Weight loss (bariatric) surgery helps by
Shrinking the
stomach (you eat less)
Limiting
nutrient/calorie absorption
Reducing hunger
hormones
Who Qualifies
BMI ≥ 40
BMI 35–40 + an
obesity-related condition (e.g., diabetes, heart disease)
Tried and
failed to lose weight through other methods
Types of Surgery
Restrictive
Surgeries – Shrink stomach
Gastric Sleeve
Adjustable
Gastric Band (Lap-Band)
Restrictive +
Malabsorptive – Shrink stomach + bypass intestine
Roux-en-Y
Gastric Bypass
Biliopancreatic
Diversion with Duodenal Switch
Pros & Cons
Pros: Rapid
weight loss, improvement in obesity-related diseases
Cons: Requires
lifelong diet/lifestyle changes, possible complications
Before Surgery
Medical
evaluation
Stop certain
meds/supplements
Liquid diet
before surgery
General
anaesthesia during surgery
Surgical Methods
Laparoscopic
(minimally invasive, faster recovery)
Open surgery
(larger incision, longer recovery)
Main Procedures Explained
Gastric Bypass: A Small pouch is created; food bypasses
most of the stomach and part of the small intestine
Sleeve Gastrectomy
80% of the
stomach is removed, which reduces the hunger hormone
Lap-Band
Adjustable ring
forms a small pouch; reversible
Biliopancreatic Diversion
Large
stomach/intestine bypass; maximum weight loss but highest risk
Recovery & Diet
Short hospital
stay
Liquid diet →
soft foods → solids
Lifelong nutrition plan
High protein,
low sugar/fat, small portions
Daily
supplements for vitamins/minerals (especially after malabsorptive surgeries)
Expected Weight Loss
Rapid in the
first 3 months (up to 1 lb/day)
Greatest with
procedures combining restriction + malabsorption
Health Benefits
May reverse or
improve type 2 diabetes, high blood pressure, sleep apnea, and joint pain
Risks & Complications
Infection,
blood clots, ulcers, gallstones, loose skin, nutrient deficiencies
Dumping Syndrome
Rapid food
movement causes nausea, sweating, diarrhoea (esp. after gastric bypass)
Lifelong Adjustments
Major changes
in eating habits
Regular exercise
Emotional ups
and downs are normal – support helps
Plastic surgery
for loose skin may be considered after 18 months
Key Takeaways
Surgery is a
tool, not a cure
Success requires lifelong commitment
Your medical
team will support you with personalised advice on nutrition, mental health, and
follow-ups
Weight loss
surgery is a powerful tool for fighting obesity and reclaiming your health, but
it’s not a quick fix. Success depends on your commitment to lifelong changes in
diet, exercise, and follow-up care. With the right guidance, support, and
preparation, bariatric surgery can lead to dramatic weight loss and improvement
in conditions like type 2 diabetes, sleep apnea, and high blood pressure.
Always consult with a certified bariatric surgeon and medical team to decide
the best procedure for your needs.
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