Bariatric surgery are procedures – such as sleeve gastrectomy or gastric bypass – that involve making changes to your digestive system to help you lose weight. This is done when diet and exercise haven't worked to achieve weight loss or when your weight is causing serious health problems. Some procedures limit the amount you can eat while others reduce the body's ability to absorb calories.
As with any major surgery, there are many misconceptions that can affect your attitude towards bariatric surgery. It's important to learn the truth about these misapprehensions so you and your physician can make informed decisions about your weight.
We spoke with Dr. Eric Knapp, DO, to learn whether certain ideas about bariatric surgery are true or false. "When it comes to bariatric surgery, there are many worries that patients bring to me when we start discussing this option," says Dr. Knapp. "I want to reassure them that bariatric surgeries are viable, safe options."
Misconception No. 1: Bariatric surgery is an easy way out
Some people believe that patients who opt for bariatric surgery do so because it's a quick and effortless solution to weight-related issues. This couldn't be further from the truth.
Doctors who suggest bariatric surgery as a solution for weight loss don't do so lightly. Before undergoing these procedures, patients go through a thorough evaluation process. This includes medical assessments, psychological evaluations, and consultations with health care professionals. The purpose is to ensure that patients are physically and mentally prepared for the surgery and the lifestyle changes that follow.
Despite popular belief, bariatric surgery is not a standalone solution. Success requires significant lifestyle modifications, including changes in diet, exercise habits, and overall behavior.
"A common misconception is that bariatric surgery will fix all of your problems without any lifestyle changes. This isn't the case. In fact, without changes to diet habits, bariatric surgery may not accomplish long-term goals," says Dr. Knapp.
Patients need to adhere to post-surgery guidelines, attend follow-up appointments, and make sustained efforts to support their weight loss and overall well-being.
Misconception No. 2: Bariatric surgery is only for morbidly obese patients
While individuals who are considered morbidly obese – typically defined by a high Body Mass Index (BMI) – can benefit from bariatric surgery, not everyone who undergoes these procedures has an exceedingly high BMI.
Bariatric surgery includes various procedures such as gastric bypass, gastric sleeve, and adjustable gastric banding. These procedures cater to different levels of obesity and individual health conditions. Some procedures may be suitable for individuals with lower BMIs who have obesity-related health issues.
While BMI is a crucial factor, eligibility for bariatric surgery is also based on other considerations. These may include obesity-related health conditions such as type 2 diabetes, hypertension, or sleep apnea.
"While eligibility for bariatric surgery is still primarily based on high BMI, that isn't the only consideration. For example, while a body mass index over 40 would qualify someone for a gastric sleeve procedure, having at least two medical problems, such as diabetes, high blood pressure or sleep apnea, would also make them eligible," says Dr. Knapp.
Misconception No. 3: Bariatric surgery is only cosmetic
While aesthetic improvements and enhancement of physical appearance may be a positive side benefit of bariatric surgery, cosmetic changes are not the primary reason why patients undergo these procedures.
This misconception overlooks the medical necessity of the procedure and the potential health benefits beyond cosmetic changes. Bariatric surgery is primarily recommended for individuals with obesity-related health issues, such as type 2 diabetes, hypertension, sleep apnea, and others. The primary goal is to improve or resolve these health conditions, reducing the overall health risks associated with obesity.
While weight loss is a significant outcome, many patients experience improvements in conditions like diabetes, cardiovascular health, and overall quality of life. Bariatric surgery is not a substitute for traditional cosmetic procedures, with patients undergoing rigorous evaluations to determine if the surgery is medically necessary for their well-being.
Misconception No. 4: Bariatric surgery is risky and unsafe
While all surgeries pose some inherent risk, bariatric surgery does not pose significant danger to most patients. This idea may stem from historical concerns, outdated practices, or a lack of awareness about advancements in surgical techniques.
Over the years, there have been significant advancements in bariatric surgery techniques, making the procedures safer and more effective. Minimally invasive techniques, such as laparoscopic and robotic surgery, have become standard, reducing the risks associated with traditional open surgery.
Bariatric surgeries are also conducted in controlled environments, such as specialized hospitals or surgical centers, with experienced and trained medical professionals. Strict safety protocols are followed during surgery to minimize risks, and patients are carefully monitored throughout the procedure.
Research has continued to show the safety and success rates of bariatric surgery. Complication rates have decreased significantly with advancements in surgical techniques and improvements in post-operative care.
"Over the last two decades, bariatric surgery has seen numerous advancements that have made these procedures some of the safest. The safety protocols in place make it a seamless and low risk journey to achieving optimal health and well-being," says Dr. Knapp.
