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A woman discussing bariatric surgery with a doctor.

Bariatric Surgery

Has losing weight and keeping it off been a constant uphill battle? Are you worried that your weight is putting you at risk for serious health problems?

Bariatric surgery could be the solution. Deciding to have this surgery (also called weight loss surgery) is a life-changing decision. It means starting on a journey that can help you achieve long-lasting weight loss and better health overall. It’s also a decision that requires consistency, dedication and commitment for the rest of your life, so it’s normal to feel nervous or even a little scared.

At Cleveland Clinic, our experienced and compassionate bariatric surgery team will help you understand exactly what’s going to happen and make sure that you get the very best care before, during and after surgery. We want to help you meet your weight loss goals and improve your health. And we’ll be right there beside you — every step of the way.

Why Choose Cleveland Clinic for Bariatric Surgery?

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Demonstrated expertise:

Our highly skilled, experienced surgeons do over 1,000 surgeries each year, including ones for people with complex needs and those who need a reoperation (second surgery). Meet our team.

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Minimally invasive techniques:

Our surgeons specialize in minimally invasive (laparoscopic) techniques, like bariatric endoscopy, which can help you recover faster.

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Recognized expertise:

The American Society for Metabolic and Bariatric Surgery and the American College of Surgeons named Cleveland Clinic a Bariatric Surgery Center of Excellence.

Deciding if Bariatric Surgery Is Right for You

Bariatric surgery is a safe and effective medical treatment for obesity. It can reduce your overall body fat and help address the root causes of weight gain. It can also offer a long-term solution when it’s been hard to lose weight and keep it off.

In addition to weight loss, bariatric surgery may help lower high blood pressure and reduce or eliminate sleep apnea, joint pain, infertility (inability to get pregnant) and depression. Studies show bariatric surgery can even send Type 2 diabetes into long-term remission.

We consider bariatric surgery an option if your body mass index (BMI) is 40 or more. If your BMI is 35 and you have any of these health conditions, you might also qualify for surgery:

You may also qualify for surgery if your BMI is over 30 and you have an unmanaged condition that’s related to obesity, like diabetes.

Other Options for Weight Management at Cleveland Clinic

If you don’t meet the guidelines for surgery, choose not to have surgery or have gained weight even after surgery, you still have options. Your healthcare provider can recommend other types of weight management care, which combine diet, exercise and behavioral therapy. We’ll put together a weight-loss plan that will help you meet your goals if surgery isn’t for you.

Bariatric endoscopy

Bariatric endoscopy may be an option if surgery isn’t right for you or if you’ve regained weight after bariatric surgery. These minimally invasive procedures use a thin, flexible tube instead of incisions. Your provider can help you decide if bariatric endoscopy fits your weight-loss goals.

Locations

Our healthcare providers see patients at convenient locations throughout Ohio, Florida and London.

A Team Approach to Care

At Cleveland Clinic, we believe in drawing on the skills and experience of many specialists for your care. When you and your healthcare provider have decided that bariatric surgery is right for you, your care team will include Cleveland Clinic experts who’ll help manage all parts of your weight loss journey, like:

What is a patient navigator?

The patient navigator serves as your point of contact and helps guide you through your weight loss journey. Our navigators have over 75 years of experience helping people through the qualification process for bariatric surgery. They understand that the journey can be long and complicated, and they’ll be honest, caring, motivating and supportive throughout the process. They’ll also answer your questions and help with insurance, medical, nutritional, psychological and surgical requirements.

Bariatric Surgery Options at Cleveland Clinic

Your surgeon will consider many things before recommending a specific type of bariatric surgery, including:

  • Your BMI
  • Eating and exercise habits
  • Other health conditions
  • Surgeries you’ve had before
  • Risks of each procedure

At Cleveland Clinic, our surgeons typically use minimally invasive surgery techniques, which means smaller incisions (cuts), less pain and faster recoveries.

Types of bariatric surgery we offer

Gastric bypass: In this procedure, your surgeon will make a small stomach pouch (enough to hold a cup of liquid) and connects it to the lower part of your small intestine. When you eat, the food bypasses (goes around) the rest of your stomach and empties directly into your intestine. This can make you feel fuller while eating less.

Gastric sleeve surgery: In this type, your surgeon will remove about 75% of your stomach, leaving a narrow tube (sleeve) about the size of a banana. Because this procedure makes your stomach a lot smaller, you won’t be able to eat a lot of food at once.

Biliopancreatic diversion with duodenal switch: This procedure (sometimes called a duodenal switch) combines a sleeve gastrectomy with an intestinal bypass. It limits how much food your stomach can hold and how much nutrition your small intestine can absorb from food. It also takes away some of your hunger hormones so you won’t feel as hungry as you ordinarily might. It can be especially helpful when you have extreme overweight or Type 2 diabetes.

SADI surgery (SADI-S): This procedure is a modified version of the duodenal switch. It bypasses only about half of your small intestine, which leaves enough intestine to absorb more nutrients. It’s also known as a single anastomosis duodeno-ileal bypass with sleeve gastrectomy.

What to expect before surgery

Before any type of bariatric surgery, you’ll meet with your surgeon twice. During the first visit, you’ll:

  • Talk about the procedure
  • Discuss financial and insurance requirements
  • Go over your medical history
  • See a bariatric psychologist
  • Have a thorough medical evaluation

You’ll also learn what pre-surgery tests you might need, like:

When your consultations and tests are completed, you’ll have your second visit before surgery to:

  • Meet with your surgeon again to go over your test results, talk about the surgery’s risks and benefits, and ask questions
  • Meet with your anesthesia team
  • Get instructions for a liquid diet that you’ll start two weeks before surgery

What to expect after surgery

Recovery from bariatric surgery is usually fast. Most people are back to work at a desk job within two to four weeks. You’ll need to eat slowly and drink less during meals so there’s more room for solid foods. A dietitian will provide you with dietary rules to follow.

A big part of successful weight loss surgery is lifestyle change. At Cleveland Clinic, we want you to achieve your goals. We have many support groups to help you with eating, exercising and staying motivated after surgery. You’ll also need to meet with your care team for follow-up visits throughout the first year after surgery.

Insurance Coverage for Bariatric Surgery

Insurance coverage varies for weight loss surgeries. It’s important to call your insurance provider to see if your policy covers surgical weight loss. Your patient navigator will confirm your benefits and help guide discussions with your insurance company to get surgery approval. We understand how important having bariatric surgery is to you, and we’ll work with you every step of the way to make it happen if possible.

Self-pay option

We have affordable self-pay options if you qualify medically for bariatric surgery, but your insurance doesn’t cover the procedure. Our financial counselor can help you navigate the process if you choose to self-pay.

What’s Next?

Bariatric surgery is a powerful solution for weight loss, but it’s only the first step. Your dedication to a healthy lifestyle is an important part of changing your life for the better. If you’ve watched the seminar and you and your provider have decided that surgery is a good option, we’re ready to help guide you through each part of the process.

If you’re interested in bariatric surgery, the very first step we ask you to take is to sign up for our online informational seminar. The seminar will teach you about the process of having surgery, including your surgery options, what to expect and answers to some of the most common questions.

Online Seminar

If you’re interested in bariatric surgery, the very first step we ask you to take is to sign up for our online informational seminar. The seminar will teach you about the process of having surgery, including your surgery options, what to expect and answers to some of the most common questions.

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