Bariatric Surgery Pros and Cons

Bariatrics is the branch of medicine that analyses and deals with obesity. What is often called "a bariatric procedure" is commonly some kind of operation, typically a gastric bypass or lap band placement.

Part of that consultation process (there's usually more than one session, and often with more than one specialist) will revolve around discussing the different possible procedures.

A Lap Band or other so-called "restrictive procedure" is suitable for many, but usually those not at the largest end of the scale, such as those with a BMI >40. It sheds fewer pounds more slowly than other options. (Even so, "fewer" can mean as much as 150 lbs for, say, a woman who weighs 300 lbs.)

More invasive procedures like a Gastric Bypass or a Duodenal Switch (two types of "malabsorptive surgery") make surgical changes to the gastrointestinal tract, and therefore carry higher risk of side effects. It's usually for those at the higher end of the weight scale (such as a BMI of 50) or is performed for other medical reasons that the Lap Band can't treat.

At the same time, it's a must to check with your insurance company to see what - if any - portions of the process are covered. Few of the many thousands who elect to have the surgery each year will pay the entire $20-$35,000 tab.

Locating the right surgeon is a must as well. Not all bariatric specialists perform all procedures. Even those that do typically have more experience in one than in another. Respectful, careful probing questions are essential to maximize the odds of the best outcome. Given the way medical insurance works today, that can be especially challenging.

When you step up to those challenges, consider the post-operative care as well. A Lap Band procedure, for example, (as do others) always entails a post-surgery follow up, typically lasting 1-2 years. (Frequent visits to the doctor occur early in that period.) The actual surgery doesn't complete the process by any means.

Meeting with a nutritionist is part of the process. He or she will outline a post surgery bariatric  diet that must be followed, starting well before the first incision. Smaller portions may be recommended. A meal plan will be laid out. Quitting smoking may be required.

Once you find one or more physicians to consult, you'll be asked a number of questions to establish whether you're a good candidate for surgery, and what type. They range over such things as history of weight loss attempts and what they entailed. They'll ensure you're well informed about the risks and possible benefits. He or she will discuss how your life will change, and the challenges that come with those changes.