Obesity is a very serious medical disease. The alternative to living with obesity would not be any more an option than living with treatable cancer or heart disease.

There are many negative impacts of severe obesity on an individual’s life. Obesity can damage muscle, bones, and internal organs. The chance of heart disease, diabetes, sleep apnea, infertility, osteoarthritis, venous insufficiency, gallbladder disease, and certain cancers are increased by obesity. As your weight increases the risks of medical problems increases. There are many social and psychological implications of being obese. Prejudice at school and at the work place is not uncommon. There is an increased incidence of depression in those affected by morbid obesity. Recent published studies show than severely overweight individuals have a life expectancy of 10 years less than non obese members of the population.

In fact the National Institutes of Health had a consensus statement on morbid obesity and determined that surgery is the only effective means of weight loss in patients that suffer from morbid obesity. There have been many publications recently that have documented these benefits. Gastric bypass surgery can prevent the progression and mortality associated with Type II diabetes in morbidly obese adults. With medical weight loss, most patients lose weight only to relapse and regain their weight. Exercise and making better food choices is still important. But surgery is a great aid in helping you to reach your goals of living a longer and healthier life. It also promotes long term success. Surgery is important, its a great aide in helping patients  reach their goals of living a longer and healthier life.

However, at the Cosmetic and Obesity Surgery Hospital India we go a step further. We believe that the most effect long term success in weight loss is achieved by exposing the patient to a multi-discipline approach that combine surgery with sound pre-surgery education and superior post operative support which helps a patient to maximize their weight loss and adjust to their lifestyle change.

No patient should consider surgery unless they have failed in multiple attempts at weight loss through other methods. Only then is surgery a good option. There are many reasons for exploring surgery for obesity. Some people have serious illnesses such as diabetes, sleep apnea, hypertension or degenerative joint disease caused by excess weight. For others, the primary motivation is the psychological impact the weight is having on their lives. Whatever the reason, it is essential to realize that surgery for obesity is a major operation that can have complications. Making the decision to have surgery requires careful thought. The first step in considering any surgery should always be self education. That is why we have created the many patient education tools to be found on our website. If you meet the criteria for weight loss surgery your next step today should be to fill up our free consultation form.

There are two ways the gastrointestinal tract can be altered to cause weight loss. The stomach can be made smaller so that a person feels full after eating less food. The second mechanism is bypassing a portion of the intestines that the food comes in contact with. As a result, you don’t absorb all of the calories that you eat, thus malabsorption occurs. Different operations use these two mechanisms in various ways. Some operations are pure gastric restrictive procedures. Many combine gastric restriction with moderate malabsorption. It is important to realize that there is no perfect operation, therefore we discuss the advantages and disadvantages of all potential procedures with our patients, be it gastric bypass surgery, the LAP-BAND® System or another procedure. Together we can decide which best addresses your particular needs.

Surgery provides a control mechanism that is with you where ever you go. While it is still important to make good decisions and exercise on a regular basis, surgery makes these goals realistic for our patients. After bariatric surgery you must change your eating habits. If not, you’ll experience unpleasant side effects. On average, patients lose between 60 to 80% of their excess weight and keep the majority off for an extended period.

The worst thing that can happen is that someone can die. The risk of surgery is much less than the risk of staying obese. It is very important to choose a bariatric surgeon that is a leader in the field and experienced in handling complications that can arise during obesity surgery. At the Cosmetic and Obesity Surgery Hospital India, our specialists certainly meet this criteria. Potential complications include, but are not limited to, the risk of anesthesia, infection, bleeding, blood clots, hernias and wound complications. This is not stated to frighten you, but to remind you that this is a big decision and not without risk.

There is no absolute limit for laparoscopic weight loss surgery. People with a BMI greater than 60 have a higher chance to be converted to an open procedure. We usually attempt to perform all procedures laparoscopically with small incisions.

After you complete the preoperative work-up, our staff will write a letter to your insurance company. We explain to them that weight loss surgery is NOT a cosmetic procedure, but is an operation which will help you avoid major health problems later in life. Most insurance companies will usually cover the procedure if you meet the criteria. Unfortunately, some insurance policies have a clause which absolutely excludes coverage of weight loss surgery. Unfortunately, there is little to be done in this situation, short of changing insurance companies.

First, it is necessary to calculate your body mass index, or BMI. You can check your BMI on our website HERE. The lower limit for weight loss surgery is BMI 40 or higher. If you have major health problems related to obesity like diabetes, hypertension, sleep apnea, you may be a candidate with a BMI as low as 30.

After any abdominal surgery, you will develop some adhesions or “scars” inside your abdomen. In most cases previous abdominal surgery is not a problem when performing the gastric bypass or Laparoscopic adjustable gastric banding. Any previous abdominal surgery, especially upper abdominal surgery increases the chance of needing to be converted to an open procedure. If your surgeon is well-trained in laparoscopic techniques, you definitely remain a candidate for laparoscopic weight loss surgery. The surgeons at the New York Bariatric Group have performed many operations on patients with previous surgery with excellent results.

Woman have had healthy babies after weight loss surgery, but must follow some rules. You MUST NOT get pregnant during the first 18 months after gastric bypass surgery. If you were to get pregnant during this period your fetus could suffer from abnormal development due to malnutrition. After 18 months it is perfectly safe to get pregnant. Weight loss surgery may make it easier to conceive after you lose the weight. Plus, with the improvement in preoperative health problems like diabetes and hypertension your chance of a healthy pregnancy is improved. With LAP-BAND® surgery you can even get pregnant sooner than 12 months after surgery.

Most patients say “NO”. In fact, for the first 4-6 weeks many patients have almost no appetite. Over the next several months the appetite returns, but it tends not to be a ravenous type of hunger and “satisfaction” is gained by eating less.

You will find that even small amounts of alcohol will affect you quickly. Even one standard bar drink may be too much! You will have higher blood levels with smaller amounts consumed and this is also more toxic on your liver. Patients who drive or operate equipment are cautioned to take this into consideration when drinking, although not part of the question we encourage patients not to drink carbonated beverages and to moderate their drinking of coffee, tea and high in caffeine beverages. These drinks can cause the pouch that is formed through surgery to expand.

Most patients will go home from the hospital in 2 days for laparoscopic gastric bypass surgery and go home the same day or spend one night in the hospital for the LAP-BAND®.

Most patients can usually be back to work in 7-10 days after the laparoscopic gastric bypass. Everyone heals differently with different pain tolerances and this can vary among patients. Dr. Garber once had a patient that operated a construction crane for a living and returned to work 7 days after the surgery.

Cosmetic and Obesity Surgery Hospital India is one of the top facilities for single incision laparoscopic Adjustable Gastric Band and gastric bypass surgery in India. One of the major advantages of choosing Cosmetic and Obesity Surgery Hospital India for obesity surgery is the high number of weight loss surgeries performed. As a result, both the professional and ancillary staff are familiar with the unique needs of obesity surgery patients. We are also on the forefronts of the newest technologies in bariatric surgery.

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