Trade policy is in constant flux, and medical device manufacturers know it. With tariff pressures rising and supply chain predictability more critical than ever, companies are rethinking where and how they produce. The answer for many? Tijuana, Mexico, where the IMMEX program offers a powerful combination of tax relief, regulatory alignment, and strategic positioning that directly mitigates tariff exposure.
This isn’t about chasing the lowest labor rate. It’s about building resilient, cost-efficient operations that can absorb trade policy shifts while maintaining speed to market. Here’s how the world’s leading medical device companies are doing exactly that.
The IMMEX Program: Tax Relief Built for Export Manufacturing
At its core, the IMMEX (Industria Manufacturera, Maquiladora y de Servicios de Exportación) program allows manufacturers in Tijuana to temporarily import materials, components, and equipment for transformation and re-export—without paying Mexico’s 16% VAT or standard import duties. The condition is straightforward: goods must be exported within the required timeframe.
For medical device companies importing precision components from Asia, Europe, or the U.S., this changes the cost equation significantly. By eliminating upfront VAT and duty payments on imported inputs, IMMEX improves cash flow and reduces the total landed cost of products—keeping firms globally competitive even when tariffs are imposed on finished goods entering the U.S.
The financial impact is immediate. Companies avoid tying up working capital in tax payments on materials that will never stay in Mexico. That capital gets redirected into innovation, capacity expansion, or supply chain optimization.
USMCA Alignment: Tariff-Free Access to the U.S. Market
Under the USMCA (United States-Mexico-Canada Agreement), medical device manufacturers in Tijuana receive preferential tariff treatment for qualifying products. Many recent U.S. tariffs have been exempted for North American goods, meaning companies operating under IMMEX with proper rules-of-origin documentation can access U.S. markets tariff-free, bypassing the additional costs that competitors in Asia or outside North America face.
This isn’t theoretical. Medical device firms like Johnson & Johnson, Medtronic, and Stryker have scaled operations in Tijuana precisely because of this advantage. These combined cost reductions, IMMEX tax exemptions plus USMCA tariff benefits, offer a structural edge against both tariffs and rising global manufacturing costs.
Compare that to manufacturing in China or Southeast Asia, where tariffs on medical devices entering the U.S. can range from 7.5% to 25%. The math is simple: Tijuana-based production avoids those penalties entirely.
Speed to Market: Shelter Models and Rapid Deployment
Setting up compliant manufacturing in a new country can take years. Tijuana offers a faster path.
Shelter service providers in Tijuana help medical device companies quickly establish compliant IMMEX operations, eliminating complicated licensing and setup times. This allows companies to launch production in as little as 3–5 months, begin exporting rapidly, and access all IMMEX tax advantages immediately.
For companies facing urgent tariff exposure or supply chain disruptions, this speed matters. Instead of spending 18 months navigating regulatory approvals, real estate acquisition, and entity setup, firms can partner with an established shelter operator and start production within a quarter.
What you get:
- Pre-negotiated IMMEX certification
- Compliant payroll, HR, and accounting infrastructure
- Established supplier networks and logistics partnerships
- Immediate access to Tijuana’s 60+ medical device companies and 42,000+ specialized workers
The shelter model isn’t outsourcing; it’s a turnkey entry strategy that lets you retain full operational control while offloading administrative complexity.
Location as Strategy: Border Proximity and Logistics Efficiency
Tijuana’s proximity to the U.S. border translates to shorter shipping times, lower transport costs, and faster customs processing, advantages that are especially critical for high-value medical devices and just-in-time supply chain models.
Consider this: a shipment from Tijuana to Los Angeles takes hours, not weeks. Same-day trucking to Southern California distribution centers is standard. Compared to Asian suppliers, this location also creates resilience against global disruptions—a strong incentive amid shifting trade policies.
For medical device companies managing FDA-regulated inventory with strict traceability requirements, this proximity reduces risk. You can respond to quality issues, regulatory changes, or demand spikes faster than competitors shipping from overseas. And when tariffs shift, you’re already positioned on the right side of the border.

Cost Structure: More Than Just Labor Savings
Labor arbitrage gets the headlines, but Tijuana’s cost advantages run deeper.
IMMEX participants benefit from reduced customs processing fees (only 1.76%) and significant deductions for labor costs, as well as expedited VAT refund processes that free up working capital for innovation and growth.
Breakdown of savings:
- No VAT on imported materials: Frees up 16% of material costs from cash flow
- Duty-free component imports: Eliminates tariffs on inputs under IMMEX
- Lower customs fees: 1.76% vs. standard rates in other jurisdictions
- Accelerated VAT refunds: 20 days in Tijuana vs. 90+ days elsewhere in Mexico
- Competitive labor costs: Skilled technicians at $4–5/hour fully loaded, vs. $20+ in the U.S.
These aren’t marginal gains. Companies relocating to Tijuana report operational cost savings of 18–25% compared to equivalent U.S. facilities. For a medical device manufacturer with $50 million in annual operating expenses, that’s $9–12.5 million redirected toward R&D, regulatory compliance, or market expansion.
Operational Agility: Scalability and Compliance Infrastructure
IMMEX supports flexible and scalable business models, from assembly to R&D, with digital inventory controls and robust compliance mechanisms. Real-time documentation and automated reporting minimize audit risk and ensure manufacturers can continuously access tariff and tax benefits.
Medical device companies operate in one of the world’s most regulated industries. In Tijuana, manufacturers must adhere to strict quality standards and certifications, including ISO 13485 and MDSAP, to ensure product safety and compliance. The city’s 60+ medical device facilities and three decades of production experience mean the compliance infrastructure is already in place.
You’re not building from scratch. You’re joining an ecosystem where regulatory familiarity, supplier quality, and workforce training are already aligned with FDA and international standards.
Real-World Validation: Who’s Already Here
Tijuana isn’t an emerging market for medical devices—it’s an established hub.
Major medical device manufacturers operating in Tijuana include:
- Johnson & Johnson
- Medtronic
- Stryker
- Thermo Fisher
- DJO Global
- BD (Becton, Dickinson and Company)
- Cardinal Health
Companies like DJO Global started in Tijuana in 1994 with just 20 employees and today employ over 2,000, winning multiple awards for manufacturing excellence, including IndustryWeek’s “Best Plants.” DJO credits its Tijuana facility with achieving the highest productivity rates among their six global plants.
These aren’t pilot projects. They’re billion-dollar commitments backed by decades of operational success.
The Bottom Line: Tijuana as Tariff Mitigation Strategy
By combining IMMEX’s unique tax and customs advantages with USMCA alignment and strategic border-zone logistics, medical device companies in Tijuana can offset tariff impacts, maintain competitive production costs, and access the U.S. market with minimal regulatory friction.
This isn’t about moving production to save a few dollars. It’s about building a manufacturing footprint that can absorb trade policy volatility, respond to market shifts in real time, and deliver FDA-compliant products to U.S. customers faster and cheaper than competitors operating from Asia or Europe.
If your company is evaluating tariff exposure, supply chain risk, or cost optimization in medical device manufacturing, Tijuana offers a proven, scalable solution.
The question isn’t whether IMMEX works; it’s whether your competitors are already using it to their advantage.
Ready to explore how Tijuana’s IMMEX advantages can transform your supply chain?
Let’s start the conversation. Contact Tijuana EDC to schedule a site visit or virtual briefing with our team.