Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Consider Follow-Up Support when Choosing a Bariatric Surgeon



Recommended Posts

You need to find a bariatric surgeon once you decide to get weight loss surgery or you are considering it. Unless your health insurance plan decides on your surgeon for you, you may be trying to choose a surgeon. Make sure you think about your long-term success when you select a surgeon!



There are some things you’re almost certain to consider when deciding on a surgeon. For example, it’s common to wonder about your safety, so you can ask about complication rates and what happens if you have a surgical complication. You’ll almost certainly ask about expected weight loss, too. How much weight does the average patient lose in the first six months and year?

But as important as those questions are, they’re not the only once to ask about. What can determine your short-term success in weight loss, and your long-term success in improving health and preventing weight regain, is the follow-up care you get from your surgeon. The surgeon’s averages are one thing; your own personal stats may be more closely related to the support you get.

Nutritional Support

Nutrition is at the core of Weight Loss Surgery and weight loss. At the very least, your nutritional support after surgery should include a list of foods for each stage of the post-op diet, plus instructions on when to move ahead. That way, you can be confident in your food choices and not have to worry or improvise. A nutritionist can talk about your meals and food choices with you so you know you are on the right track.

When you meet regularly with a nutritionist, you get the chance to troubleshoot. You can discuss plateaus and how to get over them. You can strategize for events like parties where you’ll have to figure out what you can eat. You can learn how to read labels, what to put on your shopping list, and how to make good-tasting and nutritious recipes.< /p>

A nutritionist can also increase accountability, especially when you have regular appointments. If you do not have the luxury of a nutritionist to keep you on track, you can at least keep yourself on track by logging your food on an app.

Psychological Support

Weight loss surgery changes your digestive system permanently, and the surgery comes with a commitment to changing your entire lifestyle. Plus, along the way, you’ll be getting used to major changes in your body as you lose weight, and people may even treat you differently. That’s a lot to deal with, and a mental health professional can walk you through coping strategies.

It’s also a good idea to have a relationship with a mental health professional in case you run into trouble. You may get discouraged at a plateau, or need help as you notice changes in your relationships. You may find yourself developing replacement addictions for food. You may never need a mental health professional, but having one available to you can make your journey easier.

Social Support

Social support is so important that many surgeons require their patients to commit to attending support group meetings for months or years after surgery.

Some groups only meet monthly, and some patients are unable to find groups in their areas. If you need more social support, online forums and groups are worth trying. You don’t get the face-to-face contact, but you do get the benefit of being able to exchange information and provide support from a been-there, done-that perspective. Some Weight Loss Surgery patients actually feel more comfortable sharing certain information when they’re NOT meeting face to face.

If possible, try to choose a surgical package that includes nutritional support, psychological, and other support services. If these services are not covered by your insurance plan or are not included in your self-pay surgery package, consider paying extra to get them. The extra few dollars may be worth it when you realize this support can make the difference between sailing through and struggling after Weight Loss Surgery.

Share this post


Link to post
Share on other sites

Things that attracted me to my program;

1. They see me on a regular basis throughout the first year.

2. They are available by telephone or email. Their email policy is that someone will get back to you within 2 business days.

3. They encourage both pre and post ops to attend support groups and have them scheduled at various times and locations.

4. They state they are available for follow up care for 5 years post op.

5. They provided a manual that explained the entire process pre - post op. During those first few months any time I was unsure, I consulted my manual. It's very detailed with sample menus, eating plans, etc....

Share this post


Link to post
Share on other sites

This is precisely why I went with my program - they won't even consider you if you're not willing and eager to do manditory 2 year follow up in psych, exercise physiology, nutrition, and meet with the surgeon monthly for the first 6 months and quarterly thereafter, with unlimited 'as needed' appointments throughout. They also offer support for 5 years beyond the initial 2 if you want it.

If that wasn't impressive enough, they recently started an outreach program for folks who had surgery anywhere that didn't offer the support to enroll them in their aftercare at a fraction of what it actually costs them to run.

Share this post


Link to post
Share on other sites

And for this reason the Nicholson Clinic is the best!

Share this post


Link to post
Share on other sites

@losing2win great! The staff is friendly and professional. My surgeon is Dr Nick, I chose him because when I consulted with them I found him to be a straight shooter and I left the seminar clear that sleeve was just a tool and that I had to do my part to succeed.

All the surgeons there are skilled - you are in good hands.

All the best in your journey!

Share this post


Link to post
Share on other sites

This is precisely why I went with my program - they won't even consider you if you're not willing and eager to do manditory 2 year follow up in psych, exercise physiology, nutrition, and meet with the surgeon monthly for the first 6 months and quarterly thereafter, with unlimited 'as needed' appointments throughout. They also offer support for 5 years beyond the initial 2 if you want it.

If that wasn't impressive enough, they recently started an outreach program for folks who had surgery anywhere that didn't offer the support to enroll them in their aftercare at a fraction of what it actually costs them to run.

Where can I find information on their outreach program? Thank you

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • 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!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×