Do I Qualify for Bariatric Surgery?
Bariatric surgery may be an option for adults who meet one of the following criteria:
- A BMI of 35 kg/m² or higher, regardless of whether weight-related health conditions are present
- A BMI of 30 to 34.9 kg/m² with type 2 diabetes or another metabolic condition
- A BMI of 30 to 34.9 kg/m² when non-surgical treatments have not produced substantial, lasting weight loss or improvement in weight-related health conditions
BMI is only one part of determining whether surgery is appropriate. Our team will also evaluate your overall health, medical history, previous weight loss treatments, and ability to undergo surgery safely. You must also understand the benefits and risks and be prepared to follow lifelong recommendations for nutrition, physical activity, supplements, and follow-up care.
Patients younger than 18 are assessed using different criteria. Learn more about ouradolescent bariatric surgery options.
Does Insurance Cover Bariatric Surgery?
Insurance coverage for bariatric surgery varies from one plan to another, so it is important to check your specific benefits. Some insurers may ask for records of previous weight loss efforts, obesity-related health conditions, nutritional counseling, or a behavioral health evaluation before authorizing surgery. This means that even if you are medically eligible, you may still need to meet additional requirements for your procedure to be covered.
Our team can help you understand what documentation may be needed, but your insurer will make the final coverage decision. If your procedure is not covered, you can speak with us about self-pay and third-party financing options. Please note that WLWC does not accept Medicaid.
What Are the Potential Risks and Complications of Bariatric Surgery?
Like any surgery, bariatric surgery carries certain risks. Some complications can develop during or shortly after the procedure, including bleeding, infection, blood clots, breathing problems, reactions to anesthesia, leakage from the stomach or intestine, or injury to nearby organs. Other problems may develop later, such as nutritional deficiencies, gallstones, hernias, ulcers, narrowing within the digestive tract, or digestive symptoms related to the type of surgery performed.
The level of risk is different for every patient and depends on the procedure, overall health, and medical history. Before recommending surgery, Dr. Majid will review these factors with you and explain the expected benefits, possible risks, and available alternatives so that you can make an informed decision.
How Long Does Recovery Take After Bariatric Surgery?
Recovery time depends on the type of procedure, your overall health, and the physical demands of your job. After minimally invasive bariatric surgery, many patients stay in the hospital for one or two days and return to desk-based or other light work within one to two weeks. If your job is physically demanding or your body needs more time to heal, your recovery may take longer. Our team will guide you on when it is safe to resume work and other daily activities.
Can I Become Pregnant After Bariatric Surgery?
Yes. However, patients are generally advised to avoid pregnancy for 12 to 18 months after surgery, when weight loss is most rapid. If you are planning a pregnancy, discuss contraception and the timing of pregnancy with your bariatric team and OB-GYN.
Do You Provide Support Before and After Bariatric Surgery?
Yes. We support you as you prepare for surgery, recover, and adjust to the long-term changes that follow. Our support includes:
- Dietitian Support: Get practical guidance on nutrition, portion sizes, supplements, and eating habits before and after surgery.
- Support Groups: Connect with others, share experiences, and learn practical ways to manage physical and emotional changes.
- Ongoing Follow-Up: Attend regular visits to monitor your recovery, nutritional health, weight loss progress, and changing needs.
Obesity and High Blood Pressure
How Does Obesity Affect Blood Pressure?
Carrying excess weight makes the heart work harder to supply blood throughout the body. Obesity can also affect the kidneys, hormones, and nervous system, causing the body to retain more salt and fluid and the blood vessels to tighten. Together, these changes can raise blood pressure over time.
Does Obesity Always Lead to High Blood Pressure?
No. Obesity increases the likelihood of developing high blood pressure, but it is not the only factor involved. Age, family history, diet, physical activity, sleep apnea, kidney problems, certain medications, and other health conditions can also affect blood pressure. This is why regular blood pressure checks are important, even if you feel well.
Can Losing Weight Help Lower Blood Pressure?
Yes. Losing even a modest amount of weight may reduce the strain on your heart and help lower your blood pressure. A weight loss of around 5% to 10% of your starting weight can improve blood pressure and other markers of metabolic health. However, results vary, and some people may still need medication alongside lifestyle changes or medical weight loss treatment.
Can Bariatric Surgery Improve High Blood Pressure?
For eligible patients, bariatric surgery can support significant, lasting weight loss and may improve high blood pressure. Some patients are eventually able to reduce their blood pressure medication, while others may still need ongoing treatment. The outcome depends on factors such as how long you have had hypertension, its severity, your overall health, and the type of surgery performed.
Can I Stop Taking Blood Pressure Medication If My Readings Improve?
Do not stop or change your medication without speaking with the doctor who prescribed it. As you lose weight, your blood pressure may fall and your medication may need to be adjusted. Regular monitoring allows your doctor to make these changes safely and reduce the risk of your blood pressure becoming too high or too low.
What Are the Long-Term Health Risks of Obesity and High Blood Pressure?
When obesity and high blood pressure occur together, they place added strain on the heart and blood vessels. Over time, this can increase the risk of heart disease, heart attack, stroke, heart failure, kidney disease, and vision problems. Managing both conditions early can help lower these risks and protect your long-term health.