BARIATRIC SURGERY FAQs

The list below includes general answers to the questions and concerns that we hear most regularly. For further information, please contact us to schedule your one-on-one consultation with Dr. Takla. 

Is bariatric surgery right for me?

Bariatric surgery is now accepted as the best and most effective treatment for morbid obesity. Most of patients that have bariatric surgery are able to lose 60-70% of excess weight and keep it off long term.

However, surgery is not a solution for everyone. We only determine whether a patient is right for surgery after a complete evaluation and discussion with the patient. Because weight loss surgery is a life-altering procedure, we want to make sure our patients are committed to making the lifestyle changes needed for a successful procedure and life-long health maintenance.

The whole purpose is for you to live a longer, healthier life. No individual is the same, some bariatric operations may yield different results. Schedule a private consultation with Dr. Takla to find out if bariatric surgery is right for you.

Are there risks to bariatric surgery?

All surgical procedures, whether bariatric or otherwise, hold some level of risk. However, the overall risk of bariatric surgery is not much more than other abdominal surgeries. The dangers of living with the disease of chronic obesity holds a greater risk than bariatric surgery. Morbid obesity will shorten one’s life as well as diminish the quality of one’s life. We will ensure that you are fully informed of all the benefits and risks of weight loss surgery. Dr. Takla is extensively trained and experienced and is committed to minimizing risks to ensure the safest and most effective procedure possible. 

How long does the process take?

Depending on medical clearances and insurance clearances, the whole process may take three to six months, depending on your individual insurance requirements.

What are the routine tests before surgery?

Patients will need to visit with several specialists including a Nutritionist (once a month for at least 3 months), a Pulmonologist, a Cardiologist, and our Bariatric Specialist. Patients will also need to undergo a psychological evaluation prior to undergoing bariatric surgery. In addition, we require a complete range of blood tests, a urinalysis to include urine nicotine, an upper endoscopy (EGD), upper gastrointestinal series (UGI) along with an electrocardiogram (EKG). 

In addition to the routine lab work and tests, you may need additional studies such as a sleep study, echocardiogram, or stress test for cardiac clearance.  If you are on blood thinners of any type, expect special instructions just before and after surgery.

Will I have to go on a diet before I have surgery?

Yes. You will need to adhere to a special pre-operative liquid diet for two weeks just before surgery. The reason for the pre-operative liquid diet is to shrink the liver and reduce fat in the abdomen. This helps during the procedure and makes it safer.

Will my insurance cover the procedure?

Most insurance carriers typically cover bariatric surgery. It depends on the insurance plan you have chosen which dictates if this procedure is a covered benefit when medically necessary or if this procedure is excluded on your particular policy. Depending on your individual insurance requirements, the process can take anywhere from three to six months.

How long will I stay in the hospital after bariatric surgery?

All surgeries are performed at Winchester Hospital. The majority of our bariatric patients stay in the hospital for one night. Winchester Hospital is a MBSAQIP Accredited - Comprehensive Center and is recognized by Blue Cross and Blue Shield with the Blue Distinction honor for quality outcomes.

When can I go back to work after surgery?

After surgery, most patients return to work after two to four weeks. Some may be able to work from home as early as one week after surgery. Because of the significantly reduced calorie intake, many patients have low energy for 1-2 weeks after surgery. However, most patients gain their energy back once they start the soft foods phase.

How bad is the pain after surgery?

Most patients have some pain after surgery, which is usually relieved with oral pain medications. However, the majority of our patients felt that pain was not a major issue during their recovery. 

When can I start exercising again after surgery?

We encourage patients to take gentle, slow walks even while you are in the hospital. The key is to start slow and listen to your body. If you experience pain or discomfort, stop and relax. If you lift weights or do sports, stay "low impact" and avoid lifting heavy objects for the first 6 weeks. If you swim, your wounds need to be healed over before you get back in the water and always swim slowly at the beginning.

How will my life change after bariatric surgery?

Many studies have indicated that patients enjoy an improved quality of life after bariatric surgery. However, life after weight loss surgery isn't always what patients expect. Patients need to stay committed to making the lifestyle changes needed for a successful procedure and life-long health maintenance. Join our online support group and connect with others who have had, or are about the have, bariatric surgery. This motivating and supportive environment allows you to share information and experiences about your weight loss journey and find out more about life after bariatric surgery.

Will I lose my hair after surgery?

Some hair loss is common for patients between 3 and 6 months following bariatric surgery. The reasons for this are not totally understood, however, the hair loss is almost always temporary. Adequate intake of protein, vitamins and minerals will help to ensure hair re-growth, and avoid long-term thinning.

Will I have loose skin after weight-loss surgery? 

After weight loss surgery, many patients lose so much weight (often over 100 pounds) that they end up with loose or sagging skin. How much will this affect you? It’s difficult to say, because each person is different, but most people will experience some extra skin after significant weight loss. If the extra skin does bother you after surgery, contact us to discuss options when the time comes. Insurances consider this excess skin removal as a cosmetic procedure, meaning that most patients will have to pay out of pocket. However, sometimes when a medical problem arises from the extra skin, insurance will cover the cost of the procedure. 

Can I get pregnant after bariatric surgery?

Bariatric surgery can produce a sudden positive change in your fertility. However, for a safe and healthy pregnancy, you should wait at least 18-24 months after surgery before getting pregnant. Your body goes through a lot of stressful and demanding changes after bariatric surgery, which can pose problems for a growing baby. Although outcomes are generally good, nutritional and surgical complications can arise if you get pregnant too soon. It is best to wait until your weight stabilizes before getting pregnant.