Why don't more doctors recommend weight loss surgery for obesity?

Weight loss surgery. Is like a last resort when life style changes are insufficient to reduce weight adequately. Often, those who qualify for this surgery are often poor surgical risks due to other conditions like diabetes, heart disease, lung disease. Counselling for motivation & weight loss programs are a safer route to follow. Life style changes are necessary even with surgery to keep weight off.
Obesity surgery. Weight loss surgery is a complicated procedure. It is best done by board certified fellowship trained individuals at certified centers accredited by the american college of surgeons. Even at the best of centers, by the best of surgeons, there are still risks of surgical complications or noncompliant patients. The success overall is >90%, but those that fail are complicated patients to deal with.
Old data . Years ago there were two types of weight loss surgery: those that didn't work and those that killed you. Today surgery is far advanced but old issues are there.
Lots of reasons. There are a lot of risks associated with this type of surgery then a drastically new form of eating not all patients could handle. You also have to meet strict requirements for the surgery and it is not always covered by insurance .
They don't know. Many doctors that aren't themselves bariatric (weight loss) surgeons don't know that much about modern weight loss surgery and the very low mortality and good success possible. Patients with a body mass index of only 30 (obese) will benefit from weight loss surgery and improve their health and lifespan. This benefit is even greater for those with more weight to lose.

Related Questions

My doctor recommended that I have weight loss surgery. But I am afraid. What can I do to not stress out about it?

Best treatment of.. Fear is education! get a visit to a bariatric surgery program let them evaluate you teach you about the multiple different procedures available, evaluate your particular benefit/ risk ratio and then you can be a educated decision- fear dissapates! Read more...
Relax and research. First, you can relax knowing that the surgery is fairly simple these days, about as safe as taking out your appendix. Then, do research. Learn about the procedures. Learn about the regional doctors. Find one who is experienced, has a good followup, and is compassionate. Knowledge and preparation take away fear. Read more...

When is weight loss surgery appropriate for an obese person?

Last resort. Weight loss surgery can be wonderful and life-changing. It is appropriate only after a really good effort at standard measures under supervision has failed, as long as the patient does not have too many risk factors to undergo the surgery in relative safety. Competent surgeons will require documentation of the good try at conventional wt. Loss strategies before doing surgery. Read more...
Depends. If a patient has failed conventional methods of losing weight and their bmi is now greater than 35 with an underlying history of medical conditions such as diabetes and htn, they are potentially a good candidate. Certainly lower bmis can be considered, however insurance requires a minimum bmi of 35. Read more...
Obese bmi 30-35. Bariatric surgery is appropriate for obese (bmi 30-35) based on 2011 decision by nih. Usually best for diabetics and patients with other severe comorbidities. Read more...
Weight loss surgery. Weight loss surgery is appropriate for obese patients with a body mass index over 40, or a bmi over 35 with medical complications directly related to their obesity (such as htn, dm, sleep apnea, heart disease, ...). In today's world, the patient also needs to demonstrate a failure of all non operative attempts at weight loss with a full diet history. The success today is upwards of 90%. Read more...

How is it that an obese person could lose weight with diet and exercise and not weight loss surgery?

Risk. So many things improve with diet and exercise (cardiovascular health, decreased cancer risks, joint health, stress, muscle tone, diabetes, etc) that the benefits are amplified many-fold. Weight loss surgery on the other hand basically puts your body in a situation where it starves. U lose the weight but do not gain the other health benefits. Surgery is for those who have no other good options. Read more...
Surgery. It would be ideal for an obese person to lose weight with diet and exercise. However, the reality is that 90% fail. That is why surgery is justified. Surgery is not the magic bullet though. You still need to eat healthy and exercise, but surgery helps to make it easier to lose weight. Read more...

What questions do I need to ask my doctor about weight loss surgery?

Which Dr? Are you referring to your primary care, your surgeon, your gi, or psychologist? All are important to consult before undergoing surgery as there are many issues to consider. There are significant psychosocial changes that occur with having surgery in addition to the medical risks / benefits / side effects. Certainly your surgeon's experience, bedside manner, and skill are important. Good luck. Read more...
Options & exp & supp. Best to talk to a weight loss surgeon. Find a surgeon who has a good reputation, a support group, and compassion. Questions to ask: what procedure is best for me? Who will i see postoperatively? How many bypass or sleeve procedures have you performed? Do you use any type of fibrin sealant (like a super glue)? Do you have a newsletter or electronic support? Read more...
Lots. There is no one surgery that is right for everyone. Talk to your bariatric surgeon and talk about all your options, realistic expectations, and make sure he/she takes the time to answer all of your questions. Bariatric surgery is a life changing event. Also make sure they have experience in bariatrics. Consider having your surgery only at a center of excellence. Read more...
Best Dr. to.... Speak to is a surgeon who performs the procedure. Ask them at what weight do they recommend the surgery and after what modalities you can try to lose. Certainly, every surgeon is going to want you to go on a weight loss diet and exercise regimen first. Referrals to heart, lung and psychiatry, and often a sleep study may be preformed first before surgery is considered. Best wishes. . Read more...

Doctors, what are your thoughts on weight loss surgery?

Weight loss surgery. Weight loss surgery can be tremendously successful. Not only does it result in successful long term weight loss, over 80% of patients with type 2 diabetes will be cured after a gastric bypass. Surgery is the only proven method of long term weight loss. By that i mean published medical trials have proven that diets fail and surgery works. Read more...

I'm twenty years old how old do you have to be for a doctor to or for me to havr weight loss surgery. I'm in the two hundreds but im solid.?

Depends. Most insurances set a threshold of 18. However, depending on maturity level and the level of medical necessity, individuals as young as 12-13 yo have been operated on. The age may also be dependent on the surgeons experience and comfort level. If you are wanting your insurance to cover, plan on being at least 18. Read more...
15 is earliest. Most programs will consider bariatric surgery over 15 if mature and growth plates (by xray) complete. At 20, you should review all options and be a good candidate. Read more...
At least 18. At age 20 you are old enough for the surgery provided you meet all other guidelines to qualify for the surgery. Read more...
Surgery a bit young. While I do agree that bariatric surgery can be the correct choice for some obese patients it does have potential complications. Bariatric surgery is not a cure for obesity. It certainly is a method to improve health problems that an obese patient may havethe bariatric surgery patient must integrate a completely new lifestyle; exercise and eating habits;to take advantage of the benefits of surgery. Read more...

I'd like to get weight loss surgery. I've ate better recently (no sugary/candy stuff), and whatnot. Doc says bad idea. Tired of being huge. Thoughts?

Personal decision. Weight-loss surgery is a very personal and individual decision. It is not a surgery for everyone. It is an extreme measure to take to accomplish weight loss. But… In the right person it can be very successful. Despite its many potential benefits, It is certainly not without its immediate and or long-term Possible consequences itself. Consider all your options, make the best decision for you. . Read more...
Gastric bypass. surgery is HUGE deal. Granted,it has helped many people with the insurmountable challenges of severe morbid obesity. It is even known to "cure" metabolic disease like Diabetes in some. However, unless you are equipped with TONS of Behavioral and Nutritional information (which takes time) and you TRULY change your lifestyle it will fail and go BADLY. I agree with your Doc, TREAD carefully. Read more...
Surgery for obesity. There are a lot of negatives to having weight loss surgery. It is really better suited to the morbidly obese. It is a far better option to try to lose weight on a healthy weight loss program, such as weight watchers or gnc program. Speak with your pcp and even some of the surgeons who specialize. See what your options are. :) Read more...