Single Anastomosis Stomach-Ileal Bypass. An advanced, modern metabolic operation combining sleeve gastrectomy and gastric bypass for optimal weight loss and fewer complications.
The Single Anastomosis Stomach-Ileal Bypass with Sleeve Gastrectomy (SASI-S) is a recent advance in metabolic and bariatric surgery that combines two well-established operations: the sleeve gastrectomy (VSG) and the mini-gastric bypass (MGB). The SASI-S surgical procedure can also be considered a highly refined, modified version of SADI-S. It offers similar dramatic weight reduction and resolution of comorbidities, but with a significantly lower risk of complications and long-term malnutrition.
The SASI-S procedure minimizes the risks commonly seen with traditional malabsorptive surgeries. Dr. Cervantes and our experienced bariatric team in Tijuana, Mexico begin the procedure by removing about 70% of the stomach to create a sleeve-shaped pouch. The lower portion of the stomach is then connected directly to the ileum (the lower part of the small intestine), effectively bypassing a section of the intestinal tract. This unique "dual transit" allows food to pass through both the newly bypassed route and the natural digestive pathway.
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The SASI procedure is specifically designed for both obese and super-obese patients (BMI > 50). By combining restriction (smaller stomach) with a controlled level of malabsorption, it offers unmatched success in improving severe obesity-related conditions:
Unlike traditional bypasses that entirely skip the first section of the small intestine, SASI-S preserves the pyloric valve. Food travels through two paths: one portion goes through the normal digestive tract (allowing essential vitamins and minerals to be absorbed), while the other bypasses a large segment of the intestine.
"Because food still enters the duodenum natively, SASI-S dramatically decreases the chances of severe vitamin deficiencies, chronic diarrhea, and dumping syndrome while maximizing weight loss."
It stands for Single Anastomosis Stomach-Ileal Bypass with Sleeve Gastrectomy. In simple terms, it creates a gastric sleeve to restrict food intake and connects the bottom of the stomach directly to the lower intestine (ileum).
This creates a "dual pathway" where food goes through both the normal digestive system and the new bypass, maximizing weight loss and ensuring adequate nutrient absorption.
While both are highly powerful procedures for weight loss, the SASI-S preserves the natural flow of some food through the duodenum by not cutting off the pyloric valve completely.
This preservation of the natural pathway significantly lowers the risk of severe malnutrition, vitamin deficiencies, and dumping syndrome when compared to SADI-S.
The SASI procedure is incredibly effective, especially for patients with higher BMIs (super-obese). Patients typically lose between 80% to 90% of their excess body weight within the first 18 to 24 months.
It also boasts one of the highest remission rates for obesity-related conditions like Type 2 Diabetes.
You will be guided through a specific pre-surgery diet along with supplements to shrink your liver. Our certified nutritionists will walk you through every step to ensure you are fully prepared to undergo your customized SASI surgery in Tijuana.
The SASI-S procedure typically takes between 1.5 and 2 hours. Although it combines two operations, it is performed laparoscopically through small incisions. This minimally invasive technique ensures precision, faster recovery, and a reduced risk of complications.
Recovery involves spending one to two nights in the hospital under Dr. Cervantes' care. This is followed by a structured three-month program to gradually transition your diet — from liquids to purées and back to normal, solid foods — fully supervised by our team.
Important Info
You will fly into San Diego International Airport (SAN). Our private driver will pick you up directly from the airport and transport you to Centro Médico Premier in Tijuana — just minutes from the border. You may bring one companion who will stay with you throughout.
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| Procedure | Price (BMI < 50) |
|---|---|
| Gastric Sleeve (VSG) | $4,900 |
| Single Incision Gastric Sleeve (BMI 30–35 only) | $5,900 |
| Gastric Bypass (RYGB) | $6,500 |
| Mini Gastric Bypass (MGB) | $6,500 |
| SASI | $6,900 |
| SADI | $7,500 |
| Gastric Balloon | $3,700 |
| Gastric Balloon Extraction | $1,000 |
| Revisional Surgery | Procedure price + $1,000 |
Additional costs applied according to patient's body mass index measurements to cover specialized operating room requirements.
50 – 59
+ $500
60 – 69
+ $1,000
70+
+ $1,500 – $2,500
(potential $1,000 for ICU post-op)A $500 deposit is required within 7 days of scheduling your surgery date.
The deposit is non-refundable but transferable (with minimum 6 weeks' notice).
Balance is due in cash on the day of surgery, or financed through an approved medical loan company.
Always include your Name, Procedure, and Surgery Date in the payment memo.
Send proof of payment (screenshot) to your coordinator immediately.
Zelle Option 1 (Preferred)
619-831-5212
Zelle Option 2 (Preferred)
drc.zelle@gmail.com
Venmo & PayPal
Deposit via Venmo/PayPal = $540
Credit/Debit Card (in hospital)
VISA, Mastercard, AMEX, Discover
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Obesity is a chronic, progressive disease that affects multiple organ systems and dramatically increases the risk of type 2 diabetes, high blood pressure, heart disease, sleep apnea, joint degeneration, and certain cancers. It is not a lack of willpower — it is a medical condition that requires medical treatment.
| BMI Range | Classification |
|---|---|
| 25 – 29.9 | Overweight |
| 30 – 34.9 | Obesity Class I |
| 35 – 39.9 | Obesity Class II |
| 40 – 49.9 | Morbid Obesity |
| 50 – 59.9 | Super Obesity |
| > 60 | Super Super Obesity |
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Share Your ExperienceOne transparent price. Total peace of mind. We handle every detail of your journey so you can focus entirely on your transformation, health, and recovery.
Led by Dr. Cervantes, our elite surgical team is dedicated to metabolic health, precision, and patient safety.
No hidden costs. Full surgical facility access, medical team, and anesthesia fees are completely included.
Comfortable stays at our exclusive Guest House and top-tier hospital rooms designed for a peaceful recovery.
Seamless, secure door-to-door transportation from the San Diego Airport directly to our facilities.
Friendly, fluent English-speaking patient coordinators by your side to assist you at every single step.
Expert nutritional counseling and continuous medical follow-up to ensure optimal, long-lasting weight loss.
One of Tijuana's most prestigious and advanced medical centers. Fully equipped with state-of-the-art surgical technology and an Intensive Care Unit (ICU), ensuring our bariatric patients receive the highest standards of safety and care comparable to top U.S. hospitals.
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A safe, spacious, and relaxing sanctuary where your journey begins. After we pick you up from the San Diego airport, you and your companion will arrive at Alfa Guest House. Enjoy comfortable beds, Wi-Fi, TV, board games, and the chance to connect with fellow patients in a welcoming, home-like environment designed exclusively for your comfort.
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We utilize the most advanced, minimally invasive surgical techniques to ensure your safety, comfort, and long-lasting weight loss success.
The most popular and effective bariatric procedure. We remove approximately 80% of the stomach, creating a smaller "sleeve" that restricts food intake and significantly reduces hunger hormones, promoting rapid and safe weight loss.
Read more about Gastric Sleeve* Inicia tu proceso hoy para recibir un presupuesto completo a tu caso, recuerda que cada caso es personalizado.
Considered the gold standard in bariatric surgery. This procedure creates a small stomach pouch and reroutes the intestines. It provides exceptional weight loss results and is highly effective in resolving type 2 diabetes and severe acid reflux.
Read more about Gastric Bypass* Inicia tu proceso hoy para recibir un presupuesto completo a tu caso, recuerda que cada caso es personalizado.
A simplified, highly effective alternative to the traditional bypass. It features a shorter operating time, excellent weight loss results, and lower complication rates while effectively improving metabolic conditions like type 2 diabetes.
Read more about Mini Bypass* Inicia tu proceso hoy para recibir un presupuesto completo a tu caso, recuerda que cada caso es personalizado.
The Single Anastomosis Sleeve Ileal bypass combines the benefits of a gastric sleeve with a controlled intestinal bypass. This advanced technique delivers powerful, sustained weight loss and excellent metabolic results while preserving nutrient absorption.
Read more about SASI Surgery* Inicia tu proceso hoy para recibir un presupuesto completo a tu caso, recuerda que cada caso es personalizado.
For patients who experienced complications or insufficient results from a previous bariatric procedure. Our expert team carefully evaluates each case to correct, convert, or enhance prior surgeries, helping you get back on track toward your goals.
Read more about Revisions* Inicia tu proceso hoy para recibir un presupuesto completo a tu caso, recuerda que cada caso es personalizado.
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