesity surgery can involve substantial costs, including surgeon fees, hospital fees, anesthesia costs, and post-operative care expenses.
It’s essential to thoroughly review the financial implications of the procedure and understand what costs are covered by your health insurance, if applicable.
Discuss payment plans and financing options with your healthcare provider to ensure you are financially prepared.
Pre-operative Tests and Evaluations:
Your healthcare team will schedule several pre-operative tests and evaluations to assess your overall health and fitness for surgery.
These tests may include blood tests, imaging scans (such as ultrasound or CT scans), electrocardiogram (ECG), and consultations with specialists (such as a cardiologist or pulmonologist). Completing these tests ensures that any underlying medical conditions are identified and managed before surgery.
Preparations with the Doctor
Initial Consultation and Physical Examination:
Schedule an initial consultation with your chosen surgeon in Turkey.
During this consultation, your surgeon will conduct a comprehensive physical examination and review your medical history.
This evaluation helps determine your candidacy for obesity surgery and allows your surgeon to customize a treatment plan based on your individual needs and health status.
Review of Medications and Supplements:
Provide your surgeon with a detailed list of all medications, vitamins, and supplements you currently take. Some medications may need to be adjusted or temporarily discontinued before surgery to minimize potential complications.
Your surgeon will provide specific instructions on which medications to stop and when to resume them after surgery.
Smoking Cessation and Alcohol Use:
If you smoke or regularly consume alcohol, your surgeon will strongly advise quitting these habits several weeks before surgery.
Smoking and excessive alcohol consumption can impair healing, increase the risk of surgical complications (such as infection or blood clots), and negatively impact anesthesia during surgery.
Your surgeon may offer resources and support to help you quit smoking and reduce alcohol intake.
Special Dietary Guidelines and Restrictions:
Your surgeon or nutritionist will prescribe special dietary guidelines to follow in the weeks leading up to surgery. These guidelines may include a low-calorie diet or specific restrictions aimed at reducing liver size and optimizing nutritional status.
Following these dietary recommendations helps prepare your body for surgery and enhances surgical outcomes.
Medical Clearance and Specialist Consultations:
Depending on your medical history and any pre-existing conditions, your surgeon may request medical clearance from your primary care physician or specialists (such as a cardiologist or endocrinologist).
Medical clearance ensures that chronic health conditions are well-managed before surgery and minimizes the risk of complications during the procedure.
Hospital Admission and Logistics:
Confirm your hospital admission date and make necessary arrangements for transportation to and from the hospital on the day of surgery.
Ensure that you understand the pre-operative fasting instructions provided by your surgeon, as these are essential to ensure your safety during anesthesia and surgery.
Post-operative Care Planning and Expectations:
Discuss post-operative care planning with your surgeon and healthcare team. Understand what to expect during the recovery period, including potential side effects, pain management strategies, and follow-up appointments.
Your surgeon will provide instructions on wound care, activity restrictions, dietary progression, and when to resume normal daily activities.
Additional Considerations
Before opting for obesity surgery in Turkey, patients should consider the following essential aspects:
- Medical Tourism Packages: Many clinics offer comprehensive medical tourism packages that include not only the surgery but also accommodation, transfers, and local support during recovery.
- Travel Expenses: Factor in the cost of flights, visas (if applicable), and local transportation.
- Language and Cultural Differences: Ensure the clinic provides adequate translation services and caters to international patients’ needs.
- Insurance Coverage: Check if your health insurance covers obesity surgery abroad or if there are reimbursement options.
Detailed Steps During Obesity Surgery Procedure
Preoperative Preparations
Before the surgery begins, meticulous preparations are made to ensure the patient’s safety and readiness for the procedure:
- Anesthesia Administration: An anesthesiologist carefully administers general anesthesia tailored to the patient’s medical history and the specific surgery planned. This ensures the patient remains unconscious and pain-free throughout the procedure.
- Patient Positioning: The patient is positioned on the operating table to provide optimal access to the surgical site while ensuring comfort and safety during the operation.
Surgical Incision and Access
Incision Placement: Depending on the type of bariatric surgery planned, the surgeon makes strategic incisions:
- Laparoscopic Approach: Several small incisions (usually 0.5 to 1.5 cm in length) are made in the abdomen. These serve as ports for the insertion of specialized surgical instruments and a laparoscope, a thin tube with a camera and light source.
- Open Approach: Alternatively, in open surgery, a single larger incision (typically 15-20 cm) is made in the abdomen to directly access the stomach and surrounding structures.
- Creation of Pneumoperitoneum: For laparoscopic procedures, carbon dioxide gas is introduced into the abdominal cavity after the initial incision. This inflation creates a workspace, allowing the surgeon to maneuver instruments and visualize internal organs more clearly.
Procedure Execution
Visualization and Instrument Insertion:
- Laparoscopic Technique: The laparoscope transmits real-time images of the abdominal cavity to a monitor, guiding the surgeon throughout the procedure. Additional specialized instruments, such as graspers, staplers, and dissectors, are inserted through the other ports to perform specific surgical tasks.
- Open Surgery Technique: In open surgery, the surgeon directly manipulates the stomach and intestines using handheld instruments, adapting the approach to the patient’s anatomy and the surgical goals.
Specific Procedure Steps:
- Gastric Bypass (Roux-en-Y): The surgeon creates a small stomach pouch by stapling the upper portion of the stomach. This pouch is then connected directly to the small intestine, bypassing a large part of the stomach and the first section of the small intestine (duodenum).
- Sleeve Gastrectomy: A significant portion (approximately 75-80%) of the stomach is surgically removed, leaving a narrow, sleeve-shaped stomach or tube. This reduces the stomach’s capacity and limits food intake, leading to weight loss.
- Adjustable Gastric Banding: A silicone band is placed around the upper part of the stomach, dividing it into a small pouch above the band and a larger lower stomach. The band is adjustable, allowing for precise restriction of food intake by inflating or deflating it through a subcutaneous port.
- Biliopancreatic Diversion with Duodenal Switch (BPD/DS): This procedure involves both restrictive and malabsorptive components. The stomach is reshaped into a sleeve-like structure, and a significant portion of the small intestine is bypassed, reducing the absorption of calories and nutrients.
Closure and Wound Management:
- Laparoscopic Closure: At the conclusion of laparoscopic procedures, surgical instruments and the laparoscope are removed, and the small incisions are closed with absorbable sutures or surgical glue. Sterile dressings are applied to the incision sites.
- Open Surgery Closure: For open surgeries, the larger abdominal incision is meticulously closed in layers using sutures or staples. A sterile dressing or adhesive strips are applied to protect the wound and promote healing.
Postoperative Transition and Care
- Recovery and Monitoring: Following surgery, the patient is transferred to a recovery area or intensive care unit (ICU) for close monitoring of vital signs, pain management, and early detection of potential complications.
- Post-Anesthesia Recovery: As the effects of anesthesia wear off, medical staff monitor the patient’s awakening process, ensuring a smooth transition to postoperative care. Patients may experience initial discomfort, nausea, or grogginess as they begin to regain consciousness.
Post-Operative Period of Obesity Surgery
Immediate Post-Operative Recovery
Recovery Room Monitoring:
- Vital Signs: Immediately after surgery, patients are closely monitored in the recovery room or intensive care unit (ICU). Vital signs such as blood pressure, heart rate, and oxygen levels are continuously assessed to ensure stable recovery from anesthesia.
- Pain Management: Pain medications are administered to alleviate discomfort and promote patient comfort during the initial recovery phase.
Post-Anesthesia Effects:
- Awakening: Patients gradually awaken from anesthesia, transitioning from unconsciousness to a conscious state under careful supervision by healthcare professionals.
- Nausea and Vomiting: Some patients may experience nausea or vomiting as residual effects of anesthesia wear off. Anti-nausea medications may be prescribed to manage these symptoms.
Wound Care and Incision Management:
- Dressing Changes: Surgical incisions are inspected for signs of bleeding or infection. Sterile dressings are applied to incision sites to protect them and promote healing.
- Drain Management: In some cases, surgical drains may be temporarily placed near the incision sites to prevent fluid accumulation. Healthcare providers monitor and manage these drains as needed.
Short-Term Healing and Adjustment
Early Ambulation and Physical Activity:
- Mobility: Encouraging early ambulation (walking) helps prevent complications such as blood clots and promotes circulation. Patients are guided by healthcare staff to gradually increase physical activity based on individual recovery progress.
Fluid and Nutritional Intake:
- Clear Liquids Diet: Initially, patients start with clear liquids such as water, broth, and clear juices to prevent dehydration and ease the digestive system.
- Progression to Pureed Foods: Over the next few weeks, patients advance to pureed or blended foods to facilitate gradual adaptation of the stomach and digestive tract.
- Nutritional Supplements: Daily intake of vitamins, minerals, and protein supplements is crucial to meet nutritional requirements and support healing.
Pain Management and Medication Use:
- Prescribed Medications: Patients receive instructions for pain management medications and other prescribed medications to alleviate discomfort and manage post-operative symptoms effectively.
Long-Term Recovery and Lifestyle Adjustments
Dietary and Lifestyle Changes:
- Healthy Eating Habits: Adopting a balanced diet rich in lean proteins, fruits, vegetables, and whole grains promotes sustained weight loss and nutritional well-being.
- Portion Control: Patients learn to manage portion sizes and eat smaller, more frequent meals to accommodate the reduced stomach capacity after surgery.
Physical Activity and Exercise:
- Regular Exercise Routine: Engaging in regular physical activity, as recommended by healthcare providers, supports weight management, improves cardiovascular health, and enhances overall well-being.
Psychological and Emotional Support:
- Counseling and Support Groups: Attending counseling sessions or support groups helps patients address emotional challenges, adjust to lifestyle changes, and maintain long-term motivation for health improvement.
Monitoring and Follow-Up Care:
- Medical Monitoring: Regular follow-up appointments with healthcare providers monitor weight loss progress, nutritional status, and overall health.
- Lifelong Commitment: Bariatric surgery is a lifelong commitment to maintaining healthy habits, regular medical monitoring, and ongoing support to optimize long-term outcomes.
Conclusion
Choosing obesity surgery in Turkey can be a cost-effective solution for individuals struggling with severe obesity.
By understanding the detailed pricing factors and considerations outlined in this article, patients can make well-informed decisions about their healthcare journey.
Remember to research thoroughly, consult with experienced surgeons, and evaluate clinic reputations to ensure a safe and successful outcome.