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A doctor inquired whether treating lipoedema through liposuction is exempt from VAT. The DGT ruled that the exemption applies if the procedure is intended for the diagnosis, prevention, or treatment of a disease, even if it is aesthetic in nature, but does not apply if it is purely cosmetic.
Cuestión planteada Tributación por el Impuesto sobre el Valor Añadido. Aplicación de la exención prevista en el artículo 20.uno 3º de la Ley 37/1992.
Los servicios de asistencia médica, quirúrgica o sanitaria para el diagnóstico, prevención o tratamiento de enfermedades están exentos de IVA, incluso si se prestan a través de una sociedad mercantil. Las intervenciones de carácter estético derivadas de una enfermedad, lesión o defecto físico congénito están exentas siempre que se cumplan los requisitos legales. Por el contrario, las operaciones de cirugía o tratamientos con fines meramente cosméticos están sujetas al tipo del 21%.
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