Obesity has become a global health concern, with millions of people struggling to manage their weight and its associated health risks. For those who have tried various diets, exercise programs, and other weight loss methods without success, bariatric surgery may be an option worth considering. However, before embarking on this life-changing journey, it's crucial to understand if you are a suitable candidate and to weigh the key considerations involved.

Obesity has become a global health concern, with millions of people struggling to manage their weight and its associated health risks. For those who have tried various diets, exercise programs, and other weight loss methods without success, bariatric surgery may be an option worth considering. However, before embarking on this life-changing journey, it's crucial to understand if you are a suitable candidate and to weigh the key considerations involved.

Understanding Bariatric Surgery

Bariatric surgery, metabolic or weight loss surgery, encompasses a range of procedures designed to help individuals lose weight and improve obesity related diseases. These surgeries work in different ways, but they all share a common goal: to control portions and/or change the way food is absorbed in the body. 

Some of the most common bariatric procedures include gastric bypass, sleeve gastrectomy (commonly called the gastric sleeve), adjustable gastric banding (Lap-Band), and biliopancreatic diversion with duodenal switch (BPD/DS).

Candidacy Criteria

Bariatric surgery is not a one-size-fits-all solution. Healthcare professionals (bariatric surgeon, dietician, bariatric psychologist etc.) carefully evaluate potential candidates to ensure that the benefits outweigh the risks. Some factors that may make you a candidate for bariatric surgery include the following:

1. Body Mass Index (BMI):

This is a ratio of one’s height and weight. Typically, candidates should have a BMI of 40 or higher, or a BMI of 35 or higher with significant obesity-related health issues (comorbidities) like type 2 diabetes, high blood pressure, or sleep apnea.

2. Failed Previous Weight Loss Efforts:

A history of attempting and failing to lose weight through conventional methods such as diet and exercise may be needed. These may include diets such as portion controlled diets, low carb diets or even dietary programs like Jenny Craig, Keto diet etc.

3. Commitment to Lifestyle Changes:

Bariatric surgery is a tool and it requires a lifelong commitment to dietary and lifestyle changes. Candidates should be willing to make these changes to ensure long-term success.

4. Psychological Evaluation:

Candidates often undergo a psychological evaluation to assess their emotional and psychological readiness for the challenges and changes that come with bariatric surgery. Also provides an opportunity to assess one’s social support system which has been shown to improve success after surgery.

5. Medical Evaluation:

Candidates should be in good overall health and certain tests are done to assess for any severe heart or lung disease that may need to be treated to ensure minimal postoperative complications and allow a smooth weight loss journey.

6. Age and Health:

Bariatric surgery is typically recommended for adults, but in some cases, adolescents may be considered if they meet specific criteria and have the support of their medical team and family.

Key Considerations

Before deciding to undergo bariatric surgery, it's essential to consider the following key aspects:

1. Risks and Benefits  

Bariatric surgery can offer significant health benefits, including weight loss, improved metabolic health, and reduced risk of obesity-related conditions. However, like any surgical procedure, it comes with risks, including infection, blood clots, and anesthesia-related complications. Your surgeon should sit with you and discuss these as much as possible with you during your consultations and be willing to answer any questions or queries you may have. Understanding these risks and weighing them against potential benefits is crucial.

2. Lifestyle Changes  

Bariatric surgery is not a quick fix. It's a tool to help you lose weight, but long-term success depends on your commitment to adopting a healthier lifestyle. This includes changes in diet, exercise, and behavior. Patients often need to follow a well articulated post-surgery diet plan and attend regular follow-up appointments with their doctor.

3. Psychological and Emotional Factors  

Many individuals struggling with obesity have complex relationships with food and may use it as a coping mechanism for emotional issues. Bariatric surgery does not address the emotional aspects of overeating. Candidates should be prepared to work on these issues before and after surgery, often with the help of a mental health professional.

4. Dietary Restrictions  

After bariatric surgery, patients are often required to make significant dietary changes. Depending on the type of surgery, this may include a reduced capacity to eat large meals, a focus on high-protein and low-carbohydrate diets, and vitamin and mineral supplementation. These restrictions can be challenging to adhere to and require discipline. These can easily be surpassed with adequate support from your doctor, family and friends. 

5. Support System  

Having a strong support system in place can greatly impact the success of bariatric surgery. Family, friends, and support groups can provide emotional support and help keep you accountable for your post-surgery lifestyle changes.

6. Cost and Insurance  

Bariatric surgery is covered by most insurances but insurance coverage varies. It's essential to check with your insurance provider to understand coverage of the procedures and the expected financial commitment.

7. Long-term Follow-up  

Success after bariatric surgery is very variable and depends a lot on the patient’s lifestyle changes. Long-term follow-up with your healthcare team is essential to monitor your progress, regular assessment of vitamins, and ensure you maintain a healthy weight.

Conclusion

Bariatric surgery is a life-changing option for individuals struggling with obesity, and it is not a decision to be taken lightly. To determine if it's the right fit for you, good research of the procedures and doctors, discussion with your doctor on the different outcomes and expectations. One’s eligibility can easily be assessed  based on the abovementioned criteria, and carefully consider the key factors discussed. Engage in open and honest discussions with healthcare professionals who specialize in bariatric surgery to make an informed decision that aligns with your health goals and aspirations for a healthier future. 

Remember that your journey towards better health via weight loss is a marathon, not a sprint, and bariatric surgery is one step, albeit a major step on that path. If you are considering the option of Bariatric Surgery for Weight Loss our experts here at CGA will guide you through your journey every step of the way.

To know more or to consult our experts, book your appointment with us today!