We do real Pectus Surgeries* (Nuss and Reverse Nuss) not just Simple Pectus or Pectus Implants. 

*Nuss bars included.

The Pectus Center International

The Pectus Center International is led by Dr. Joel Cazares, M.D. and is located in Monterrey, Mexico, just 130 miles (220km) south of Laredo, Texas. Dr. Cazares is our Medical Director and also performs as Master Surgeon in all surgeries at The Pectus Center International.  He works with his team of specialists to offer you the latest surgical and non-surgical treatments for all types of Pectus deformities.

The Pectus Center International is a specialized clinic with Main Offices in Monterrey, Mexico and that operates at different hospitals.  For patients outside Mexico, we do Medical Tourism so you can come, get your procedure done, and go back to your home.

What is Pectus?

Pectus or chest wall deformity refers to a relatively common condition where the chest presents an irregular shape.

The Pectus if appears during childhood or adolescence, will grow until it reaches its complete condition and will remain unchanged unless treated correctly.  Other Pectus conditions are congenital (born with) or acquired externally (caused by a trauma or by a surgery near or on the chest wall).

There are two main types of deformities: Pectus Excavatum (sunken chest) and Pectus Carinatum (pigeon chest) but there are many more complex types or ‘mixed’ pectus deformities as well as other chest wall problems.

Patients with Pectus Excavatum or Pectus Carinatum can experience some of the following symptoms:

  • Pain – present in the chest and back area. Tends to come and go. Happens in certain positions (for example when lying face down). Usually present when doing activities or exercise.
  • Breathlessness – shortness of breath, constriction of breathing or tight chestiness, usually present when doing activities or exercise. ‘Asthma’ like symptoms.
  • Palpitations – the amount of heart palpitations increase.
  • Fainting – it may be feeling faint or actually fainting.
  • Psychological – a significant impact on self esteem, confidence and health concerns


Pectus Excavatum


Pectus Carinatum


Mixed Pectus Deformities


Mixed Pectus Deformities


Mixed Pectus Deformities


There are, depending on the condition, different treatments such as:

  • Braces – for external use.
  • Implants – under the skin implants through a surgical procedure.
  • Surgery – corrective surgery is needed if the condition requires it.
  • Implants and Surgery – for cases that require both.

Contact us and we’ll guide you through the process

If you:

  • have a visually Pectus condition or experience some of the symptoms
  • have already run some tests or scans that prove you have a Pectus condition
  • suffer physically or mentally because of the Pectus condition
  • want to have a better quality of life that allows you to work and live confident
  • don’t want to be on a long waiting list to have your procedure done
  • want to get your health back on track
  • are insured, we do accept most insurance companies
  • are uninsured, our rates are affordable and way less than in the U.S.

Then contact us. We will guide you through the process. We can order the tests or scans you need so you can have them ready in your city or state, we check the results, and then come to us for having your procedure done.  Or, you can have everything done with us.  Before, during and after the process, when medical information, doubts or results are involved, Dr. Cazares personally will guide you all the way.

Be confident. Pectus is our specialty.

  • Traveling for Pectus Repair, Treatment and/or Surgery

    If you are traveling to our center for your Pectus repair, treatment and/or surgery, our dedicated team will do everything in our hands to make it as easy as possible for you.

     For information in the US

    US Call Center

    (956) 477 7239


    Laredo, Texas.

     For consultations, treatments and surgeries

    Main Offices

    +52 1 (81) 1946 4145


    Monterrey, México.

  • Medical Tourism with us made easy

    Wondering why you should go outside the U.S.  We’ll give you some good motives for doing Medical Tourism with us:

    • It’s cheaper than being treated in the U.S. and some other countries.
    • It’s the same quality and professionalism than in the U.S.
    • Joel Cazares, MD FACS, is trained and recognized internationally, including countries besides Mexico such as USA, Japan, France, Germany, and Spain. His credentials include the publication of complete surgery chapters in world-known Surgery Textbooks, International Scientific Publications, and thousands of successful surgical procedures.
    • It’s affordable even with the stay and the flight
    • It’s convenient because Monterrey is real close to the U.S. and reachable by many airlines from all over the world
    • You can pay or use your insurance policy (previous eligibility check)
    • Dr. Cazares is our Team Surgery and Medical Director, besides being the Main Surgeon, so every case is individual and personally oriented.
    • Our Administrative Office speaks English and Japanese for your convenience and we manage every detail in the process
    • Average recovery time varies from case to case. It could be from a few days up to 2 weeks, first in the hospital and, optional, in a hotel of your choice.
  • Flying in

    We are approximately 25 minutes away from Monterrey International Airport (MTY), one of most convenient international airports in the northeastern of Mexico.

    Flying non-stop from the U.S.

    Monterrey (MTY) can be reached with non-stop flights from most of the major cities in the U.S.: Los Angeles (LAX), Dallas-Fort Worth (DFW), Houston (IAH), Atlanta (ATL), Chicago O’Hare (ORD), New York City (JFK), San Antonio (SAT), Miami (MIA), Las Vegas (LAS), etc.

    For international patients having a U.S. Visa (non-American patients)

    If you are an international patient and have a U.S. Visa, you can fly to Monterrey in a flight that includes stop(s) in the U.S.

    For other international patients not having a U.S. Visa

    If you don’t have a U.S. Visa, you can always fly directly to Monterrey or with a previous stop in Mexico City (MEX) which can be reached easier from most major and capital cities all around the world.

    Several flights from almost every country fly to MEX without a stop in the U.S.  There are even many non-stop flights to MEX such as from Tokyo, London, Amsterdam, Frankfurt, Paris, Madrid, Vancouver, Toronto, many from South America, etc.

  • Driving in

    Please note that in accordance to our center’s safety policies you may NOT drive yourself home after surgery.  Consider that driving time and distance to major cities in the U.S. extends to some hours. We encourage not to do so, unless you live near the Rio Grande Valley in Texas (for example: Laredo, McAllen, San Antonio).  Consider flying always as your first option.

  • Staying near us

    Our patients tell us they have had very good experiences in Monterrey at:

  • Need a Medical Tourism guide/translator?

    If you are traveling, alone or with company, and you need a guide to accompany you from the airport and/or the hotel to the hospital and back, personnel from our office can help you with that and with the translation: English / Japanese / Spanish (a rate may apply).

  • Need a Tourist guide/translator?

    We can get you a tour(s) to some of the city’s highlights if you or your travel companion(s) want to get around or visit tourist attractions.  Personnel from our office will be glad to show you around.  You can inquire and we will get back to you. Translation available in English and Japanese (a rate may apply).

  • About Monterrey (MTY)

    Monterrey is located 130 miles (220 km) directly south of Laredo, Texas.  Monterrey is one of the largest cities (MTY metro area has 5.5 million inhabitants) in Mexico, surrounded by beautiful mountains.  Modern and well-placed, Monterrey has a warm temperature from mid-March to mid-October that is cool downed with air conditioning available in almost every building, such as it is in South Texas.  Summer is well round the year we might say. Great Hospitals operate in this city as well as Mexican, American and International companies due to its near location from the U.S. border.

Pectus Patient Evaluation

Please take a few minutes to complete the following questions, so we may better serve you or your child.

About Dr. Cázares

  • Education, Training and Professional Background

    Post-Graduate Training Course
    Pectus Surgery

    Chest Wall International Group
    Korean Society for Thoracic & Cardiovascular Surgery
    Seoul St. Mary’s University Hospital – Catholic University of Korea
    Seoul, Korea 

    Post-Graduate Fellowship (Second Sub-specialty)
    Minimally Invasive Surgery & Biliary Surgery

    Department of Pediatric General & Urogenital Surgery
    Juntendo University.  Faculty of Medicine.  Graduate School of Medicine.  Juntendo University Hospital.
    Tokyo, Japan

    Post-Graduate Training Course
    Laparoscopic Bariatric and Metabolic Surgery

    European Institute of Telesurgery / IRCAD – Research Institute against Digestive Cancer
    (IRCAD – Institut de Recherche contre les Cancers de l’ Appareil Digestif)

    Professional Degree

    Nuevo Leon State Autonomous University (UANL – Universidad Autónoma de Nuevo León)
    School of Medicine.  University Hospital  “Dr. José E. González”.
    Monterrey, Mexico

    Foreign interchange

    University Medical Center Freiburg (Universitätsklinikum Freiburg)
    Freiburg, Germany.

  • International Memberships and Accreditations

    Chest Wall International Group (CWIG)
    British Association of Paediatric Surgeons (BAPS)
    Since 2015:  Member
    Japanese Society of Pediatric Surgeons (JSPS)
    Since 2014:  Member
    American College of Surgeons
    Since 2016:  Fellow
    International Pediatric Endosurgery Group (IPEG)
    Since 2011:  Member
    Journal of Pediatric Surgery
    Since 2018:  Reviewer
    Society of American Gastrointestinal and Endoscopic Surgeons
    Since 2011:  Member
  • Chapters in Books (International)

    1. Yamataka A, Cazares J, Davenport M: Minimally Invasive Surgery for Biliary Atresia and Choledochal Malformation  in  Surgery of the Liver, Bile Ducts and Pancreas in Children, 3rd Edition, Davenport M, Heaton N, Superina R,  CRC Press,  2017 (in English).
    1. Yamataka A, Cazares J, Miyano T:  Biliary Atresia  in  Ashcraft’s Pediatric Surgery, 6th edition, Holcomb G, Ed. Saunders, London, 580-592,  2014 (in English).
    1. Yamataka A, Cazares JLong Term Outcomes in Pediatric Urology  in  Rickham’s Neonatal Surgery, Losty PD, Rintala RJ, Iwai N, Hutson JM, Flake AW, Springer Publishing (in press, in English).
    1. Yamataka A, Lane G, Cazares JCongenital Biliary Dilatation  in  Pediatric Surgery, Volume 1 -General Principles and Newborn Surgery-, 1st Edition, Puri P, Springer Publishing (in press, in English).
    1. Yamataka A, Koga H, Cazares JCholedochal Cyst  in  Pediatric Surgery -Springer Surgery Atlas Series-, 2nd Edition, Puri P,  Springer Publishing (in press, in English).
    1. Yamataka A, Cazares J, Ure B: Biliary Atresia  in  Ashcraft’s Pediatric Surgery, 7th edition, Holcomb G, Elsevier Press (in press, in English).
    1. Yamataka A, Cazares JLaparoscopic Kasai  in  Fetoneonatologia Quirúrgica, 1st Edition, Martinez Ferro M, Canizzaro C, Ediciones Journal (in press, in Spanish).
    1. Cazares J, Yamataka A: Laparoscopic Anorrectal Malformation  in  Fetoneonatologia Quirúrgica, 1st  Edition, Martinez Ferro M, Canizzaro C, Ediciones Journal (in press, in Spanish).
  • Conferences, Presentations and Lectures (International)

    1. Cazares J, Yamataka A. Laparoscopic Kasai’s Original portoenterostomy mid-term results in a single institution in Mexico. Presented at the 54th Annual Meeting of the Japanese Society of Pediatric Surgeons & 7th International Sendai Symposium on Biliary AtresiaJapan, May 2017.
    1. Cazares J. Evolution of Pediatric Surgery in an Emerging Country from Scapel through Robotics. Presented at the 5th World Congress of Pediatric SurgeryWashington, DC, USA. October 2016.
    1. Cazares J. Laparoscopic surgery for duodenal atresia & stenosis. Presented at IPEG’s 25th Annual Congress for Endosurgery in ChildrenFukuoka, Japan, May 2016.
    1. Cazares J, Yamataka A, et al. 3D Printing Model for Pre-Operative Assessment of Cystic Biliary Atresia. Presented at IPEG’s 25th Annual Congress for Endosurgery in ChildrenFukuoka, Japan, May 2016.
    1. Cazares J, et al. Minimally invasive video-assisted total thyroidectomy for follicular neoplasm, initial experience. Presented at IPEG´s 25th Annual Congress for Endosurgery in ChildrenFukuoka, Japan, May 2016.
    1. Cazares JLaparoscopic Near-Total Pancreatectomy (LNTP) with splenic vessels conservation for late-onset Persistent Hyperinsulinemic Hypoglycemia (PHH). Presented at the 51st Japanese Society of Pediatric Surgery Annual Meeting. Osaka, Japan, May 2014.
    1. Cazares JLaparoscopic Kasai’s original portoenterostomy, early experience outside Japan. Presented at the 51st Japanese Society of Pediatric Surgery Annual Meeting. Osaka, Japan, May 2014.
    1. Cazares J: Minimally Invasive Surgery for Duodenal Atresia and Stenosis. Presented at the 52nd Annual Meeting of the Japanese Society of Pediatric Surgeons. Kobe, Japan, May 2015.
    1. Cazares J, Yamataka A: Laparoscopic VS open Kasai’s portoenterostomy for biliary atresia. Experience in a single-institution. Presented at the 52nd Annual Meeting of the Japanese Society of Pediatric SurgeonsKobe, Japan, May 2015.
    1. Cazares J, Yamataka A: Open versus laparoscopic Kasai’s portoenterostomy for biliary atresia, initial results in a tertiary center. Presented at the 1st International Congress on Biliary Atresia and Related Diseases (BARD-BERLIN 2014).  Berlin, Germany, October 2014.
    1. Cazares JLaparoscopic Kasai Technique. Presented at the 1st International Congress on Biliary Atresia and Related Diseases(BARD-BERLIN 2014).  Berlin, Germany, October 2014.