The surgeon will evaluate the overall health and medical history of the patient. Various lab test and examinations might be required. Prior to surgery, there might be restrictions on what the patient eats and drinks. Similarly, medications used by the patient might be replaced with alternatives. The best techniques will be chosen and the procedure will be planned.

The surgeon divides the stomach into 2 pieces, a small pouch where food reaches and a larger pouch that is bypassed. Small pouch is connected directly to the middle section of the small intestine (jejunum) so that food bypasses a big portion of the stomach as well as the first section of the intestine (duodenum). This limits calorie absorption of the body, leading to weight loss. The method chosen and specifics depend on the individual situation and the surgeon’s practices. Most operations are laparoscopic, meaning the operation is performed through small incisions and the recovery period is shorter.

Most patients spend 1-3 days in the hospital and then go home. Moving around shouldn’t be a problem. Patients will loose weight quickly on the first 3-6 months and may experience body aches, tiredness, dry skin or hair thinning. Weight loss will slow after 12 to 18 months. For the first 2-3 weeks, patients should consume only liquid or pureed foods as directed by the surgeon. Soft and regular foods will be introduced to the diet slowly. Keeping an active lifestyle and healthy eating habit are very important to achieve the best results long term.

• Body Mass Index (BMI) 35 or higher
• Committed to lifestyle change
• Has health problems such as type 2 diabetes, high blood pressure or any weight related disease
• Want to reduce risks of hearth diseases, sleep apnea, high blood pressure and cholesterol, type 2 diabetes etc.