Surgeon's Perspective
How I assess an international sleeve patient
Consultant bariatric & metabolic surgeon — 6,000+ procedures, IFSO member
“I do not decide from BMI or price alone. I review reflux symptoms, diabetes and other conditions, previous operations, medication, eating behaviour and the patient's ability to follow nutrition and aftercare. A sleeve can be an effective operation, but it is not the right operation for every person.”
“For an international patient, the plan must extend beyond the operation. Safe testing, an equipped hospital, a realistic stay and a clear route to dietetic and medical support after the flight home all form part of treatment. If another procedure is more appropriate—or surgery should be delayed—I explain why.”
