<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with the Workiva Platform-->
<!--Copyright 2026 Workiva-->
<!--r:019e1d20-d285-7c6d-a589-a0402f9d6f9c,g:ce49bc37-11df-49b9-8553-12e1720819e5-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:roleRef roleURI="http://establishmentlabs.com/role/Cover" xlink:type="simple" xlink:href="esta-20260522.xsd#Cover"/>
  <link:presentationLink xlink:role="http://establishmentlabs.com/role/Cover" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_dei_CoverAbstract_019e1d20-d285-7332-8e17-7f020da12359" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_CoverAbstract"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressesTable_019e1d20-d285-7c34-bc91-137041d4e14d" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityAddressesTable"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e1d20-d285-7332-8e17-7f020da12359" xlink:to="loc_dei_EntityAddressesTable_019e1d20-d285-7c34-bc91-137041d4e14d" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressesAddressTypeAxis_019e1d20-d285-7ce3-8701-27179c20cb70" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityAddressesAddressTypeAxis"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesTable_019e1d20-d285-7c34-bc91-137041d4e14d" xlink:to="loc_dei_EntityAddressesAddressTypeAxis_019e1d20-d285-7ce3-8701-27179c20cb70" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AddressTypeDomain_019e1d20-d285-761f-9b82-52ead27df727" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_AddressTypeDomain"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesAddressTypeAxis_019e1d20-d285-7ce3-8701-27179c20cb70" xlink:to="loc_dei_AddressTypeDomain_019e1d20-d285-761f-9b82-52ead27df727" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_FormerAddressMember_019e1d20-d285-7d5d-b833-7968ce7ca456" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_FormerAddressMember"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_AddressTypeDomain_019e1d20-d285-761f-9b82-52ead27df727" xlink:to="loc_dei_FormerAddressMember_019e1d20-d285-7d5d-b833-7968ce7ca456" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityAddressesLineItems"/>
    <link:presentationArc order="2" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesTable_019e1d20-d285-7c34-bc91-137041d4e14d" xlink:to="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentType_019e1d20-d285-7d5c-b8b7-5d854fd722ae" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_DocumentType"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_DocumentType_019e1d20-d285-7d5c-b8b7-5d854fd722ae" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentPeriodEndDate_019e1d20-d285-7338-afe3-573f04d7fcdf" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_DocumentPeriodEndDate"/>
    <link:presentationArc order="2" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_DocumentPeriodEndDate_019e1d20-d285-7338-afe3-573f04d7fcdf" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityRegistrantName_019e1d20-d285-7541-ab6b-5179e7906b9c" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityRegistrantName"/>
    <link:presentationArc order="3" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_EntityRegistrantName_019e1d20-d285-7541-ab6b-5179e7906b9c" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityIncorporationStateCountryCode_019e1d20-d285-71f5-b628-271d1f38fef8" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityIncorporationStateCountryCode"/>
    <link:presentationArc order="4" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_EntityIncorporationStateCountryCode_019e1d20-d285-71f5-b628-271d1f38fef8" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityFileNumber_019e1d20-d285-71d1-9463-655960fcda7a" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityFileNumber"/>
    <link:presentationArc order="5" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_EntityFileNumber_019e1d20-d285-71d1-9463-655960fcda7a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine1_019e1d20-d285-76ca-889e-dca20b39ef5f" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityAddressAddressLine1"/>
    <link:presentationArc order="6" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_EntityAddressAddressLine1_019e1d20-d285-76ca-889e-dca20b39ef5f" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine2_019e1d20-d285-7cd2-942e-34484353d456" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityAddressAddressLine2"/>
    <link:presentationArc order="7" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_EntityAddressAddressLine2_019e1d20-d285-7cd2-942e-34484353d456" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCityOrTown_019e1d20-d285-777f-845f-b01680aca075" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityAddressCityOrTown"/>
    <link:presentationArc order="8" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_EntityAddressCityOrTown_019e1d20-d285-777f-845f-b01680aca075" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressStateOrProvince_019e1d20-d285-7646-9055-9f627489cc58" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityAddressStateOrProvince"/>
    <link:presentationArc order="9" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_EntityAddressStateOrProvince_019e1d20-d285-7646-9055-9f627489cc58" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressPostalZipCode_019e1d20-d285-78a1-b396-b03114143a44" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityAddressPostalZipCode"/>
    <link:presentationArc order="10" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_EntityAddressPostalZipCode_019e1d20-d285-78a1-b396-b03114143a44" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCountry_019e1d20-d285-7f0b-b3b3-5c97dc2c93c8" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityAddressCountry"/>
    <link:presentationArc order="11" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_EntityAddressCountry_019e1d20-d285-7f0b-b3b3-5c97dc2c93c8" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CountryRegion_019e1d20-d285-7d0c-9442-616b9cbc9f63" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_CountryRegion"/>
    <link:presentationArc order="12" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_CountryRegion_019e1d20-d285-7d0c-9442-616b9cbc9f63" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CityAreaCode_019e1d20-d285-7eb4-92d8-88a72fe051b4" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_CityAreaCode"/>
    <link:presentationArc order="13" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_CityAreaCode_019e1d20-d285-7eb4-92d8-88a72fe051b4" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_LocalPhoneNumber_019e1d20-d285-7f9c-8f34-4b60cd18a5e4" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_LocalPhoneNumber"/>
    <link:presentationArc order="14" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_LocalPhoneNumber_019e1d20-d285-7f9c-8f34-4b60cd18a5e4" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_WrittenCommunications_019e1d20-d285-7970-8f0e-4c46a181e241" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_WrittenCommunications"/>
    <link:presentationArc order="15" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_WrittenCommunications_019e1d20-d285-7970-8f0e-4c46a181e241" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SolicitingMaterial_019e1d20-d285-76fd-85f6-98c8d205af36" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_SolicitingMaterial"/>
    <link:presentationArc order="16" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_SolicitingMaterial_019e1d20-d285-76fd-85f6-98c8d205af36" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementTenderOffer_019e1d20-d285-7c98-a192-13d1ad7b8f1d" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_PreCommencementTenderOffer"/>
    <link:presentationArc order="17" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_PreCommencementTenderOffer_019e1d20-d285-7c98-a192-13d1ad7b8f1d" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementIssuerTenderOffer_019e1d20-d285-7817-963c-0be5244d6cbf" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_PreCommencementIssuerTenderOffer"/>
    <link:presentationArc order="18" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_PreCommencementIssuerTenderOffer_019e1d20-d285-7817-963c-0be5244d6cbf" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_Security12bTitle_019e1d20-d285-7fe5-bc93-f808c37cdbda" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_Security12bTitle"/>
    <link:presentationArc order="19" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_Security12bTitle_019e1d20-d285-7fe5-bc93-f808c37cdbda" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_TradingSymbol_019e1d20-d285-74c0-854d-1329ab9b388a" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_TradingSymbol"/>
    <link:presentationArc order="20" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_TradingSymbol_019e1d20-d285-74c0-854d-1329ab9b388a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SecurityExchangeName_019e1d20-d285-7a4d-9deb-b62279b32faa" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_SecurityExchangeName"/>
    <link:presentationArc order="21" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_SecurityExchangeName_019e1d20-d285-7a4d-9deb-b62279b32faa" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityEmergingGrowthCompany_019e1d20-d285-7a04-8dfb-d486311a51ac" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityEmergingGrowthCompany"/>
    <link:presentationArc order="22" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_EntityEmergingGrowthCompany_019e1d20-d285-7a04-8dfb-d486311a51ac" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityCentralIndexKey_019e1d20-d285-717d-a131-fdc8ecafd8b4" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityCentralIndexKey"/>
    <link:presentationArc order="23" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_EntityCentralIndexKey_019e1d20-d285-717d-a131-fdc8ecafd8b4" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AmendmentFlag_019e1d20-d285-79d4-a167-26588c6cc8b8" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_AmendmentFlag"/>
    <link:presentationArc order="24" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_AmendmentFlag_019e1d20-d285-79d4-a167-26588c6cc8b8" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityTaxIdentificationNumber_019e1d20-d285-754e-b4ad-5a94ee680650" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityTaxIdentificationNumber"/>
    <link:presentationArc order="25" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityAddressesLineItems_019e1d20-d285-7f22-bb35-a213ff1e5807" xlink:to="loc_dei_EntityTaxIdentificationNumber_019e1d20-d285-754e-b4ad-5a94ee680650" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
  </link:presentationLink>
</link:linkbase>
