Obesity: What About Surgery?

• What is Obesity?
• Causes & Risks 
• What About Diets? 
• Can Pills Help?
• What About Surgery?

What About Surgery?

Surgery is a big step to take, and it is definitely not for everyone with a weight problem. Mild to moderate obesity can usually be treated by less drastic means, and the risks of such obesity do not justify the risks of major surgery.

Patients considered candidates for surgery must meet certain important criteria. They should have a BMI > 40, or should have a BMI >35, together with obesity-related illness (what are called, "co-morbidities.")

Studies have been conducted to look at the future expectations for the severely obese. These strongly suggest that the risks of surgery are justified by the benefit that can be had from dramatic and lasting weight loss after surgery. Many patients with high blood pressure and adult onset diabetes have their medication requirements cut or eliminated by weight loss from surgery, and it appears that the risks of remaining severely obese are higher than those taken by having an operation.

Still, surgery is an important and difficult decision that will mean not just short term pain and risk, but the need for life-long behavior modification. The best candidates for operative treatment are those who have failed to achieve notable weight loss by other means, but who are nonetheless well motivated and committed to a disciplined post-surgical regimen. A full and proper candidate assessment by the surgeon, dietitian and therapist will help to identify those most suited to surgical treatment.