Weight loss surgery, refined around you.

Current ASMBS and IFSO guidelines recommend surgery at a BMI of 35 or higher regardless of other conditions, and consider it at a BMI of 30 to 34.9 with metabolic disease such as type 2 diabetes. These 2022 guidelines replaced the 1991 NIH criteria. Many commercial plans continue to use older coverage thresholds such as a BMI of 40 or higher, or 35 or higher with an obesity-related condition. Traditional Medicare is different: it requires a BMI of 35 or higher, at least one obesity-related condition, and documented prior unsuccessful medical treatment for obesity. Clinical eligibility and insurance coverage are not the same question, and we check both. However, candidacy is determined on an individual basis after a full medical evaluation, psychological assessment, and nutritional consultation. The best way to find out is to schedule a consultation with Dr. Eduardo.

The gastric sleeve (vertical sleeve gastrectomy) removes approximately 80% of the stomach to reduce hunger hormones and limit intake; it is the most commonly performed bariatric procedure in the U.S. Gastric bypass (Roux-en-Y) creates a small stomach pouch and reroutes the intestine, producing stronger metabolic effects and superior results for severe acid reflux and type 2 diabetes. Dr. Eduardo will recommend the most appropriate procedure after reviewing your complete medical history.

Most major commercial insurance plans and Medicare cover bariatric surgery when you meet medical criteria. Our team handles pre-authorizations, letters of medical necessity, and insurance paperwork on your behalf. Use our insurance verification form to get started, or call our office and we'll check your coverage same day.

Results vary by procedure and individual. On average: gastric sleeve patients lose 60–70% of excess body weight in the first year; gastric bypass patients lose 70–80%. Long-term success is strongly supported by our nutrition follow-up program and patient support community. Dr. Eduardo will give you personalized expectations at your consultation.

Most patients are discharged the day after surgery. The majority return to desk work within 1–2 weeks and resume full activity by 4–6 weeks. Because we use minimally invasive laparoscopic and robotic techniques, incisions are small and post-operative pain is typically well-controlled.

Bariatric surgery is major surgery and carries risks, including bleeding, infection, leaks, blood clots, and nutritional deficiencies. The risk of death is about 0.1%, and the risk of any complication is about 4%, varying by procedure and by your own health (ASMBS, 2025). Dr. Eduardo will walk you through the specific risk profile of each procedure during your consultation so you can make a fully informed decision.

Yes. All bariatric patients follow a staged diet (liquids, pureed foods, soft foods, and finally solid foods) over the first 6–8 weeks. Long-term, you will need to prioritize protein, stay well-hydrated, and take lifelong vitamin supplements. The nutritionists we work with provide individualized guidance from your first visit through every follow-up.

Some weight regain is possible, especially without ongoing lifestyle support. If significant regain occurs, revisional bariatric surgery (such as a sleeve-to-bypass conversion) may be an option. Dr. Eduardo specializes in revisional procedures and will evaluate your specific situation to determine the safest, most effective next step.