Abstract Aim The number of individuals seeking weight loss surgery has been increasing globally. It is not uncommon for patients to travel abroad for these procedures due to various reasons, such as cost savings or availability. This audit identifies patients who underwent bariatric surgery abroad and subsequently presented to our hospital, observes trends in presentation, types and frequencies of complications, and management strategies employed. Method A retrospective case study of medical records of patients who presented acutely following gastric bypass, sleeve, or gastric band operations abroad between January 2018 to July 2023 was performed. Results A total of 21 patients were identified. 17 (81%) were female, with mean age 42.2 years. 15 (71.4%) patients presented between 2022-2023, and 5 (33.3%) of these were diagnosed with leak. 11 (52.4%) had undergone sleeve gastrectomy, 6 (28.5%) Roux-en-Y gastric bypass and 4 (19%) gastric band. Operations were performed in 11 different countries, with 10 (47.6%) performed in Turkey. The commonest presenting complaint was abdominal pain (71%). Average Length of stay was 9.1 days (range 1-45). 9 patients (42.9%) had multiple attendances (range 2-6). 7 (33.3%) underwent surgery; 3 laparoscopic removal of gastric band, and 4 emergency procedures for leak, involving either laparotomy and/or endoscopic therapy. Conclusions The number of patients presenting with complications of bariatric surgery tourism has increased year-on-year. This is leading to a growing burden on NHS resources. Healthcare professionals, policymakers, and patients themselves must be aware about the importance of follow-up when deciding to undergo weight loss surgery abroad. A national audit is also warranted.