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how does the surgeon choose which boogie size is best? can the patient request a certain size?

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In the UK, the surgeon, through experience, chooses the boogie size they think is the most effective, based on the risks of going too small or too big. I don't think they selected it based on the patient in front of them.

When I went in for my pre-op meeting, I was told 'Its a 34 boogie I will use and that's the only one we really tend to use here'. Pretty much end of discussion.

I knew 34 was fairly small, so I accepted it and moved on.

Are you hoping for a choice?

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While walking the halls after surgery I saw my surgeon sitting at a computer and asked him what size he used. He replied "the perfect size". I then started guessing and it turned out to be 38.

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The difference between them is miniscule. So, 38 may well be the perfect size!

I'd say it sounds all good :)

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While walking the halls after surgery I saw my surgeon sitting at a computer and asked him what size he used. He replied "the perfect size". I then started guessing and it turned out to be 38.

My surgeon uses a 38 because he over sews to avoid leaks and it becomes a 36

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At a recent ObesityWeek conference for medical professionals, the overall consensus is that the best bougie size is 36-38.

Alos, Lapbands are on a serious decline, due to erosions and other complications.

For BMIs over 50, either do bypass or VSG, not Lapband.

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my surgeon only uses size 40. He is on conservative side. I can't complain as it's small enough for me - I've lost over 100 in about 10 months. I think 32 to 40 is the usual range.

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Mine used a 32.

But I don't think that matters much. Following your doctors plan is what makes you successful.

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      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
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      https://www.cms.gov/nosurprises
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      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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