Timeline

Everyone’s timeline toward bariatric surgery may be different, but you will need to undergo several visits as part of our program.

As soon as the following items have been completed and reviewed by the medical team, we will submit a request for authorization to your insurance company. Once we’ve received approval, we will contact you to arrange a surgery date and your pre-op appointments which includes meeting with your surgeon.

Month 1

Complete the following visits:

Nurse practitioner consultation

Your first consultation will be with a nurse practitioner (NP) who will do a complete medical workup. At this appointment, you will get a list of any consultations and tests that will need to be completed before you have surgery.

Dietitian consultation

You will also meet with a registered dietitian (RD) to learn about diet and behavior changes to help make the operation safer and prepare for the lifestyle transition that comes after surgery. The dietitian will review your eating habits and recommend a personal diet for your weight loss goals prior to surgery.

This meeting will address:

  • Eating small, frequent meals
  • Staying hydrated before and after bariatric surgery
  • Getting enough protein
  • The importance of choosing low-sugar foods
  • Mindful eating
  • Preventing vitamin and mineral deficiencies before and after bariatric surgery

Physical therapist consultation

At the physical therapy evaluation, you will meet with a physical therapist to discuss activities that you will need to do to prepare for surgery. Research suggests that people who begin regular exercise in the pre-surgical period are more likely to continue exercise long-term; an important component of a healthy lifestyle that also helps maintain weight loss.

You will also be counseled on post-surgical mobility precautions, activity recommendations, and the development of an appropriate exercise program. Your therapist will assess multiple factors affecting exercise capacity including your functional mobility, strength and endurance, and you will work together to develop a suitable daily activity plan.

Homework

  • Schedule required consult appointments — for example, sleep medicine and cardiology.
  • Pre-op psychological evaluation — designed to identify emotional and psychological factors that would interfere with a person’s ability to have bariatric surgery. This evaluation may also provide treatment recommendations to maximize a positive outcome after the surgery. These recommendations generally focus on healthy stress-coping mechanisms.

Month 2

To help you with both pre- and post-surgery weight loss, we require that you attend at least two weight management classes. These classes are taught by our dietitian in a group setting and are designed to reinforce key concepts discussed in the initial visit with the dietitian.

  • Complete Weight Management Class 1 —  you will learn the best times to eat throughout the day, fluid, protein and vitamin recommendations, mindful eating and the pre-surgery diet.
  • Continue working on your homework items (mammogram, colonoscopy, etc.) Fax any results that you’ve obtained to our office.
  • Contact us should you find that you need additional support or are struggling with making the necessary changes that are needed for surgery.

Months 3-6

  • Complete Weight Management Class 2- review from the first class and focus on fluid intake, exercise, vitamins and post-surgical diet.
  • Achieve required pre-op weight loss.
  • Complete any remaining supervised diet requirements.
  • Complete pre-admission testing clinic visit and pre-hospitalization review class; this is done the same day as your Pre-Operative visit with your surgeon.
  • Contact our Admitting department to complete your admission process. In order to make your check-in as quick and easy as possible, we ask that you pre-register at least 72 hours prior to the day of your scheduled visit.