Yes, and that's the whole point! Surgery is a powerful tool, but no procedure can deliver lasting results on its own. Building healthier habits around eating, activity, and overall wellness is what makes the difference long-term. We'll be with you every step of the way to help make that transition as smooth as possible.

Today's bariatric procedures are safer than ever. With advances in minimally invasive techniques and improvements in pre- and post-operative care, the risk of a serious complication is comparable to that of a routine gallbladder removal. We perform the all of our cases laparoscopically, which means smaller incisions, less discomfort, and a faster recovery.

That's one of the most important questions we'll work through together. Each of the three procedures we offer — gastric sleeve, Roux-en-Y gastric bypass, and SADI-S — has distinct advantages, and the right choice depends on your health history, weight loss goals, and lifestyle. What we can say with confidence is that any one of these operations is far more effective for long-term weight loss than any non-surgical option available today.

We'll walk you through the details at your consultation so you can make a fully informed decision.

There are, and we're happy to discuss them. However, for patients with a BMI over 35, the research is clear: non-surgical treatments rarely produce durable, long-term results. No non-operative approach has shown sustained success beyond three years in this population. Surgery remains the most proven and effective option.

There are, and we're happy to discuss them. However, for patients with a BMI over 35, the research is clear: non-surgical treatments rarely produce durable, long-term results. No non-operative approach has shown sustained success beyond three years in this population. Surgery remains the most proven and effective option.

Weight regain is far less common today than it was in earlier generations of bariatric surgery, thanks to better techniques and more robust follow-up programs. That said, surgery is a tool — not a cure. Patients who engage consistently with our support program, follow their nutrition plan, and embrace lifestyle changes have the best outcomes. We're committed to supporting you long after you leave the operating room!

Most patients lose between 60 and 70 percent of their excess body weight. Weight loss is typically most rapid in the first six months and continues at a more gradual pace over the following year or so.

The sleeve removes approximately 75–80% of the stomach, creating a narrow, tube-shaped pouch. This significantly reduces how much you can eat at one sitting, and also lowers levels of ghrelin — the hormone that drives hunger — which helps most patients feel less hungry overall.

Gastric bypass typically produces a loss of 70–80% of excess body weight. Most of this happens in the first six months, with continued (slower) loss for up to 18 months after surgery.

Your eating will look quite different-and that's intentional. You'll eat much smaller portions, follow a high-protein and low-carbohydrate plan, and avoid concentrated sweets. Most patients notice significantly reduced hunger right after surgery, which makes the transition easier than many expect.

Eating sweets after bypass can trigger a reaction called "dumping syndrome" (see below), which acts as a strong natural deterrent.

Dumping syndrome occurs when sugary or high-carbohydrate foods move too quickly into the small intestine without being properly broken down first. Symptoms can include cramping, sweating, nausea, lightheadedness, and diarrhea. While unpleasant, most patients find it an effective motivator to stay on track with their eating plan. It typically passes within an hour.

SADI-S (Single Anastomosis Duodeno-Ileal bypass with Sleeve gastrectomy) is a newer, highly effective procedure that combines a sleeve gastrectomy with a intestinal bypass. It's particularly well-suited for patients with a very high BMI or those with type 2 diabetes, and it produces some of the strongest weight loss outcomes of any bariatric procedure available.

SADI-S typically produces the highest percentage of excess weight loss among bariatric procedures — often 80–90% or more. Results vary by individual, and our team will give you a realistic picture of what to expect based on your specific circumstances.

Most patients return to normal activity — including work — very quickly. Because we perform virtually all of our procedures laparoscopically (through small incisions), there are no formal physical restrictions after surgery. The main limitation in the first two weeks is dietary, not physical. Individual recovery times vary, but many patients are back to their routines within a week.

Some patients experience temporary hair thinning, which is a normal response to rapid weight loss and caloric change — not a sign that anything is wrong. Hair always grows back once your weight stabilizes. No supplement, vitamin, or topical product has been shown to prevent this; it's simply a phase your body goes through.

Possibly. Skin elasticity is largely genetic, if your skin has been stretched beyond its natural limits, it may not fully retract after weight loss. This isn't influenced by how fast or slow you lose weight, how much you exercise, or any creams or lotions.

We work with excellent plastic surgeons who specialize in post-bariatric body contouring, and we're happy to make referrals when the time is right. Our primary focus is your health and longevity, everything else comes after that.

Very often, yes-and significantly. Weight loss surgery has been shown to improve or fully resolve a wide range of conditions, including type 2 diabetes, high blood pressure, high cholesterol, sleep apnea, GERD/acid reflux, joint pain, and more. Studies have also shown a meaningful reduction in cancer risk and a 25–89% survival advantage for surgical patients versus those treated non-surgically.

One landmark study found that diabetic patients had a 92% survival advantage over an eight-year period compared to those who did not have surgery.

Yes. Smoking significantly increases the risk of complications — including poor wound healing, infection, and serious lung issues. We require patients to stop smoking before surgery and strongly encourage quitting entirely. We can connect you with resources to help if needed.

The research strongly suggests yes. Multiple large studies have shown a significant survival advantage for patients who undergo bariatric surgery compared to those who don't, with reductions in deaths from cardiovascular disease, cancer, and diabetes leading the way.

Many insurance plans do cover bariatric surgery, though coverage and criteria vary widely by plan and employer. Some plans require documented history of obesity, completion of a supervised diet program, or other prerequisites before approving surgery.

Our patient advocates specialize in navigating the insurance process and will work with you to understand your specific benefits, meet any requirements, and submit the strongest possible case for approval. We're with you through every step of that process.

We offer several financing options and will work with you to find a path that makes surgery accessible. When you consider the long-term cost of obesity-related medical care, medications, hospitalizations, lost productivity — the investment in surgery often pays for itself many times over. We're happy to talk through your options at any point.

The first step is attending one of our informational seminars. Before your first appointment, please complete your intake paperwork in full. If you have insurance, bring a copy of your plan summary from your HR department, this helps us move quickly and efficiently from the very first visit.

From there, your patient advocate will guide you through everything: insurance submission, scheduling, pre-operative requirements, and beyond. We make the process as straightforward as possible.