Health Spain monitors the botulism alert at European level after 14 cases detected in patients who traveled to Turkey to undergo an operation to lose weight. Around 20,000 Spaniards come annually to Turkey for this purpose, attracted by the prices and the package offered, which includes transport and stay.

In Spain, although there are no figures or percentages, there are also cases, "but it is not usual, because here, any surgeon who operates on a patient follows him in the postoperative period," Dr. Isabel de Benito says.