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What to Ask the Surgeon During Your Bariatric Surgery Consultation



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Your pre-op preparation will almost certainly include a consultation with the surgeon. It can be in person as part of a pre-op exam or a stand-alone appointment. It could be a video chat if you are planning to travel to Mexico or another country, or even another region, for your surgery, or if you are still interviewing surgeons and have multiple consultations scheduled.

Whatever the case, this appointment can give you valuable information that can help you with weight loss surgery success. Get the most out of your time with the surgeon and be sure you are choosing the right one for you by being prepared. Here is a list of questions to bring to your appointment.



What are your average results?

You want a competent surgeon, and a quick way to evaluate one is on results. Ask what the surgeon’s patients’ average weight loss is after 1 year, 5 years, and even 10 years (if possible) after the procedure, and compare that to national averages. Also ask about complications and feel free to be specific, such asking what the chances of infections or strictures. Make sure you ask how many patients the surgeon is considering in these averages; you want a seasoned surgeon.

What kind of surgery do you recommend for me, and why?

Ask your surgeon this question whether or not you have a specific type of surgery in mind. If you have one type of surgery in mind and your surgeon recommends a different one, ask why? There may be health benefits, safety risks, or lifestyle factors that you had not considered. However, some surgeons used to doing one particular kind of surgery and recommend it simply because they are more experienced at it.

You want to be sure you and your surgeon can come to an agreement on which type of surgery is safest and likely most effective for you. You want to have a surgeon who is experienced with your type of surgery, and who also offers it to you because it is the best one for you. The decision should take into consideration factors such as:

  • Amount of weight to lose.
  • Reason(s) why you have had trouble losing weight in the past.
  • Current health issues and concerns.

What does your nutritional support include?

The nutritional support that surgeons offer varies greatly. Some surgeons may hand you nothing more than a pre-op meal plan and post-op guidelines, while others may provide comprehensive support for months or over a year post-op. These are some aspects to ask about.

  • Regularly scheduled appointments with a nutritionist or dietitian.
  • Access to a nutritionist or dietitian when you have questions.
  • food lists and meal plans for each stage of the pre-op and post-op diets.
  • Suggestions for helpful products, such as Protein Shakes and bariatric Vitamins.
  • How your nutrient levels will be monitored to prevent deficiency.

You need to know what you are getting into before committing to surgery with that surgeon.

Consider your own needs and preferences, too; some patients enjoy the freedom of a minimal meal plan so they can do their own research, while others do better with more support and less wiggle room.

Can you describe your aftercare program aside from nutritional support?

Research shows that increased support after weight loss surgery leads to better weight loss. Ask your surgeon about factors such as:

  • Assistance starting and maintaining a safe exercise program.
  • Routine psychological help plus what happens if you face common problems such as depression or replacement addictions.
  • Support group meeting opportunities and requirements.
  • What to do if you have a problem – whom to contact.

Weight loss surgery is a whole new game. Your post-op success will depend on planning, and you can get started now. Maximize your time with the surgeon and get the answers you need during your consultation.

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very good information... thanks

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    • Theweightisover2024🙌💪

      Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
      · 2 replies
      1. NickelChip

        I had about 6 months between deciding to do surgery and getting scheduled. I came across the book The Pound of Cure by Dr. Matthew Weiner, a bariatric surgeon in Arizona, and started to implement some of the changes he recommended (and lost 13 lbs in the process without ever feeling deprived). The book is very simple, and the focus is on whole, plant based foods, but within reason. It's not an all or nothing approach, or going vegan or something, but focuses on improvement and aiming for getting it right 80-90% of the time. His suggestions are divided into 12 sections that you can tackle over time, perhaps one per month for a year if a person is just trying to improve nutrition and build good habits. They range from things like cutting out artificial sweetener or eating more beans to eating a pound of vegetables per day. I found it really effective pre-surgery and it's an eating style I will be working to get back to as I am further out from surgery and have more capacity. Small changes you can sustain will do the most for building good habits for life.

      2. Theweightisover2024🙌💪

        That sounds awesome. I'll have to check that out thanks!

    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      Just for fun last week, I ran two 5Ks in two days, something I would have never done in the past! Next goal is a 10K before the end of this month.
      · 0 replies
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    • Teriesa

      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
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    • Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
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