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What Are Your Top Considerations for Choosing a Weight Loss Surgeon?



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There are probably a few things everyone looks for when looking for a bariatric surgeon. Beyond insurance coverage and/or cost and location, you probably wonder about success rates, and use your gut to decide whether you like the surgeon and the look and feel of the clinic or hospital.

What are the factors you are looking at if you are looking for a surgeon? If you’ve already had WLS or chosen a surgeon, what did you look for? Was there a “deciding factor” that helped you decide “This is the one for me?”

I’m also wondering whether your decision was entirely based on something objective, or whether there was a factor involved that you can’t really explain – your gut just told you to choose your surgeon.

And finally…did it work out for you, if you’ve already had surgery?

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My PCP recommended my surgeon. I had my consult with him and really liked him. He took his time and answered all of my questions. He explained everything and what would happen. I also met his nutritionist that day and really liked her as well.

As I did all my pre-testing I got really good feedback from the nursing staff at the hospital and they were all so caring that I knew I would be well taken care of from surgery.

I had my sleeve done May 5 and everything went amazingly well. No nausea, minimal pain and everyone smiled the whole time.

My first post-op the surgeon was he same...patient and took his time with me. Even after surgery he is still attentive and caring. I would choose him again and again.

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My primary consideration was how many times has the doc done the procedure.

I got a list of approved surgeons and hospitals from my insurance and Googled each doctor and looked at their years of practice doing the Sleeve and the patient reviews.

2nd was location. My nearest insurance approved doc was in Houston, TX. 2 hours away.

I wanted a hospital that was not in the city proper. I wanted to avoid the traffic that Houston's famous for. :-P

That was it. I spent a few hours over the course of a week researching and picking my surgeon and deciding on one of the 3 hospitals he was practicing in.

Everything worked out well, except for that loooooonnnnnng ride home! Frankensleeve felt every curve and bump in the road. :-(

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I wanted a surgeon who had performed the surgery multiple times and who had the bed side manner of a human being not a robot. I also didn't want a surgeon who didn't sugarcoat what to expect (blunt) and what he expected of me. I got both. Dr. Miroslav Uchal at St. Vincents here in the Jacksonville area is my guy and I am fortunate to have him (and his team) with me on this journey!

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I may get some raised eyebrows at this. My choice of surgeons was serendipitous.

I started by looking for Bariatric centers of excellence in my area. I then wanted one that was closest to home. They had one of those information meetings at an affiliated hospital very close to home, so I went to that meeting.

Went home pondered a little, called for an appointment which took a month to get in.

Went to that appointment saw a bariatrician m.d. and a nurse. The nurse asked which surgeon I would like to use and I had no clue. I told her that Dr. Koeplin had talked at the info session and that was the only one I knew about. She said she scrubbed in with him and thought he was excellent, so I said "okay, I'll go with him."

When I saw my PC (who is a friend) she told me how much she liked him and how she had chosen him for surgery on her thyroid. That was enough of an endorsement for me.

I finally met him about two weeks before surgery and he was the best choice I could have made. He is very personable, highly skilled, has a sense of humor ( not often found in surgeons) and did a fantastic job.

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Center of Excellence was required by my insurance company. I went to the one that I knew (NYU) and respected.

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Went to his seminar. My husband and I liked him. He explained everything. Told us why he would choose gastric sleeve for us. Took his time. Made us feel comfortable, even though he was 1 1/2 hours away.

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my insurance required center of excelence and so i went with the one that was close to me and had the highest success rate at 2 4 and 6 years post op im still pre-op btw

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My selection criteria:

* ASMBS Center of Excellence

* Intro lecture (3 hours) showed him to be smart, unrattled, a good educator, not too young and not too old

* Geographically convenient to me and in US (insurance covered surgery)

* Thousands of WLSs performed and (he said) no surgical deaths

* Consultation - he was confident, but not cocky; inspired my confidence (a gut / judgment thing for me)

* His staff obviously respected and adored him (again, a gut / judgment thing)

* His staff seemed (and are) very competent, too.

* Although I hated all the pre-op hurdles at the time, looking back I feel they worked to my advantage by encouraging me to educate myself (mostly online) prior to surgery. I believe that in my case pre-op knowledge of what was to come has been critical to my WLS success.

FYI, I didn't know anyone who'd had WLS, so I didn't consult anyone for personal references.

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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