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

<!--XBRL Document Created with the Workiva Platform-->
<!--Copyright 2026 Workiva-->
<!--r:019e4275-2eec-7cbb-8701-df9cf081a566,g:a312b3cc-9128-4021-8070-67f8b1a3b5de-->
<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-20260806.xsd#Cover"/>
  <link:presentationLink xlink:role="http://establishmentlabs.com/role/Cover" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_dei_CoverAbstract_019e4275-2eec-7e70-951e-7e99054ce82f" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_CoverAbstract"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressesTable_019e4275-2eec-711e-8148-b9c3dc0c5a24" 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_019e4275-2eec-7e70-951e-7e99054ce82f" xlink:to="loc_dei_EntityAddressesTable_019e4275-2eec-711e-8148-b9c3dc0c5a24" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressesAddressTypeAxis_019e4275-2eec-798b-9e52-e367caa5104c" 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_019e4275-2eec-711e-8148-b9c3dc0c5a24" xlink:to="loc_dei_EntityAddressesAddressTypeAxis_019e4275-2eec-798b-9e52-e367caa5104c" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AddressTypeDomain_019e4275-2eec-7db7-bad3-e20440dd659a" 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_019e4275-2eec-798b-9e52-e367caa5104c" xlink:to="loc_dei_AddressTypeDomain_019e4275-2eec-7db7-bad3-e20440dd659a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_FormerAddressMember_019e4275-2eec-76a7-87b5-7f002be57cd7" 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_019e4275-2eec-7db7-bad3-e20440dd659a" xlink:to="loc_dei_FormerAddressMember_019e4275-2eec-76a7-87b5-7f002be57cd7" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressesLineItems_019e4275-2eec-79fe-9b54-31559c6c1981" 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_019e4275-2eec-711e-8148-b9c3dc0c5a24" xlink:to="loc_dei_EntityAddressesLineItems_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentType_019e4275-2eec-7504-bad0-6eeb401f000a" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_DocumentType_019e4275-2eec-7504-bad0-6eeb401f000a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentPeriodEndDate_019e4275-2eec-75d8-a57c-3783548f5137" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_DocumentPeriodEndDate_019e4275-2eec-75d8-a57c-3783548f5137" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityRegistrantName_019e4275-2eec-7587-9bfe-059509db9426" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_EntityRegistrantName_019e4275-2eec-7587-9bfe-059509db9426" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityIncorporationStateCountryCode_019e4275-2eec-761e-ab6b-7a50fc20a5da" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_EntityIncorporationStateCountryCode_019e4275-2eec-761e-ab6b-7a50fc20a5da" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityFileNumber_019e4275-2eec-703b-a4ce-122e4219c29b" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_EntityFileNumber_019e4275-2eec-703b-a4ce-122e4219c29b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine1_019e4275-2eec-7f06-9c65-8e4b5b13211a" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_EntityAddressAddressLine1_019e4275-2eec-7f06-9c65-8e4b5b13211a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine2_019e4275-2eec-7e0a-9fd3-548528e7501f" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_EntityAddressAddressLine2_019e4275-2eec-7e0a-9fd3-548528e7501f" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCityOrTown_019e4275-2eec-7a4f-a3dd-80c0abf40094" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_EntityAddressCityOrTown_019e4275-2eec-7a4f-a3dd-80c0abf40094" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressStateOrProvince_019e4275-2eec-7a0e-ba6b-08ba3267a762" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_EntityAddressStateOrProvince_019e4275-2eec-7a0e-ba6b-08ba3267a762" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressPostalZipCode_019e4275-2eec-7af9-8ec3-3b2c38a092db" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_EntityAddressPostalZipCode_019e4275-2eec-7af9-8ec3-3b2c38a092db" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCountry_019e4275-2eec-74ed-a302-4220847f83fc" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_EntityAddressCountry_019e4275-2eec-74ed-a302-4220847f83fc" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CountryRegion_019e4275-2eec-7321-b216-673deba0aa5b" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_CountryRegion_019e4275-2eec-7321-b216-673deba0aa5b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CityAreaCode_019e4275-2eec-76de-81b2-acd1e6032a1b" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_CityAreaCode_019e4275-2eec-76de-81b2-acd1e6032a1b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_LocalPhoneNumber_019e4275-2eec-7adf-a131-e8dde7c63cea" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_LocalPhoneNumber_019e4275-2eec-7adf-a131-e8dde7c63cea" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_WrittenCommunications_019e4275-2eec-7a21-97f0-602bb435b56f" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_WrittenCommunications_019e4275-2eec-7a21-97f0-602bb435b56f" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SolicitingMaterial_019e4275-2eec-7597-9e94-e5c2651dcce2" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_SolicitingMaterial_019e4275-2eec-7597-9e94-e5c2651dcce2" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementTenderOffer_019e4275-2eec-7dbd-a7f2-9c307d4b83ae" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_PreCommencementTenderOffer_019e4275-2eec-7dbd-a7f2-9c307d4b83ae" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementIssuerTenderOffer_019e4275-2eec-7d64-9ea2-d58f24935401" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_PreCommencementIssuerTenderOffer_019e4275-2eec-7d64-9ea2-d58f24935401" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_Security12bTitle_019e4275-2eec-71cb-9e2b-67a968a98f3f" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_Security12bTitle_019e4275-2eec-71cb-9e2b-67a968a98f3f" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_TradingSymbol_019e4275-2eec-7bd5-8cce-71347c3fd79d" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_TradingSymbol_019e4275-2eec-7bd5-8cce-71347c3fd79d" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SecurityExchangeName_019e4275-2eec-7357-99e7-1b2c18d37893" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_SecurityExchangeName_019e4275-2eec-7357-99e7-1b2c18d37893" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityEmergingGrowthCompany_019e4275-2eec-7668-aed6-f062c33c5654" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_EntityEmergingGrowthCompany_019e4275-2eec-7668-aed6-f062c33c5654" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityCentralIndexKey_019e4275-2eec-7c13-9953-22e3168e34e4" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_EntityCentralIndexKey_019e4275-2eec-7c13-9953-22e3168e34e4" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AmendmentFlag_019e4275-2eec-7f19-b496-cd489390cda2" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_AmendmentFlag_019e4275-2eec-7f19-b496-cd489390cda2" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityTaxIdentificationNumber_019e4275-2eec-73d5-84af-142ce2d9b675" 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_019e4275-2eec-79fe-9b54-31559c6c1981" xlink:to="loc_dei_EntityTaxIdentificationNumber_019e4275-2eec-73d5-84af-142ce2d9b675" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
  </link:presentationLink>
</link:linkbase>
