Surgery is the most invasive treatment option for obesity management. It is important that you have tried other methods of weight management prior to considering surgery as the skills and lifestyle behaviours needed after surgery are no different than what should be in place before surgery.
The surgical operation most commonly used in our centre is the Roux-en-Y Gastric Bypass (RYGB) and case-by-case, the Sleeve Gastrectomy (SG). Gastric Banding is not covered by the Ministry of Health and is not offered at our centre.
Members of our interdisciplinary team complete both medical and psychological assessments on patients considering gastric bypass surgery because not everyone is an appropriate candidate for this surgery. It takes several appointments and considerable time to determine eligibility for bariatric surgery. Patients must be emotionally and physically ready for surgery because it requires significant lifestyle changes including taking vitamin supplements for life as well as adhering to dietary restrictions and routine physical activity.
The Surgical Program will help you:
- Manage chronic medical conditions such as diabetes, high blood pressure, high cholesterol, sleep apnea and obesity.
- Improve your quality of life (better movement, physical and mental health, social activities, medications and overall well-being)
- Initially lose weight by reducing the amount of food you can consume and alter hunger/appetite cues
(BUT permanent life changes are needed to maintain this)
- Identify challenges and build problem solving skills related to food, exercise, stress and mental health.
The Surgical Program:
- Requires your health care provider to refer you for surgical consideration (referrals are made by health care providers through the Ontario Bariatric Network Registry Portal http://www.ontariobariatricnetwork.ca/referring-physicians)
- Requires several appointments and visits with our team members and specialists (both group and individual appointments) to assess your candidacy for bariatric surgery
- Requires hard work and permanent lifestyle changes on your behalf
- Can take up to 1-2 years for surgery (based on your medical, mental and nutritional health)
- Includes follow-up visits at 1 week, 6 weeks, 3 months, 6 months, 9 months 12 months and yearly for 5 years after surgery.