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Gastric Bypass & Self Pay: Timeline from Consult to Surgery



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Hello, I had a lap band in 2008 and it was essentially a failure. I've spent years going up and down with my weight and have finally come to a decision to have gastric bypass. I am really nervous but excited that I'm about to start on this journey. I have my first consultation with a bariatric surgeon this week (July 22). I am self pay because my health insurance has a specific exclusion for bariatric surgery. Given that I don't have to go through any insurance loopholes, I'm wondering how quickly it will be before I can schedule the surgery. For self pay patients, what is the average time from consultation to surgery?

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I was self pay. My initial consult was in January 2020 and my surgery date was scheduled for March 2020. So it can happen pretty fast, depending on the facility (I used Cleveland Clinic)

(Of course, COVID happened, and the surgery got postponed 4 months, but that is not likely the case now)

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1 hour ago, Elidh said:

I was self pay. My initial consult was in January 2020 and my surgery date was scheduled for March 2020. So it can happen pretty fast, depending on the facility (I used Cleveland Clinic)

(Of course, COVID happened, and the surgery got postponed 4 months, but that is not likely the case now)

thank you so much for the information. glad you finally got your surgery after such a long wait!

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I was self pay.. I started the process in March 2020. Then the pandemic hit, and my testing got delayed. I had my EGD in May 2020 as elective procedures reopened then in my area, but then they laid off my surgeon, so I went to a different hospital and new surgeon. I met him June 15th. My surgery was July 23rd, 2020, so it took just a little over a month.

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I consulted with a US surgeon and timelines from consult to operation were: using insurance = 9-12 months, self-pay was around 3 months. I ended up going with a surgeon in Mexico going the self-pay route; consult was mid-June and surgery is booked for 9/21, putting it right at the 3 month mark.

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Self pay in Canada. My original surgery date was 6 weeks from first contact but a la COVID it actually took 3 months.

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I did self pay. Called a dr in Mexico, had surgery two weeks later. It would have been one week but I just missed the last appointment he had that day.

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It really just depends on the surgeons schedule. I know someone who was self pay at my clinic and they were sleeved within 2.5 weeks of Their initial consult. I think that was just so they could do the preop diet.

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Wow I got my lap band in 2008 also. Just starting the revision process. Am prepared to self pay but hoping my insurance will cover surgery. My weight loss center staff is very good with working with insurance companies. Keeping my fingers crossed and doing a lot of praying.

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I'm heading into month two of my initial consult on revision with my surgeon with being self pay. I'm hoping I can get a surgery date soon but really the time has been scheduling discrepancies. So like many have said, I think it really all depends on your surgeon/scheduling. Good luck!!!

Edited by newsam1154

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    • 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!
      · 0 replies
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    • 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.
      · 0 replies
      1. This update has no replies.
    • 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.
    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
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