Bariatric Surgery - Steps to Surgery

  1. Attend Information Seminar

    Our center offers twice monthly patient information seminars where you will be educated on the types of surgery performed, the risks and benefits, and the pre-operative process to get to surgery. At these seminars you will be given an application. You will also have the opportunity to speak with the surgeons and team.
  2. Application

    Our application consists of basic demographic data as well as current height and weight, medical and surgical history, diet history, and current medications. Once the application has been reviewed by our team and if it is determined that you meet the basic criteria, you will be contacted with an appointment for our Education Session.
  3. Education Session

    Each applicant found to meet the basic criteria will be scheduled for a group educational session. These sessions will be conducted by our Nurse Practitioner and Nutritionist. They will include the following items:

    • Height, weight, blood pressure, and BMI are measured.
    • Education session materials and Program Booklet are given to the patient.
    • A description of the main principles of surgical weight loss.
    • A discussion of the procedures offered with advantages and disadvantages of each.
    • The pre-operative requirements including appropriate consultations and laboratory evaluations.
    • Post-operative follow-up program.
  4. Surgical Consultation

    At the consultation, you will meet with the surgeon to discuss the surgery and undergo a history & physical examination. You must bring a support person with you (over the age of 18) to the consultation.

  5. Nutrition Evaluation

    You will meet with our Nutritionist for a one-on-one consultation. You will discuss your current nutritional status, dietary patterns, and recommended diet after surgery.

  6. Pre-Operative Evaluations & Support Group Meetings

    All patients will undergo a thorough pre-operative evaluation process. Some of the required evaluations include:

    • Psychological Evaluation
    • Bloodwork
    • Gastrointestinal Evaluation including upper endoscopy with biopsy for H. pylori
    • Pulmonary Evaluation which may include a sleep study to test for obstructive sleep apnea
    • Cardiac Evaluation which may include EKG, echocardiogram, and/or stress test
    • Abdominal Ultrasound to evaluate for gallbladder disease and liver size
    • Nicotine Screening (if applicable)
    • Attend at least two Support Group Meetings prior to surgery
    • Other clearances may be required if indicated by your medical history or results from the above testing
  7. Insurance Authorization

    Once you have met with the surgeon, nutritionist, psychologist, had your bloodwork done, and have met insurance requirements, we will submit for insurance authorization.

  8. Pre-Operative Consultation

    You will meet with the surgeon, nurse practitioner and nutritionist. At this time, you will review the procedure, risks and benefits, and sign consent. You will also be given your prescriptions for post-op medications as well as requisitions for any postoperative testing, if required.

  9. Pre-Operative Class

    Once you have been scheduled for surgery you will be scheduled for a pre-operative class. This class will focus on the expected inpatient course while hospitalized including the expected length of stay, pain control, mobilization, diet, discharge planning, and a tour of the surgical floor.

  10. Pre-Admission Surgical Testing (PAST)

    All patients are required to go to PAST. At PAST you will undergo routine bloodwork, urinalysis, chest x-ray, and EKG. You will also undergo a brief physical examination.

  11. Surgery

    The surgery will take between 1 and 3 hours depending on the procedure. Your expected hospital stay will be between 24 and 48 hours.

  12. Follow-up Visits

    Gastric Bypass and Sleeve Gastrectomy Patients
    • 1st visit – 7-10 days following surgery
    • 2nd visit – 1 month following surgery
    • 3rd visit – 3 months following surgery
    • Every three months for remainder of the first year
    • Every six months the second year
    • Annual follow-up thereafter

      *Patients will be sent for periodic bloodwork

    LapBand Patients

    • 1st visit – 7-10 days following surgery
    • 2nd visit – 3 weeks following surgery
    • Every 6 weeks for the first year
    • Every three months the second year
    • Every six months the third year
    • Annual follow-up thereafter

      *Patients will be sent for periodic bloodwork