Biliopancreatic Diversion

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Procedure Description

Biliopancreatic Diversion (BPD) is a complex bariatric surgical procedure aimed at helping patients with severe obesity lose weight. This surgery is often considered a last-resort measure when other methods, such as lifestyle changes and medication, have failed. The operation involves the removal of a significant portion of the stomach, leaving only a small pouch. This is then connected directly to the final segment of the small intestine, bypassing the majority of the intestine where nutrients and calories are absorbed. The procedure results in reduced food intake and malabsorption of nutrients, leading to rapid weight loss.

Patients who opt for BPD usually suffer from morbid obesity and are at high risk for health issues like type 2 diabetes, hypertension, sleep apnea, and heart disease. The procedure is generally recommended for those with a Body Mass Index (BMI) above 40 or those with a BMI between 35-40 who also have obesity-related health complications. It's worth noting that BPD is a significant, life-altering surgery, and patients will need to commit to a strict post-operative diet and lifestyle changes to maintain the benefits.

Biliopancreatic Diversion is not a one-size-fits-all solution and is usually recommended only after thorough evaluation by a medical team. Patients must undergo psychological and nutritional counseling to ensure that they are mentally and emotionally prepared for the significant lifestyle changes that the surgery will require.

Procedure Duration

A typical Biliopancreatic Diversion surgery takes around 2 to 4 hours to complete, although this can vary depending on the surgeon's expertise and the specifics of the case. This duration doesn't include the pre-operative preparation or post-operative recovery in the hospital. After the surgery, patients usually stay in the hospital for about 3 to 7 days for monitoring and initial recovery.

Recovery time can be lengthy and involves multiple stages. The first few weeks involve a liquid diet and transition to soft foods, followed by gradual re-introduction of solid foods. Full recovery, meaning the return to normal activity levels and stabilization of weight loss, can take up to six months. Patients must be prepared for a long-term commitment to dietary restrictions and regular medical check-ups to monitor for nutritional deficiencies and other potential complications.

Because this is a life-altering surgery, psychological support both before and after the procedure is highly recommended. Support groups and counseling can be beneficial in helping patients adapt to their new lifestyle and maintain their weight loss over the long term.


  • Cost Savings: Medical tourism often offers a cost-effective way to undergo BPD, especially for patients from countries where healthcare is expensive.
  • Expertise: Some foreign healthcare systems specialize in bariatric procedures, offering advanced technologies and highly skilled surgeons.
  • Technology: Medical tourists may have access to cutting-edge surgical equipment and techniques not readily available in their home country.

Potential Destinations

  • India: Known for state-of-the-art hospitals and highly skilled doctors.
  • Mexico: Proximity to the U.S. and lower costs make this a popular destination.
  • Thailand: Offers high-quality healthcare infrastructure and specialized bariatric centers.

Risks & Considerations

  • Quality of Care: Variances in healthcare standards across countries.
  • Language Barriers: Communication may be difficult if not in your native language.
  • Travel Requirements: Long flights post-surgery can be risky; consider proximity and ease of travel.
  • Legal Recourse: Should complications occur, legal protections may differ from those in your home country.

How to Choose the Right Doctor and Hospital

  • Credentials: Ensure the surgeon is certified in bariatric surgery and has experience with BPD specifically.
  • Hospital Accreditation: Look for internationally accredited hospitals.
  • Patient Reviews: Read testimonials and possibly connect with former patients to gauge their experiences.
  • Post-Op Support: Check if the hospital offers nutritional and psychological support post-surgery.

To receive a free quote for this procedure please click on the link:

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation:

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.


Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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