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A plastic surgeons' association has queried whether certain interventions listed as either exempt or subject to VAT always meet the necessary requirements. The Directorate-General for Taxes (DGT) has responded that such lists are indicative and that each case must be assessed individually to determine whether the surgery serves a therapeutic purpose or is merely aesthetic.
Cuestión planteada Se solicita aclaración del punto 5 de la consulta de 3 de julio de 2015, número V2075-15.
Las intervenciones quirúrgicas estéticas derivadas de una enfermedad, lesión o defecto físico congénito pueden estar exentas de IVA si cumplen los requisitos de asistencia médica para diagnóstico, prevención o tratamiento. No basta con la percepción subjetiva del paciente; la finalidad debe tener carácter médico y basarse en constataciones de personal cualificado. Las listas de intervenciones proporcionadas en consultas previas son meramente indicativas y admiten prueba en contrario. La carga de la prueba recae en quien haga valer el derecho, pudiendo utilizarse informes médicos, psicológicos, fotografías o radiografías para justificar la exención en cada caso concreto.
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