By Christian Science Monitor
Low costs and proximity to the U.S. make Guadalajara the 'in' place to get tummy tucks, liposuction and other cosmetic procedures.
Every year tourists descend upon Guadalajara, often referred to as the most Mexican of Mexican cities, where the crooning of mariachi music originated.
But first-time visitor Jennifer Guerra, from Houston, pays no attention to Mexico's most celebrated symbol. She's in Guadalajara for one reason alone: "I'm getting a tummy tuck tomorrow," she says, nervously.
Indeed, Guadalajara, Mexico's second-biggest city, has become a new "in" place for Americans such as Guerra seeking plastic surgery, fueled by word of mouth and the same cheap prices that have given rise to the growing phenomenon of medical tourism worldwide. Tour operators make planning for surgery south of the U.S. border as simple as booking a vacation.
"The number of those traveling (outside the U.S. for plastic surgery) has grown dramatically," says Tony Staffieri, the marketing and public-relations manager for the International Society of Aesthetic Plastic Surgery, or ISAPS. "Mexico is one of the fastest-growing markets in the world."
Guadalajara's proximity to tourist spots such as Puerto Vallarta and Lake Chapala, where one of the largest American retirement communities resides in Mexico, has helped boost its appeal as a place for Americans to seek plastic surgery.
Though ISAPS could not confirm the ratio, those in Guadalajara boast that the city has more certified plastic surgeons per capita anywhere in Latin America outside Rio de Janeiro. Guadalajara also has a public hospital that gives poor people access to plastic surgery at discounted rates, says plastic surgeon Jose Guerrerosantos. "We say that no one is unattractive in Guadalajara," jokes Martha Venegas, a resident. "There are poor people but no ugly ones."
On a recent afternoon, Jose Amezcua fights through rush-hour traffic in Guadalajara on his way to visit Guerra and her sister-in-law. Amezcua spent his professional life in tourism before moving into the plastic-surgery industry six years ago. Today he is a driver for Air Lift, a North Carolina company that connects patients in Guadalajara with a surgeon, arranges a room and meals at a private home, and provides local transportation.
Door-to-door service
He picks them up from the airport, takes them to their initial appointments with the doctor and gives them a ride after surgery. "The women are often nervous," he says, "but these two at least understand some Spanish."
When he arrives at their accommodations in Guadalajara, Guerra is sitting at the kitchen table. "I was always scared to go to Mexico," says Guerra, rattling off the botched jobs she's heard of. But Imelda Baldini, who provides the shelter for Air Lift, dotes over Guerra in her home. The mother of four grown children, she giggles over her own fussiness.
"My children are gone," explains Baldini, who serves her patients food in bed when they don't feel well. "I think about if I went to another country for surgery, I would want a parent there."
"She's better than a mom," says Guerra.
As it is for other types of medical tourism, to places as far away as India and Thailand, price is the driving factor in going abroad for care. Guerrerosantos, who is doing Guerra's surgery, says a tummy tuck that costs $4,000 in Mexico would be $15,000 in the U.S. At least three Americans a month receive his care, he says.
Tour operators such as Air Lift make the process much easier. Beverly McCarter has been running the company since 2001 and says that since then about 600 Americans have traveled to Guadalajara for the firm's services. Her company works exclusively with Guerrerosantos, a widely respected doctor who trained in the U.S. The public hospital bears his name, and he does reconstructive surgery for free there.
He says Guadalajara is a beauty-conscious town. Of six surgeries he does a week, five are for aesthetic purposes.
McCarter says her company differs from other plastic-surgery operators because she doesn't market this as a holiday. "You see some of the companies on the Web and photos of women with margaritas in their hands," she says, scoffing. "This is serious."
Risks involved
Leaving the U.S. for health needs is not new, but as U.S. medical costs soar and insurance remains out of reach for many, and elective surgeries such as face-lifts become less taboo, organizations such as ISAPS are moving to issue guidelines on medical tourism and warn patients of risks.
Although ISAPS has members in many countries and does not endorse or condone medical tourism, Staffieri urges patients to consider the risks.
(posted on MSN,, November 2007)