Eating healthy after bariatric surgery is extremely important.  You definitely cannot go back to the same old bad nutritional habits and expect the weight loss surgery to be the magic fix to a lifetime of weight challenges.  After the procedure, as the saying goes:  “This is the first day of the rest of your life.”  From this day forward, how you think about and consume food has got to change-permanently.

Life as you have known it prior to the operation that rewired your digestive system is going to change drastically.  Gone are the days of snacking in front of the television or while reading a book. Instead, you will be up and moving to increase the health of your entire body.  Your weight loss and maintenance will not be solely dependent on a decreased caloric intake.  Ifyou want weight loss surgery to be successful, you are going to have to work at it, for the rest of your days.Thankfully, you will have help initially, in order to know how to take care of your body, and the new you that will be emerging.  Of course, among the first concerns is making sure you are eating healthy after bariatric surgery.  Basically, you will have to take baby steps and learn how to eat all over again.

Clear Liquids

Right after weight loss surgery, you will not be allowed to eat or drink anything.  You will receive hydration and nutrients through an IV.  Although it does sound like a plumbing problem, all of your new connections that limit food intake and caloric absorption will have to start healing.  The doctor will have to make sure you have not sprung a leak somewhere.

Once you have been given the green light to let some nutrient pass between your lips, you will still be limited to clear liquids.  Since you can literally see through these beverages, they indicate how easy it will be on your newly fashioned and fragile digestive system.

Liquids

When the doctor feels you are ready for the next adventure in eating, you will be allowed to drink other liquids like skim milk or other nutritious beverages.  How long you are on each stage of the healthy bariatric diet depends on how well your body heals and accepts the changes.  So, do not compare yourself to someone else who might have undergone the procedure.

Purees

Next, you will advance to pureed foods.  In fact, your dietary needs will appear to be already chewed to the enth degree.  However, the food will have a little bit more substance.  You may be surprised to discover you will feel full after only a tablespoon or two.

Soft Foods

Although you will not be able to eat just any soft food, if it is included on the bariatric diet, and a toothless baby could safely eat it, you are probably good to go. However, your choices will now be based on nutritional content.  With limited room for food consumption, you will have to be taught how to make every calorie count.

Solids

Despite taking weeks to achieve this goal, you will eventually be given the go ahead to return to solid foods.  However, we are not talking about a sit down meal with all of your favorites- a bite of this, a bite of that, and a smidgeon of dessert on the side. Once you graduate to solids, you will have strict guidelines that govern how you eat, as well as how much you eat.

For example, forget drinking a beverage with you meal.  At most, your stomach cannot accept more than a cup and a half of nutrition at one sitting.  You do not want to waste that space with liquid.  Instead, you will lead off with your protein food. In addition, you will have to thoroughly chew each mouthful.  The process serves 2 purposes.  You will linger over your meal longer and feel full, and you will be helping your new digestive system out immensely.

Supplements

Since many bariatric procedures alter your digestive track, so you do not absorb all of the fat and calories you take in, it is extremely important to take a daily supplement.  You need to make sure your body receives all of the nutrients necessary to stay healthy and provide the needed energy.

In short, eating healthy after bariatric surgery is vital, if you really want the procedure to help you lose weight and regain your health.  In fact, trying to go back to your old eating habits will probably make you sick or cause major complications down the road.  So, you really need to be sure you are prepared for the lifestyle changes and sacrifices you will have to make, in order to become healthy and stay that way. But, you can do it, if you are really committed.

Imagine going into a doctor’s office and arbitrarily asking to have your appendix removed.  You do not need it for survival.  You might develop appendicitis in the future, and it will need removed anyway.  If you want to get rid of it, and are willing to pay, why not?  No offense.  But, the physician might think you are nuts and call for a straight jacket.  The same can be said for a bariatric procedure for getting rid of those extra pounds.  You must meet weight loss surgery criteria.

What are the bariatric weight loss criteria?  Will you qualify?  Unfortunately, only your doctor can answer that question.

Although the National Institute of Health has 3 basic considerations, every doctor has the option to add his/her own requirements.

For example:

•    What is your Body Mass Index?
•    Are all other Alternatives Exhausted?
•    Do you Understand the Risks?
•    Are you Mobile?
•    What about your Age?

Finding a bariatric surgeon to take on your case can be a challenge.  With such a risky procedure, many doctors do not feel comfortable performing the operation, if too many negative variables could result in a bad outcome. Not only will they be putting your health on the line, but their career is a consideration as well.  But, if the surgeon is not comfortable taking your case, you want to look elsewhere anyway.  You simply need to find someone with the experience to feel confident that he/she can provide you with the best health care possible.

What is Body Mass Index?

If you are already into health and fitness or body building, you probably know all about BMI.  However, if you are struggling with a weight problem and not accustomed to exercise, you may be scratching your head in total confusion.

Essentially, your BMI is simply a mathematical formula to determine whether you are at a healthy weight, overweight, obese, or morbidly obese.  Understand, it is not judgmental in any way.  The same equation can be used for anyone, regardless of age, ethnicity, or personal habits.  It does not determine whether you are a good or bad person.

In fact, you can find out your own personal body mass index.  But, you might be surprised at the final result.  Many individuals can already tell they are overweight.  But, it can be a shock to discover that obese is the proper descriptive term. For instance, you do not have to have a double chin or be constantly out of breath to be considered obese.

So, if you still want to find out, here are 3 simple math steps to come up with the answer.  For the sake of example only, the equation is based upon an individual who is 5 feet tall and weighing 170 pounds.

Step 1:  Multiply your height in inches by your height in inches.

60 inches x 60 inches = 3600

Step 2:  Divide your weight by the answer found in the first step.

170 / 3600 = .0472

Step 3:  Now, multiply that second answer by 703.

.0472 x 703 = 33 BMI

So, what is your number?  If your body mass index is over 25, you are considered overweight.  If your number is over 30, you are technically obese.  If your number is 40-50, you are considered morbidly obese, and may be a good candidate for weight loss surgery.  For those who have a number over 50, a bariatric surgeon may feel the procedure is too risky.

No other Alternatives

If you are to the point of seriously considering bariatric surgery, you have probably been on countless diets and weight loss programs.  Nothing seems to have worked and you are desperate.  But, you doctor will go through your health history.  He/she will want to make sure this procedure is truly the last resort.

Knowing the Risks

If you are already morbidly obese, you probably have health issues that would make any type of surgery riskier than for a patient without a weight problem.  Have you really considered the inherent risks?  Your very life is on the line.  What if something goes wrong?  Has the doctor talked to you about what can go wrong?  Are you so desperate to lose weight that it outweighs the chances you are taking?  You need to understand all the risks and benefits.

Mobility

Although it is not a criterion for all bariatric surgeons, your doctor may deny you surgery, if you are not able to walk.  While that may seem like the main reason why weight loss surgery is so important, it also means you are at increased risk for blood clots and other complications that can be life-threatening.  If you are more likely to die from related problems, you may need to find a doctor with more experience and a greater comfort zone.

Age

Unfortunately, some doctors will not even consider bariatric surgery if you are over 60.  They feel that the inherent risks far exceed the potential health benefits of surgery. Also, the older you are, the harder it is to recover from such a drastic procedure.

Now, you know the weight loss surgery criteria your doctor will be considering when he/she reviews your case.  You must meet the first 3 criterion before any doctor can realistically consider you for such a drastic procedure.  But, understand that every physician has his/her own comfort level and thus have further requirements.  You will simply need to find the doctor that is comfortable handling you case, if weight loss surgery is in your future.

You are clinically obese.  After trying everything to lose those extra pounds and get healthy, you and your doctor have decided that bariatric surgery is your best chance of reaching a healthy weight.  But, contrary to what others might believe, you know it is not the easy way out.  Life, as you know it, is about to change drastically.  You need all the help and encouragement you can get.

So, to help you start your new life in the best way possible, here are 5 ways you can prepare for weight loss surgery:

•    Watch what you Eat
•    Exercises
•    Breathing Exercises
•    When you Come Home
•    Your New Life

If you will do your best to concentrate on these 5 issues prior to bariatric surgery, you will be better prepared, both mentally and physically, for the risks and benefits of the procedure.

Your Last Meal

Naturally, it is human nature to feel like you are never going to be able to enjoy eating and your favorite food ever again, after weight loss surgery.  So, you will probably be tempted to indulge in all of your favorite foods and snacks prior to surgery.

Some people make the mistake of bingeing on all their favorite foods days or weeks before the operation.  Do not go there!  You will only be putting your health at risk. Weight loss surgery is serious business.  If you gain weight prior to bariatric surgery it will only be potential breathing problems or additional stress on the heart.  It is not worth taking chances.

After you have healed and resumed eating solid foods, you will probably find that you can still have a bite or two of your favorite foods.  After the surgery, it may be enough to satisfy any craving.

Exercise

Although your weight may be a deterrent to exercise, simply start moving.  After bariatric surgery, exercise is going to be an important element to your new lifestyle.  Do not wait.  Start today.  Anything you can do to improve your health prior to weight loss surgery, the better you will do after the procedure.  You do not have to do anything special, just get moving.

Breathing and Coughing

Breathing well and coughing exercises after weight loss surgery are very important.  It will help prevent problems with the lungs post-op.  You do not have to wait until after the surgery; you can start practicing today.  Breathe deeply enough to make your stomach move up and down.  Exercise your lungs and increase your oxygen intake.

Then, practice the coughing exercises that will keep your lungs clear after the operation.  You do not want complications of pneumonia or something equally devastating.  By the way, if you smoke, quit. Successfully surviving bariatric surgery and becoming a healthier person will far outweigh 2-3 weeks of cold turkey misery associated with smoking cessation.

Homecoming

To help facilitate an easier homecoming after surgery, do what you can to make life a little easier before you go to the hospital.  Make sure the house is clean, the bills are paid, and any other chores that you normally would do in the next few weeks.  You will need to concentrate on getting well.  The less you have to worry about, the more you can concentrate on healing.

You may also want to acquire a few pieces of furniture to make you more comfortable during your recovery from weight loss surgery.  For example, you might want to get a hospital bed to keep on the ground floor, so you do not have to climb stairs, or lay flat once you get to your bed.

A recliner is also a good idea.  If it hurts to sleep in your bed, you might find the recliner more comfortable during your recuperation.  When it comes to personal hygiene, a shower chair is also a great idea.  You do not want to risk a fall in the bath.  You will probably not feel like standing under the shower. So, the chair will provide comfort and safety.

Finally, do not forget some entertainment.  You will not be going back to work right away.  In fact, you will be spending a lot of time simply resting and taking care of yourself, while you heal.  Have some sedentary activities handy.  For example, if you like to read, you might want to have magazines, shorts stories, and other materials handy for when you come home from the hospital.

Get Excited!

You are allowed to get excited about your surgery.  You are about to embark on a whole new way to approach life.  Think about all the things you cannot do now, because you weigh too much.  You probably weigh too much to play with the kids, go for walks, participate in sports, or wear the clothes you would enjoy.

You are beginning a journey to a new and healthier you!  Yes, it will be hard work.  But, it will be worth it!  You are doing the right thing.  You have much to look forward to in the future.

So, now you know how you can help by preparing for weight loss surgery. You do not have to sit idly by and wait for the appointed day.  You have already made the decision to permanently change your life for the better.  You can start today.

You have tried every diet plan known to man.  You are considered clinically obese; and, you are at the end of the proverbial rope.  You want to live to see your children and grandchildren grow up.  So, you are considering the possibility of a bariatric procedure as a last resort.  Now, you need to know the criteria for qualifying for weight loss surgery.

If you decide that you are ready for such a drastic health change, it is not merely finding a bariatric surgeon willing to perform the procedure.  You will have to go through a battery of tests to determine if you qualify for bariatric surgery.  You will have to undergo evaluations and much more to make sure this is the last option available to you, and that you completely understand exactly what you are getting into for the rest of your life.

Are you psychologically ready?

You can pass all of the required physical tests the doctor can order, but if you are not emotionally ready for this permanent lifestyle change, you will not be allowed to have surgery.  Once bariatric surgery is done, there is no turning back, no changing your mind.

The doctor needs to be positive that you have no mental health issues that would preclude you being able to assess the gravity of this operation and make a well-informed choice.  You will be evaluated for emotional readiness.  Are you depressed?  Have you contemplated suicide?  Are you prepared for the recovery period and the restrictions that will be placed on eating and exercise habits, in order to ensure success of the procedure?  You will be asked these and many more questions, so be prepared.

Visiting the Dietician

You will also be required to meet with a certified dietician.  Yes, you probably already know all about healthy eating and the various diets available.  But, the dietician will evaluate how you eat, what you eat, and even why you eat.  For example, a lot of people indulge in comfort food when they get stressed or depressed.  The dietician understands the special concerns of weight loss surgery patients. After all, this is not another diet alternative.  You will be changing how you eat, how you live, and even how you think, in order for this procedure to have the desired outcome.

Blood Work

As with any major surgical procedure, you will be required to undergo a complete blood work up.  Your blood will be tested for liver function and other potential disorders that can put you at increased risk during the surgery.  It is a standard procedure.  However, prior to this surgery it is absolutely vital, because you body will be going through some drastic changes, and it does not need the dangers of other potential complications.

The Pee Test

Yes, as uncomfortable as it may be, you will have to give a sample in the little cup.  If you are a woman, the doctors will want to make sure you are not pregnant before going into surgery.  But, a complete analysis of your urine, regardless of gender, could reveal other complications that can put your body at additional risk.  For example, doctors can find out whether you already suffer from diabetes or some other illness.

Your Heart

You may undergo a whole battery of tests, just to make sure your heart and cardiovascular system is strong enough to withstand the procedure and recovery.  If the doctor believes that you have a greater chance of dying on the operating table, as opposed to the health benefits of weight loss surgery, you journey toward surgery may end here.  Before a doctor will perform the surgery, he/she must be sure the health benefits far outweigh the risks.

Your Lungs

Like you cardiovascular system, you will need to undergo tests to determine if your pulmonary system is strong enough to take the surgery and recovery.  Your lungs and all the related systems must be strong enough to not present additional danger to your health.  Again, the tests will determine whether the inherent risks of surgery are worth taking, in order to realize the benefits of weight loss surgery.

Your Digestive System

Of course, since the doctor will essentially be rerouting your digestive system, it will be imperative to make sure it is in good health, before he/she starts messing around with it.  For example, if you have any type of disorder or disease of the digestive tract that would make weight loss surgery dangerous, the doctor cannot, in good conscience perform the surgery.  Unfortunately, you will be scoped from one end to the other.

So, now you have a general idea of the many tests you will undergo before qualifying for weight loss surgery.  No, it will not be fun, and it will not happen overnight.  But, if you are really serious about making this drastic lifestyle change, in order to be healthier, you can do it! Think of it as a true test of your convictions to change.

According to recent statistics, 62% of Americans are overweight. As shocking as those numbers are, 32% of citizens are considered obese.  So, what is the difference?  Besides, what is the big deal? Society should accept people who do not have the perfect figure.  But, being excessively overweight is a problem because it can actually lead to other health problems that can ultimately become life-threatening.  So, if you need to lose more than a few pounds, how do you find out if weight loss surgery is right for you?

Anyone who needs to get rid of a few pounds will tell you that it is a whole lot easier to gain the weight than it is to shed those extra inches. But, for those that are clinically obese, it could mean the difference between life and death to lose the fat.  It has nothing to do with being judgmental against those that have the less than perfect figure.

For example, if you are overweight, you are at risk for:

•    Diabetes
•    High Blood Pressure
•    Sleep Apnea
•    Osteoarthritis
•    Gastric Reflux
•    Infertility
•    Respiratory Problems
•    High Cholesterol
•    Heart Problems

As you can see, the list is pretty scary.  If you are a good candidate for bariatric surgery, chances are you are probably already experiencing one or more of these serious health concerns.

Not for the Faint of Heart

Weight loss surgery is not for the faint of heart.  It is definitely not the easy way out, when it comes to getting rid of a lifetime of weight gain.  Anyone who thinks people who elect to have this operation are weak and lazy does not have a clue.  No one can simply walk into a doctor’s office, ask for the surgery, and miraculously lose 100 pounds seemingly overnight.

The surgery is only the beginning of a complete lifestyle change and a lot of hard work to achieve good health.  A bariatric procedure is basically a last resort, to get control of weight, before other diseases and illnesses result in death or permanent disability. Only those patients that are willing to begin the arduous and life changing regime will even be considered for the operation.

The True Test

Once you find a physician that is willing to consider bariatric surgery, you will have to undergo a whole battery of tests.  The health risks of your weight will be assessed, as will you ability to withstand the operation.  Regardless of the procedure selected for your particular circumstances, it is no walk in the park.  In simple terms, the doctor will basically be altering your digestive tract.

When the surgery is complete, you will no longer be able to eat for social purposes.  Food will have to become nutrition only.  Instead of 3 big meals a day, you will have to eat very small portions several times a day.  In addition, you will not be able to consume your normal foods for some time.  For example, for the first few weeks, patients are on a nutritional liquid diet, as the body heals and adjusts to the internal alternations.

Because the changes to your body, lifestyle, and eating habits are going to be so drastic, you will also need to undergo psychological testing before a doctor will agree to perform the surgery.  You will not be able to return to your normal activities and habits for a long time. In fact, some will be gone forever.  So, if you tried to eat the same foods as before, even in smaller portions, you could get sick or put your very life in jeopardy. The question is:  will you pass the true test?

A Support System

You meet the criteria for needing weight loss surgery; you have passed the psychological exams; you are all set for the procedure, right?  Wrong!  With bariatric surgery, you will need a support system in place for recovery and when life has returned to the new normal.

In the beginning, you will definitely need help to accomplish some everyday tasks.  For instance, you might not be able to vacuum or drive for awhile.  It depends on the type of surgery and your doctor’s instructions.  But, if he/she says to avoid an activity-listen.  You do not want to create an emergency health situation.

But, you will definitely need a support system after you have healed.  You will need someone who will encourage you when the going gets tough.  When you can no longer eat much-loved foods or pile your plate at Thanksgiving, it will get hard.  You will also be dealing with swift weight loss, followed by plateaus. Depending on your circumstances, you may need surgery to get rid of loose skin. You will need someone to tell you it was worth it, when you are no longer sure.

So, is weight loss surgery for you?  Only you and your doctor can answer that question.  But, if you are clinically obese and have other dangerous health problems, it may be worth your consideration.

You have been on every weight loss program known to mankind.  If you lost any weight, you have gained it all back and then some.  You are starting to have complications with your health that can be directly related to obesity.  If you do not do something soon, your very life is at risk.  So, you and your doctor have decided that weight loss surgery is the procedure of last resort, to regain your health.  Now, you need to know how to select your bariatric surgeon.

Of course, you know that it is no like deciding on which style of shoe you like best.  If you are going to take this drastic step to regain your health and a better quality of life, you want someone who will be well-suited to meet your medical need, who has the experience to bring you safely through the operation and beyond. In fact, you may have to be willing to travel, in order to find the surgeon that is right for you.

Will he/she take you case?

Although it may not be the most important criteria, you can weed out a lot of surgeon candidates by simply finding out if he/she will even take you on as a patient.  In some cases, the doctor may simply be too busy to take a new case right now.

However, each doctor has his/her own criteria for taking new patients.  For example, some weight loss surgeons will not feel comfortable operating on you, if your body mass index is over 50.  If you are grossly obese, other health concerns will definitely add an element of risk that many doctors are not willing to take.  If they feel your chances of dying or suffering horrible complications far outweigh the potential benefit, you will have to find someone else.

In addition, if you are a senior citizen, you are more likely to suffer complications or death.  Many doctors feel like your current quality of life, as bad as it seems, is better than taking the chance that you might die.

Thankfully, there are surgeons who specialize in high risk cases.  They have the experience necessary to deal with potential complications of bariatric surgery.  You just have to find the right surgeon.

Experience

When you find a surgeon who is willing to take you on as a new patient, the next criteria you have to check is their level of experience.  The surgery you are about to undergo is dangerous, even under the best of health circumstances.  Altering your digestive system is not a minor procedure.  It is a big deal. You need to feel confident that he/she has the expertise to bring you through the procedure and help you achieve the optimum results.

So, you are going to have to ask a lot of questions.  Find out how long the surgeon has been in practice.  How many cases has he had that are similar to yours, and what was the outcome.   Where were you trained, and how many procedures have you done?  What types of weight loss surgery have you performed in the past?  How many of your patients have died due to complications of bariatric surgery?

You will probably have many more questions than these few.  Ask them all!  Do not feel like you are being too cautious or inquisitive.  After all, this is your life on the line. Plus, you are hiring a doctor to do the surgery.  He/she will be amply paid-no worries.

After the Surgery

For your part, the surgery itself will be easy.  You will be asleep.  You will have no recollection of how long it took, or the challenges faced by your surgeon.  The hard part will be after the surgery. Depending on your health and level of pain tolerance, you might wake up and wish you could hit reverse and go home.

So, you should be comfortable with the answers regarding what to expect after weight loss surgery and how the doctor is going to ease your inevitable discomfort.  You should be aware of what to expect, if it goes well, or if you suffer a major setback.

If you have to travel more than a few miles from your home, how long can you reasonably expect to be away, even if things go well? What is the average hospital stay?  Will you have to make arrangements to stay in the area for a few days to a few weeks? When it is time to return home, what precautions will you have to take for your comfort and safety?

In short, there will be many questions to ask the bariatric surgeon, before finding the doctor that is right for you.  Your family practitioner will probably be able to give you a list of inquiries to make, in searching for the right provider. You have the right to know.  So, ask away, and find the weight loss surgeon that will best help to find the healthier you.

Before you undergo any major surgical procedure, it is incumbent upon the doctor to make sure you understand all of the risks, as opposed to the benefits.  Especially if it is an elective procedure, you need to know exactly what to expect if things go well, and what to expect if things do not go as planned.  For example, if you already suffer from health problems related to your weight, you will also have a greater chance for complications.  Although there are many more, you should be aware of at least eight risks of weight loss surgery.

Not only will you need to be made aware of potential complications during bariatric weight loss surgery, but you will also need to know how to recognize signs of problems during recovery.  Because you are already overweight and have reached the point to qualify for weight loss surgery, you most likely already have serious health concerns that can lead to problems. Your health is already fragile, so you need to pay attention to your body and recognize when something is wrong.Gastrointestinal Leaks

As with any surgery related to your digestive system, you can develop leaks that can lead to life-threatening infections and malfunctions.  Basically, your digestive tract needs to be water tight.  From entrance to exit, nothing that enters your mouth or flows through the digestive process should leak into any other cavity or organ.  If it does, you can be in big trouble.

Of course, the doctor will double and triple check all of the potential connections that have been altered and sewn back together.  However, you could heal incorrectly, something could rupture, or maybe a stitch was not tight enough to withstand the digestive system starting to work again.

Gastric Distention

In approximately 1% of gastric bypass surgery patients, the portion of the stomach that has been bypassed will become distended and start to leak.  If this happens, a drainage tube will have to be inserted, to give the fluids a safe outlet.

Blood Clots

Anyone who experiences major surgery will be at risk for potential blood clots.  But, if mobility has become an issue, because of your excess weight, it will be of special concern.  For this reason, some bariatric surgeons will deny patients because the risk to their life far outweighs the expected benefits of weight loss surgery.  So, the doctor may suggest other health measure to reduce your weight to a safer level, before performing the procedure.

Heart Problems

If you are considering gastric bypass, you have probably already come to the realization that your heart has to work extra hard to keep your body functioning.  Unfortunately, surgery is not an immediate fix.  In fact, the procedure will put added stress on your cardiovascular system.  You might suffer from an irregular heartbeat, congestive heart failure-when fluid builds up around your heart, or even a heart attack.  As you lose the weight and become healthier, you heart should follow suit.  But for now, your heart has a big job.

Infection

Infection is a big concern with any operation.   It is not something to be ignored; nor will it go away on its own.  If you have an infection, the wound may have to be drained and the doctor will put you on strong antibiotics to heal the wound.  You will be made aware of the signs of infection.  It will be up to you to pay attention to your body and check for any problems, until you are completely healed.

Stricture

A stricture can be a very serious health concern.  It is usually cause by scar tissue where the new stomach has been fashioned and things have been rerouted.  It can prevent you from retaining any food.  Instead of entering the new stomach and being sent through you new digestive system, it will come back up.  If the doctor suspects a stricture, a scope will be used to go down to your stomach.  Known as an endoscopy, a camera will have a look to find the source of your problem.

If dilation can improve digestion, it may have to be done several times to correct the problem.  If the stricture is more serious, additional surgery may be required.

Dehydration

Especially in the beginning, dehydration can become a real problem.  It will likely be difficult to drink the recommended daily amount of liquid to be healthy, at first.  If your urine is dark, you are not eliminating often enough, or you are constipated, it could be a sign that you are not drinking enough.  You might even become lightheaded and faint.  You will have to follow directions and force yourself, if necessary, to give your body the liquid it needs.

Gastric Prolapse

If you have chosen the option to have a band placed on your stomach, there is a chance that it can slip.  If this happens, you will start throwing up and you will not even be able to keep liquids down.  You will need to call the doctor immediate, if this happens.

So, now you know at least eight risks of weight loss surgery you will need to watch for during recovery, and even beyond.  You will simply have to become aware of your body and know when things are not working as they should.  None of these things may ever happen, but if they do, you will be prepared to act.

If you are clinically obese and have tried every diet in the book, you might be considering weight loss surgery.  You know the procedure is not the easy way out.  Opting for this drastic weight loss measure is not an easy decision. You will have several issues to contemplate before deciding whether any bariatric procedure is right for you.

Weight loss surgery is basically rewiring your digestive system. Your stomach is bypassed, and a pouch is fashioned that will only allow you to eat very small portions at one time.  Since your natural systems are rerouted and diet is completely changed, getting the proper nutrients for good health is a constant concern.  Thus, the surgery is not for everyone, regardless of any extenuating circumstances.

The Cost of Bariatric Surgery

To be brutally honest, the cost of the surgery could negate contemplating any of the other related issues.  Do you have insurance that will pay for the procedure?  The finances will have to be in place before the procedure will be scheduled.

With many operations, a simple call to the insurance company will clarify whether the company will cover a large portion of the cost.  Not so with weight loss surgery.  Before you undergo such a drastic and dangerous operation, the insurance agency will likely require documentation that your health truly depends on the success of bariatric surgery. You will have to jump through whatever financial and physical hoops they require before receiving the okay.

Lifestyle Changes

Are you really ready to accept the lifestyle changes of weight loss surgery? It may seem easy to say yes today, when you know you have to lose weight immediately or risk your life.  What about tomorrow, a month from now, or next year?

Do you know what is the largest factor contributing to your obesity?  No excuses.  Even if your family history shows a propensity to be overweight, your habits have also contributed to the current situation.  For example, are you a comfort eater?  When you are stressed or depressed, do you tend to snack?  Are you a social eater? Is food often the central focus of gatherings with friends and family?  If so, your whole attitude will have to change.  Food will be for survival.  It can no longer be an important key to any situation, other than sustenance.

Next, how do feel about exercise?  Remember, this surgery is not the magic answer.  You will still have to work, and make it a habit, to continue losing weight and to maintain good health, even after you reach your goal.  You body needs exercise.  You will have to be dedicated to physical activity.  Not just for today or tomorrow.  It will be a lifestyle change.

Although it has been implied already, are you prepared for the psychological changes that will accompany this drastic answer to weight loss?  As you shed the initial pounds quickly, it may seem like a true blessing.  But, when the weight loss begins to slow, what then?  Are you prepared for sagging, excess skin that will require plastic surgery to disappear?  Will you be able to handle the emotional issues related to giving up your favorite foods being taboo?  How are you going to handle the next party or holiday event?  Are you really prepared for the lifestyle changes of bariatric surgery?

The Best for Last

Okay, enough of the financial issues, you sacrifices, and the hard work of weight loss surgery.  Are you ready for all of the great things that will come to your life after the procedure?  Smile!  For all you have to change or give up, you will also be amply rewarded!

For example, it will be so nice to enjoy activities without food being the central issue.  You can relax and enjoy the friends and family simply for who they are, not for what they brought to the table.

Think about how good you will feel about yourself.  Your self-image will not be clouded by your excess weight.  Riding in an airplane will no longer be something to dread. Forget being self-conscious about what that guy over there is thinking.  You can enjoy buying new clothes and being in social situations without wondering if someone is starring or being judgmental. Wow!  What a wonderful change to your emotional outlook.

Are you a walking pharmacy today?  After you lose weight, think about all the medication you will no longer need to take each day, simply to survive.  Your body will be grateful and so will your wallet.

Can you imagine having more energy and being able to play with your kids or grandkids? Right now, it may be exhausting just to get up and walk a few feet.  Think about the difference of being able to enjoy outdoor activities and not being short of breath. When you wake up in the morning, you can look forward to the new day with anticipation, and not just hoping you make it through until you can lie down again.

Although this is but a short list of what you will have to consider before weight loss surgery, it gives you some idea of the sacrifices and the blessings.  How you care for your body is not a decision to be taken lightly, but the ultimate rewards should surpass any struggles.

You have been struggling with weight your entire life.  Despite trying every diet and weight loss gimmick known to man, you end up gaining back all of the weight lost, and then some.  Now, you are having health problems that can be directly attributed to your obesity.  If you want to live, something has to change-and fast!  Your family doctor has suggested bariatric surgery. Now, you need to find someone willing to take your case.  You need help in choosing your weight loss surgeon.

A diploma hanging on the wall may attest to a doctor’s education.  But, is he/she really qualified to be entrusted with your life?  It may sound dramatic, but it is true.  Weight loss surgery is risky business.  If you are obese enough to be considered a likely candidate for the procedure, you already have health challenges that make any operation more risky.

In addition, any weight loss procedure you choose will basically change how you eat and process food.  Although the various operations may differ in type, the goal is the same: you will eat less, absorb less calories and nutrients, and lose weight.  To accomplish these ideals, your digestive track will have to be surgically rerouted to help you with portion control and retention. You will want to be sure your chosen surgeon has the experience and knowledge needed for a successful outcome.

Experience

Remember, you are hiring this health care professional to take care of your medical needs.  In essence, you are the employer.  So, do not feel bad for asking a lot of important questions.  You want to make sure you have found the best doctor for your specific circumstances.

For example, how much experience has he/she had with weight loss surgery?  How many cases are similar to yours? What kind of team is in place to make sure you have the best care possible?  How many patients, in the last 6 months, have suffered complications related to the surgery?

If the bariatric surgeon does not answer your questions satisfactorily, do not hesitate to look for someone else more qualified.  Since you are the one undergoing major surgery, you need to have complete confidence in the person(s) responsible for the weight loss procedure.

Method

Since there is more than one method of weight loss surgery, you need to discover which procedure is performed most often by this particular surgeon.  Is that the surgery for you, or is another recommended for your particular health issues?  If so, is he/she comfortable with that type of operation as well?  How many of those surgeries have the doctor done in the past?

Hospital Stay

Unfortunately, not every community has a bariatric surgeon on hand.  You do not want someone who has been called upon to fix a perforated bowel or some other digestive disorder.  You want someone who specializes in weight loss procedures.

Since it may mean traveling across county, you will need specific information about the hospital stay.  How many days are you likely to be admitted?  Once you are released, will you need to stay in the vicinity until you are well enough to travel, or your recovery has progressed to a certain point?  Are there affordable accommodations, near the hospital, specifically reserved for patients?

Complications

Of course, no one plans to have complications.  But, it is something to prepare for, nonetheless.  If something goes wrong after the weight loss procedure, and you have already returned home, can your surgeon work with the local doctor or hospital to take care of the unexpected?  Is there a number where he/she can be reached quickly, in the event of an emergency?

Although it seems like a reasonable expectation, some doctors are like high officials.  They may perform the surgery, but you may never see them after the first initial visit, except right before the surgery.  Then, after a couple of hospital room visits, a physician’s assistant is basically put in charge of your care.

But, if something goes really wrong, you do not want to have to waste precious time playing phone tag, being put on hold, or leaving messages the doctor may never see for hours or days.  You need a doctor that is willing to be accessible to you before, during, and after the bariatric procedure.

In short, I am sure you can probably think of a lot more questions for your potential bariatric surgeon.  Ask away!  You are going to be intrusting this person with your life.  You need to feel confident your doctor has the knowledge and expertise to give you the best care possible.  No, he/she does not have to be your friend, or even have the best beside manner.  But, having a reputation as the best weight loss surgeon around, who has tackled cases like yours, says a lot for his/her skill. So, do not feel bad if you need to “shop around” for the best surgeon for you.

Are you a weight loss surgery candidate?  You have been overweight most of your life.  Now that you are an adult, the extra pounds are starting to adversely affect your health.  If you want to live a long and happy life, something has to be done now!  But, you have been on every weight loss plan imaginable.  Nothing seems to work.  You are desperate.  As a last resort, you want to know if a bariatric surgeon can help you reach a healthy weight.

Unfortunately, bariatric procedures are not simply an elective surgery like breast augmentation or a nose job.  You are doing much more to your body than changing outward features. If you undergo this weight loss procedure, you entire digestive track will basically be rewired to contend with portion control and the ability to absorb calories during the digestive process.  The decision is not solely up to you.

Not too Sick

Your bariatric surgeon and your body will be the determiners of whether you qualify for drastic weight loss and a whole new way of life. The first consideration will be the overall condition of your health.  You should have weight related health issues that necessitate drastic weight loss.  But, you must also be able to withstand the procedure and the subsequent changes you body will experience in the near future.

The doctor will run a battery of tests to ascertain whether you can withstand the demands that will be placed on your body.  Your heart, lungs, mobility, and more will all be scrutinized before the surgeon will give you the go ahead.

Your BMI

Obesity is not the only criteria for weight loss surgery.  If that is the case, then about a third of the population will qualify.  Instead, it also depends on your body mass index.  For instance, if your BMI is 25 or below, you are at a healthy weight; should the calculations be 25-30, you are overweight, and could stand to lose a few pounds; 30-40 and you are considered obese, and a possible candidate for weight loss surgery; however, if your BMI calculation is 40 or above, you are grossly obese.  But, it may also mean your chosen bariatric surgeon will disqualify you.  It will be necessary to find a weight loss surgeon willing to take on a higher risk case.

Well Informed

Do you simply consider weight loss surgery the answer to years of failed diets and exercise programs; or, all you well aware of the risks as well as the benefits of bariatric surgery?  Do you truly understand that this surgery is not a temporary fix to a lifetime of weight gain?

Once you go through with this surgery, life as you know it will have to change.  Weight loss surgery is not an easy way out.  You will have to be totally committed to a lifestyle change for the rest of your life.  You will never eat the same again, although you will occasionally be able to have a bit or two of forbidden fruit, so to speak, once you reach your target weight.

Today you may be too heavy to exercise regularly.  However, after the surgery, exercise will become part of everyday life. “Couch potato” will no longer be in your vocabulary.

Maybe you gladly anticipate the changes, but have you really considered the real risks of a bariatric procedure?  Your body is going to be altered to accommodate only small portions and short circuit the digestive process to prevent absorption of unneeded calories and fat. So, there is a whole host of complications that can occur during and after surgery.  In fact, you will have to becoming increasingly aware of your body, so you can recognize if something is not quite right.

The Cost

Weight loss surgery is not cheap.  You will have a whole team of health care professionals dedicated to the success of your surgery.  Plus, you will have a significant hospital stay.

Unfortunately, some insurance companies still see bariatric surgery as an elective procedure.  Even if you can convince the company that is necessary to prevent further complications and early death, it takes time and a lot of paperwork to convince them to help.

Many patients have to come up with the cost of gastric bypass surgery or similar options. Friends, family, personal loans, savings, and a lot of personal sacrifice may be needed to come up with the funds for the operation.

So, now you know some of the determining factors used to figure out whether you are a weight loss surgery candidate. If you feel that this is the last resort to a healthier you, it will mean a lot of red tape and tests even before the procedure.  Then, after weight loss surgery, your life will permanently change.  Are you ready?