Preparation and Insurance Requirements

Q1. What if my insurance company requires a pre-surgical diet program?

Answer:
Some insurance companies require a pre-surgical diet program before approving weight loss surgery.
This usually lasts 3–6 months and includes:

• Consultations with a registered dietitian.
  
• Guidance on healthy eating and lifestyle changes needed after surgery.
  
• Exercise and physical activity planning.
  
• Progress tracking and documentation.
  

This program ensures you are prepared physically and mentally for surgery and demonstrates your commitment to sustainable, long-term weight loss.
Your bariatric surgeon may also recommend a pre-surgical program if initial weight loss is needed before surgery.

Q2. Can I have laparoscopic surgery if I’ve had other abdominal surgeries, a hernia, or a stoma?

Answer:
Yes. Many patients with prior abdominal surgeries or hernias are still candidates for laparoscopic surgery.
It’s important to:

• Share details about all past surgeries, even childhood operations.
  
• Provide operative reports if requested, especially for procedures involving the esophagus, stomach, or intestines.
  

This information helps your surgeon plan safely and avoid complications.

Q3. Can I have laparoscopic surgery if I have heart disease?

Answer:
Yes, but you will likely need medical clearance from your cardiologist before surgery.

Bariatric surgery often improves heart-related conditions, such as:

• High blood pressure
  
• High cholesterol
  
• Heart enlargement
  
• Vascular and coronary artery disease
  

Be sure to inform your surgical team about all heart conditions and medications, including blood thinners.
Special instructions will be provided to ensure your safety.

Surgery Details and Risks

Q4. What are the risks associated with sleeve gastrectomy?

Answer:
While sleeve gastrectomy is safe and effective, it carries risks like any surgery.
Possible complications include:

• Deep vein thrombosis (blood clots)
  
• Ulcers
  
• Gastric leakage or fistula
  
• Pulmonary embolism
  
• Dyspepsia (indigestion)
  

Some patients with a high BMI may need a second procedure to reach their weight loss goals.
Our team will explain all risks before surgery and monitor you closely throughout recovery.

Q5. How often will my gastric band need adjustments after surgery?

Answer:
After LAP-BAND® surgery:

• The first adjustment occurs about 6 weeks post-surgery, after your stomach heals.
  
• Adjustments are made 4–6 times in the first year to ensure proper fit and steady weight loss.
  
• Adjustments are painless and done during routine office visits.
  
• Weight loss with the LAP-BAND® is gradual, usually 5–10 pounds per month.

Recovery and Follow-Up Care

Q6. How long will I be out of work after weight loss surgery?

Answer:
Most patients return to work about 1 week after surgery with light duty restrictions, depending on the type of job.

Light duty includes:

• No lifting, pushing, or pulling over 10 lbs.
  
• Avoiding excessive twisting, stretching, bending, or climbing.
  

Your surgeon will provide a timeline customized to your needs.

Q7. How often will I need to see my surgeon after surgery?

Answer:
Regular follow-up visits are critical for monitoring your progress.

• General surgery patients: Usually seen 1–2 weeks after surgery, with additional visits as needed.
  
• Weight loss surgery patients: Follow-up schedule typically includes visits at:
  
• 1 week
  
• 1 month
  
• 3 months
  
• 6 months
  
• 1 year post-surgery
  

These appointments help ensure safe recovery and optimal results.

Q8. When can I start exercising again after surgery?

Answer:
Most patients can begin light activity within a few weeks, depending on their healing progress and the type of procedure.
Your surgeon will give you specific guidance, but exercise should always be gradual and safe.
Starting slowly helps prevent complications and supports long-term weight loss success.

Diet, Supplements, and Lifestyle Changes

Q9. How will my diet change after weight loss surgery?

Answer:
Your diet will progress in stages to support healing and recovery:

1. Immediately after surgery:
   
• Sip 1–2 ounces of clear liquids every hour.
  
• Examples: Water, broth, sugar-free beverages, caffeine-free and non-carbonated drinks.
  
2. First month:
   
• Gradually move to semi-solid, low-fiber foods.
  
• Keep portions very small to reduce complications.
  
3. Long-term diet:
   
• Transition to a low-fat, high-protein diet in small, frequent meals.
  
• Typical serving size: about one cup (8 ounces) per meal.
  

A clinical dietitian will guide you through every stage and help you create a personalized meal plan.

Q10. Will I need to take supplements after weight loss surgery?

Answer:
Yes. Because bariatric surgery changes how your body absorbs nutrients, you’ll need lifelong vitamin and mineral supplementation to prevent deficiencies.

Common supplements include:

• Multivitamins
  
• Calcium
  
• Vitamin B12
  
• Iron
  
• Protein supplements
  

Our bariatric team and dietitians will create a supplement plan tailored to your health needs and surgical procedure.

Q11. Will I lose my hair after bariatric surgery?

Answer:
Some temporary hair loss is normal between 3 and 6 months after surgery due to rapid weight loss and changes in nutrition.

To minimize hair loss:

• Follow your dietary plan.
  
• Get enough protein and take all recommended supplements.
  
• Maintain proper hydration and overall health.
  

Hair typically regrows once your body stabilizes and nutrient levels balance.

Benefits and Expectations

Q12. What other benefits can I expect from weight loss surgery?

Answer:
Beyond weight reduction, patients often experience:

• Improved health and reduced risk of obesity-related conditions like diabetes and heart disease.
  
• Increased energy for daily activities and exercise.
  
• Enhanced mobility and physical comfort.
  
• Greater self-confidence and emotional well-being.
  

Weight loss surgery, combined with a commitment to healthy habits, can significantly improve quality of life.

Special Considerations

Q13. What if I don’t qualify for weight loss surgery?

Answer:
If you aren’t a candidate for surgery, our team will develop a non-surgical weight management plan tailored to your needs.
This may include:

• Personalized dietary plans
  
• Nutritional counseling
  
• Exercise programs
  
• Medical weight loss treatments
  

Our goal is to help you achieve lasting results, even without surgery.

Q14. What if my BMI isn’t high enough to qualify for surgery?

Answer:
Weight loss surgery candidates generally have:

• A BMI of 35 or higher, OR
  
• A BMI of 30–35 with obesity-related health conditions like diabetes or hypertension.
  

If your BMI is lower, we will recommend non-surgical solutions and guide you toward safe, healthy weight loss alternatives.

Follow-Up and Long-Term Success

Q15. Why are follow-up visits so important?

Answer:
Follow-up visits allow your surgical team to:

• Track your weight loss progress.
  
• Adjust your diet, exercise, and supplement plan.
  
• Identify and address complications early.
  
• Provide emotional support and accountability.
  

Regular follow-up is key to achieving long-term success and health improvements.