Frequently Asked Questions

Have bariatric surgery questions?

Read through a list of our frequently asked questions concerning bariatric surgery and the surgery process options we provide.


Getting Started and Your Options

What is bariatric surgery?

Bariatric surgery, also called weight loss surgery, includes procedures that change the size of the stomach and, for some operations, how the digestive system works.

What is medical weight loss?

Medical weight loss is a clinic-based program that helps you manage weight without surgery. It usually includes medical visits, nutrition and lifestyle support and, in some cases, weight loss medications.

What is the difference between medical weight loss and bariatric surgery?

Medical weight loss is a nonsurgical program supervised by healthcare professionals that may include nutrition guidance, physical activity goals, behavior changes and prescription medications. Bariatric surgery is a procedure that changes the digestive system to support weight loss and improve obesity-related health concerns. Your care team can help you decide whether to start with medical care, consider surgery or use both over time based on your health and weight loss history.

Is bariatric surgery the same as medical weight loss?

No. Medical weight loss care is nonsurgical and may include nutrition counseling, lifestyle changes and prescription medications. Bariatric surgery is an operation used as part of a broader treatment plan.

Is medical weight loss better than bariatric surgery?

One is not ‘better’ than the other. Medical weight loss and bariatric surgery work in different ways and are used for different patients. Some people do well with a nonsurgical plan, while others benefit more from surgery or from using both approaches at different times.

Are GLP-1 medications the same as bariatric surgery?

No. GLP-1 medications and bariatric surgery are different treatment options. Some patients may do well with medication-based treatment, while others may be better candidates for surgery or a combined approach. Medications may be used before or after surgery as part of a long-term plan, while others use medication alone.

Do you offer GLP-1 medications for weight loss?

We may discuss GLP-1 and other weight loss medicines as part of your care plan if they are medically appropriate. Your care team will review your health and let you know whether medicine is an option for you.

Can I still consider surgery if I have tried medications or GLP-1 medications?

Yes. You can talk about surgery even if you have used GLP-1 or other weight loss medicines. In some cases, medicines are used before surgery to prepare, or after surgery to help with long-term weight management.

Am I a candidate for bariatric surgery?

You may be a candidate for bariatric surgery if you have obesity or serious weight-related health conditions and have not had lasting results with diet and exercise alone. Your care team will consider factors such as your BMI, medical history, current medications and prior weight loss attempts to help you understand whether surgery is a safe and appropriate option for you.

Tip: Generally, you may be a candidate if you are over the age of 18 with a Body Mass Index (BMI) of 40 or greater, or a BMI between 35 and 40 with co-morbidities such as diabetes, high blood pressure, obstructive sleep apnea, or congestive heart failure.

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How do I get started and find the weight loss option that’s right for me?

You do not need to be ready for surgery to contact our program. Many people reach out simply to learn more about their choices. During an evaluation, a provider reviews your health history, current challenges and goals, and then explains options such as medical weight loss care, weight loss medications and bariatric surgery. Together, you can decide whether to start with medical treatment, consider surgery now or later, or take time to think about what feels right for you.

How do I know which surgery is right for me?

There is no right or wrong surgery, but your surgeon will discuss your options with you. The decision should be based first on a clear understanding of the basics of each surgery, including risks and benefits; health conditions which may favor the benefits of one surgery vs. another, or conversely, increase the risks; an acknowledgement of current eating style as to which procedure is truly “best fit;" and personal preference. Our goal is to help you make the best informed decision possible for your circumstances and health challenges.

What is the most common bariatric surgery?

Sleeve gastrectomy and gastric bypass are two of the most common bariatric procedures. The best choice for you depends on your goals, medical history and surgeon’s advice.

Can medical weight loss help before bariatric surgery?

Yes. Medical weight loss is often used before surgery to help you start healthy habits, review medications and meet any pre-surgery requirements.

How long will I be in a medical weight loss program?

The length of a medical weight loss program can vary from person to person. Some people work with a team for a few months to meet a specific goal, while others stay connected for longer to help maintain weight loss and manage ongoing health needs. Your provider can give you a better idea of timing after your initial evaluation.

Your Surgery and Hospital Stay

How long does surgery last?

Each person’s case is different. But, depending on the operation, it usually lasts about 1 to 1 1/2 hours. After surgery, you will remain in the recovery room until your anesthesiologist clears you to be moved to your hospital room, usually about 1 hour after surgery.

Will the surgeon remove my gallbladder?

The surgeon may decide to take out your gallbladder if it is causing you significant problems. If you still have your gallbladder and it is causing you symptoms, the surgeon may request an ultrasound of your gallbladder to examine it better before your surgery to determine whether removing it is necessary.

Is my surgeon in the operating room during the entire procedure? Who else is in the room?

Your surgeon will be in the room and is the person performing the entire operation. We use a specialized team that is specifically trained to assist in bariatric procedures, and they will be present as well.

Can the Roux-en-Y gastric bypass be reversed?

The Roux-en-Y gastric bypass changes your gastrointestinal tract. Because nothing is removed during this bypass, it can be reversed. However, this operation should be viewed as a permanent change. If you are not ready for that type of commitment, this type of procedure may not be the best option for you at this point.

How can I prepare for surgery?

First and foremost, educate yourself. Read all materials available from our website. Check out other reputable online resources like www.obesityhelp.com and www.ASMBS.org. Attend our informational seminar and/or one of our support group sessions. Listen to the stories of other weight loss surgery patients, which you can also find online or in print, but be aware of the individual differences in surgical experience and compliance. Begin to put in place the recommended healthy lifestyle behaviors that go hand-in-hand with weight loss success, such as weaning carbonated/caffeinated beverages, building in healthy protein sources to each meal, increasing physical activity as able, and cutting out simple and starchy carbohydrates. You will find that the sooner you “surrender” to these recommendations, the easier it will be to adopt and maintain this healthy lifestyle after surgery, and you will be more successful long-term in keeping off excess weight.