Bariatric Surgery FAQs: Your Questions Answered By Weight Loss Specialist

Bariatric surgery, also known as weight-loss surgery, encompasses various surgical procedures performed on people who have obesity. These procedures aim to help patients lose weight by reducing the size of the stomach or by rerouting the small intestine.
Bariatric surgery is typically performed using laparoscopic techniques, which involve small incisions. This minimally invasive approach reduces scarring compared to traditional open surgery. Most patients have small, well-hidden scars that fade over time.
In general, bariatric surgeries like gastric sleeve or gastric bypass are not reversible, as they involve permanent changes to your digestive system. However, certain surgeries, like the adjustable gastric band, can be removed if necessary.
The results of bariatric surgery can be long-lasting, provided you commit to making permanent lifestyle changes, such as maintaining a healthy diet and regular exercise. With proper care, patients can sustain significant weight loss for years.
The success rate of bariatric surgery varies, but studies show that patients can lose 50-70% of their excess weight within 2 years. Long-term success depends on lifestyle changes, including diet and exercise.
BMI (Body Mass Index) is a measure of body fat based on height and weight. For bariatric surgery, candidates typically have a BMI of 40 or higher, or a BMI of 35 with obesity-related health conditions. Your BMI helps determine the suitability of weight loss surgery.
Bariatric surgery is often recommended for individuals with obesity-related conditions such as type 2 diabetes, hypertension, sleep apnea, or joint issues. These conditions should be managed before surgery to improve outcomes.
Before surgery, you will undergo various tests, including blood tests, a physical examination, and possibly an endoscopy, to assess your overall health and readiness for surgery. Psychological evaluations are also common.
While not always required, a referral from your primary care physician can be helpful. They can assess your overall health and assist in determining if you are a good candidate for bariatric surgery.
You’ll need to adopt healthier lifestyle habits before surgery, such as quitting smoking, starting a physical activity routine, and following a pre-operative diet. This ensures your body is ready for the procedure.
Your pre-operative diet typically involves consuming low-calorie, low-fat, and high-protein foods. It may also include liquid meals to shrink your liver and prepare for surgery, especially for laparoscopic procedures.
It’s important to discuss all medications with your surgeon. Some medications, especially blood thinners or supplements, may need to be adjusted before and after surgery to prevent complications.
Mental preparation is key. Be ready for a change in lifestyle, eating habits, and body image. Pre-surgery counseling and support groups can help you prepare emotionally and provide motivation during your journey.
During the consultation, your surgeon will evaluate your medical history, perform physical exams, and discuss surgical options, risks, and expectations. You’ll also talk about your goals, health concerns, and lifestyle changes.
Bariatric surgeries are typically performed under general anesthesia, meaning you’ll be asleep during the procedure. Your anesthesiologist will monitor you throughout the surgery to ensure your safety and comfort.
Most laparoscopic bariatric surgeries take between 1-3 hours, depending on the procedure. The recovery time post-surgery may vary based on individual health and surgical complexity.
Laparoscopic surgery is a minimally invasive technique that uses small incisions and a camera to guide the surgeon. This method reduces recovery time and scarring compared to traditional open surgery.
Pain levels vary by individual, but most patients experience mild to moderate discomfort after surgery. Pain can typically be managed with medications, and most patients start feeling better within a few days.
The post-operative diet is usually divided into phases, starting with clear liquids, moving to pureed foods, and eventually progressing to solid foods. The goal is to ensure proper healing while aiding weight loss.
Solid foods are generally introduced about 6 weeks after surgery. Initially, you’ll need to eat smaller portions and avoid high-calorie, high-fat foods. Your dietician will guide you through this transition.