Thinking of undergoing bariatric surgery but have a lot of questions you want to ask first? We understand that weight loss surgery can be a daunting idea. You are bound to have many doubts and concerns about the whole process, the expectations, procedures, results, side effects, alternatives… The list goes on.
We have compiled 12 of the most commonly asked but most important questions that you can keep in mind when having a consultation with your surgeon.
1. What is the best type of bariatric surgery?
There are a couple of different common types of bariatric surgeries in the US, including:
- Gastric bypass. Involves creating a pouch in the stomach that connects to the small intestine, creating a bypass.
- Gastric sleeve. The removal of around 75 to 80% of your stomach.
- Gastric balloon. This is a non-surgical, non-invasive procedure involving the insertion of a saline-filled balloon into the stomach.
Always ask your bariatric surgeon questions about the best option for you.
2. Are there risks and complications involved with bariatric surgery?
Like any surgery, bariatric surgery carries risks. During the actual procedure, there are risks like:
- bleeding
- allergic reactions
- infections.
Long-term complications can include:
- bowel obstruction
- gallstones
- acid reflux
- blood clots
- stomach leak.
Non-surgical procedures like the gastric balloon tend to carry fewer risks than permanently-altering operations like the bypass or the sleeve. Ensure that you discuss with your bariatric surgeon any worries you may have about the risks involved.
3. How should I prepare for the surgery?
You will first be evaluated to see if you are eligible for the operation based on the standard bariatric surgery requirements. Once approved, you will begin to prepare your body for the procedure. To do this, it is necessary to incorporate any dietary requirements and lifestyle changes into your life. Ask your bariatric surgeon for a detailed preparation plan to help you with these changes before undergoing your weight-loss surgery.
4. What is the recovery process like?
Gastric bypass or sleeve patients typically spend around 1–3 days in the hospital, post-op. Once sent home, the recovery process can last from 3 to 6 weeks. In this time, you should get back to doing normal activities.
Gastric balloon patients undergo an outpatient procedure and leave the hospital the same day. They can expect a full recovery after approximately 4–6 days.
You may also experience some weight loss surgery side effects during this time. It is important to discuss this recovery process with your surgeon. They will inform you about any potential side effects and help to ensure you have a full, healthy recovery.
5. What results can I realistically expect?
The big question. How much weight are you realistically going to lose? Patients can expect to lose anywhere from 40% to 80% of excess body weight, depending on several factors, including initial weight, height, eating habits, lifestyle, occupation, etc. Your surgeon will complete a medical assessment, considering your BMI, and estimate the amount of weight you could potentially lose. This will all be discussed in your initial consultation.
6. What lifestyle changes are necessary post-surgery?
Bariatric surgery is an excellent weight-loss tool, but it is not magic. Patients must adapt to a new lifestyle after having weight loss surgery. This includes eating a healthy diet and increasing physical activity to ensure long-term success. Ask your doctor questions about these changes if you are worried about weight maintenance post-surgery.
7. What are the dietary guidelines post-surgery?
You may have some concerns about changes that will happen in your diet. Your bariatric surgeon will provide detailed post-bariatric surgery dietary guidelines. These guidelines include lists of foods that are safe to eat, foods to avoid, how to eat your meals and recommended liquid intake.
8. When is it okay to exercise after surgery?
A big concern for many patients is when is the right time to start incorporating exercise into your new lifestyle. This is so important for your weight loss journey and overall improvement of health. Ask your surgeon to make some recommendations for a safe and effective exercise plan to help you get on track for a happy, healthy life.
9. What are the alternatives to bariatric surgery?
If you’re still unsure about taking the surgical route, ask your doctor or surgeon about some non-surgical bariatric options. One of these could be a better option for your weight loss.
A popular non-surgical procedure nowadays is the gastric balloon. The balloon is inserted into your stomach in an outpatient procedure. The Spatz3 adjustable gastric balloon is the only adjustable weight-loss balloon on the market. The flexibility of the weight loss balloon ensures that you achieve the best weight loss results possible. It has an 84% success rate compared to other gastric balloons.
Always discuss with your surgeon the pros and cons of gastric balloons and other bariatric surgeries before deciding on your weight loss treatment.
10. Will plastic surgery be necessary for excess skin?
Significant weight loss can potentially lead to excess skin. This can be a huge discomfort and insecurity for many bariatric surgery patients. It is by no means necessary to have plastic surgery, but some patients do opt for excess skin plastic surgeries like a tummy tuck or breast lift. This is usually for cosmetic reasons. Discuss with your surgeon if you think that this is something you would be interested in post-surgery.
11. What effect does bariatric surgery have on mental health?
Bariatric surgery can have both a positive and negative effect on mental health. Many patients see a positive impact on their mental health due to the effect weight loss has on their quality of life. Over 95% of bariatric surgery patients experience an improvement in their quality of life.
However, a small proportion of patients experience negative mental health effects post-op. These can include anxiety, depression, eating disorders and body image issues.
Ask your surgeon about the mental health effects that can come with bariatric surgery if you are worried about this happening to you.
12. What is involved in the follow-up and long-term care?
Long-term care post-bariatric surgery involves check-up appointments to monitor your weight loss progress and to discuss any issues you may have. These appointments will help provide you with ongoing support throughout your weight loss journey. Your bariatric surgeon will inform you about this process in your consultation.
How to Prepare for Your Bariatric Surgery Consultation
Ready to start your weight loss journey? Here are some tips to keep in mind when preparing for your weight-loss surgery consultation.
- Keep a list of questions. Prepare any important questions you may have beforehand so you can discuss anything you’re unsure about.
- Bring medical history. Ensure that you can provide a full medical history to your surgeon so they can give you an accurate medical assessment.
- Current medications and supplements. Have a list of any drugs you are currently taking. The surgeon must be fully informed of your prescriptions
- Track your eating and exercise habits. You can do this by writing a food diary. The surgeon can assess your lifestyle and advise any changes that need to be made post-surgery.
- Bring a support person. This can be a very daunting time for you. Bringing a trusted friend or family member to your appointment can provide emotional support and help ease your nerves about the appointment.
Bariatric surgery is a big decision in your life that requires some careful planning and consideration. Asking these questions about bariatric surgery will help you understand the procedure, the risks, and the lifestyle changes that come with it. Having an open discussion with your bariatric surgeon will help you set goals for your weight loss journey and lead you on the track to a happy, healthy life.
