Bariatric Surgery: 18 Frequently Asked Questions
If you're considering bariatric surgery, you likely have many questions. Here are answers to the most frequently asked questions about weight loss surgery.
1. Is bariatric surgery safe?
Modern bariatric surgery has a very low complication rate, comparable to or even lower than gallbladder removal surgery. The mortality rate is less than 0.1% at experienced centers.
2. How much weight will I lose?
Most patients lose 60-80% of their excess weight within the first 1-2 years after surgery. Results vary depending on the procedure type and individual commitment to lifestyle changes.
3. Will I need plastic surgery after?
Some patients opt for body contouring surgery after significant weight loss to address loose skin, but it's not required. Whether you need it depends on factors like age, amount of weight lost, and skin elasticity.
4. Who qualifies for bariatric surgery?
Generally, candidates have a BMI of 40 or higher, or a BMI of 35-39.9 with obesity-related health conditions such as type 2 diabetes, high blood pressure, or sleep apnea.
5. How long is the recovery period?
Most patients return to normal activities within 2-4 weeks. Full recovery, including resuming exercise, typically takes 4-6 weeks.
6. Will I be able to eat normally again?
You'll need to follow a special diet initially, but most patients eventually eat a wide variety of foods in smaller portions. Some foods may no longer agree with you after surgery.
7. Is the surgery reversible?
Gastric sleeve and gastric bypass are not easily reversible. The gastric balloon and adjustable gastric band are reversible procedures.
8. Will my insurance cover the surgery?
Many insurance plans cover bariatric surgery if medical criteria are met. Check with your insurance provider for specific coverage details.
9. What are the risks of bariatric surgery?
Potential risks include bleeding, infection, blood clots, nutritional deficiencies, and rarely, leaks at surgical connections. These risks are minimized with experienced surgeons.
10. How long does the surgery take?
Most bariatric procedures take 1-3 hours, depending on the type of surgery and individual factors.
11. Will I need to take vitamins for life?
Yes, lifelong vitamin and mineral supplementation is required after most bariatric procedures to prevent nutritional deficiencies.
12. Can I get pregnant after bariatric surgery?
Yes, but it's recommended to wait 12-18 months after surgery before becoming pregnant. Weight loss can actually improve fertility.
13. Will I lose my hair after surgery?
Temporary hair thinning is common during rapid weight loss but usually resolves within 6-12 months as weight stabilizes.
14. Can diabetes be cured by bariatric surgery?
Many patients experience significant improvement or complete remission of type 2 diabetes after bariatric surgery, often before significant weight loss occurs.
15. How long will I stay in the hospital?
Most patients stay 1-2 nights in the hospital after surgery. Some procedures can be done as outpatient surgery.
16. What if I regain weight?
Some weight regain is normal. Revision procedures or endoscopic interventions may be available for significant regain.
17. Can I drink alcohol after surgery?
Alcohol is absorbed more quickly after bariatric surgery and can have stronger effects. Most doctors recommend limiting or avoiding alcohol.
18. How do I choose the right procedure?
Your bariatric team will help you choose based on your BMI, health conditions, weight loss goals, and personal preferences. Each procedure has different benefits and considerations.