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Choosing a Weight Loss Surgeon: Beyond the Numbers



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Choosing a surgeon is one of the most important decisions you will make when getting weight loss surgery. The right surgeon can get you through surgery and put you on the path towards lasting weight loss. So how do you choose a weight loss surgeon?



You may already know that you should think about the quantifiable aspects: think numbers. You want to know how much weight that surgeon’s patients tend to lose, what kind of complication rates does the surgeon see and which types of complications do they tend to be, and how much experience the surgeon has in terms of lifetime surgeries and current number of surgeries they performed per month.

But what about the rest? What about “bedside manner” and all the things it includes? Finding a surgeon with great statistics may not be enough to guarantee that you have found the best surgeon for yourself. There are some less definable characteristics to think about.

Explains well

Your surgeon should be able to explain everything you want to know in terms you can understand. If you are the type of person who needs to question every detail, you need a surgeon who is willing to take the time to explain everything you want to know at the level of detail you are requesting. Don’t accept “because I said so” as an answer.

Even if you are not the type to ask many questions, you still need to be able to communicate with your surgeon. You need to understand basics such as your surgery options, what to expect in the hospital, and your pre-op and post-op instructions. Keep looking for another surgeon if the one you’re considering now cannot explain well. It is the surgeon’s responsibility to do so; you are not “dumb” for not understanding.

Treats You with Respect

Basic respect can make your entire experience more pleasant, safer, and more successful. “Respect” is complicated, but it can include some of the following.

  • Treating you as an individual rather than giving you cookie cutter treatment.
  • Taking your concerns seriously.
  • Giving you information to help you make decisions, rather than forcing decisions on you.
  • Discusses risks and expected weight loss seriously with you, and does not make unrealistic promises about surgery safety and impossibly fast weight loss.

Is Accessible

There may be times when you have a question or concern that cannot wait until your next appointment. Is your surgeon accessible? If not, does your surgeon have someone else you can call at any time? Find out what happens if you need to contact your surgeon, or a nurse or the nutritionist, during or after business hours. You want to be sure you are in good hands at all times.

Focuses on the Future

You’ve heard over and over that weight loss surgery gives you a tool, and that the rest is up to you. You’ve also heard that this is a change for life, not a quick fix for a few months or a year. Your surgeon should be giving you that same message.

Stay clear of any surgeon who does not discuss the future with you. Be wary if the surgeon seems to believe that his surgery will be enough to get you to the weight you want. As much as you may want to believe it, it is not true. You will need to eat right and work hard for years to get your weight under control, and you need a surgeon who will support you every step of the way.

Gives You Confidence

No matter what happens in your life, which decisions you make about surgery, and what triumphs and challenges your weight loss surgery journey includes, things will be better if you feel positively about them. Your surgeon can help by giving you confidence that:

  • He or She will take care of you no matter what.
  • He or She believes in you.
  • You are making the right decisions for yourself.

This can be difficult to judge, but see how you feel after walking out of the surgeon’s office. Do you feel excited and hopeful? Or do you feel overwhelmed and daunted? A few nerves are normal, but you should also feel that you can do this. If not, find a surgeon who does let you feel self-confident.

Fantastic surgeons are out there, and you deserve one, but you may need to put in some effort to find one. After checking out the statistics, you may need to depend on your gut to help you make the right decision. You can go into surgery with more confidence when your surgeon is communicative, respectful, and positive.

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Can I add to this since I had a surgeon who ended up following me on public property a few times?

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Alex, I am in NY, westchester county, and need a surgeon for my 14 year daughter. She has done the program at Morgan Stanley children's hospital but does not have sleep apnea or co morbidities for insurance to pay and they charge $40,000. I only have $12,000, could you recommend anyone? I'm willing to go to other states.

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      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.
      · 0 replies
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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