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An association of surgeons has requested clarification regarding VAT exemptions for aesthetic interventions. The DGT has clarified that surgeries performed for diagnostic, preventive, or therapeutic purposes to treat illnesses or congenital defects are exempt, whereas purely cosmetic procedures are subject to the 21% VAT rate.
Cuestión planteada Se plantean las siguientes consultas:
Están exentos los servicios de asistencia médica, quirúrgica o sanitaria para diagnóstico, prevención o tratamiento de enfermedades, prestados por profesionales médicos aunque actúen mediante sociedad mercantil. Las intervenciones estéticas derivadas de una enfermedad, lesión o defecto físico congénito pueden estar exentas. Por el contrario, las operaciones con fines meramente cosméticos, como liposucción o lifting facial, tributan al tipo general del 21%. La exención requiere una apreciación médica de la necesidad de la intervención.
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