Bariatric surgery is an effective treatment for obesity that can dramatically change a person's life. However, many people still view such surgeries with caution. Some consider them an "easy way out," others an extreme measure. In fact, these procedures involve an entire system of preparation, medical indications, and subsequent lifestyle changes. If you're considering bariatric surgery or simply want to learn more about the topic, here are seven important facts to help you make the right decision.

1. Bariatric treatment is not one procedure, but a whole range of techniques

Many people believe that bariatric surgery is a specialized procedure. There are actually several types of bariatric surgery. The most common are the gastric sleeve (removal of part of the stomach), the gastric bypass (creation of a bypass for nutrient delivery), and the adjustable gastric band. The choice of method depends on the patient's condition, weight, comorbidities, and the doctor's recommendations. There is no one-size-fits-all approach—everything is individual.

2. Bariatric surgery is not a "magic pill"

Some people mistakenly believe that surgery automatically solves all problems. In fact, bariatric surgery is only an aid, not a ready-made solution. After surgery, the patient must completely change their lifestyle: change their diet, exercise, and monitor their psycho-emotional condition. Without these measures, weight gain is possible, even after surgery.

3. Surgery can improve or completely eliminate comorbidities

Obesity is often associated with type 2 diabetes, hypertension, sleep apnea, osteoarthritis, and other problems. Studies show that many patients experience either significant improvement or complete remission of these conditions after bariatric surgery. This is especially true for type 2 diabetes: in some patients, blood sugar levels normalize within the first few weeks after the procedure. You can search for "bariatric center near me" to find experienced and qualified specialists in your area.

4. Psychological support is key to success

After bariatric surgery, patients experience not only physical but also emotional changes. Stress, anxiety, changes in body image, and relationship problems – all of these can arise over time. This is why support from a therapist or support group is so important. Emotional health influences motivation, eating habits, and overall quality of life.

5. Not everyone is a candidate for bariatric surgery

There are several medical indications and contraindications for surgery. Typically, bariatric surgery is considered if the body mass index (BMI) is above 40, or above 35 if there are serious comorbidities. However, even with a high BMI, the doctor may refuse surgery if the patient, for example, suffers from serious mental illness or addiction, or is unwilling to follow recommendations. The surgery requires a mature approach and discipline. 

6. Diet after surgery is a strict regimen

After bariatric surgery, the stomach shrinks, and the amount of food consumed is drastically reduced. Liquid and pureed foods are required for the first few weeks after surgery. Soft foods are then introduced, and only after months does the person return to solid foods. In addition, many patients take lifelong vitamin and mineral supplements because absorption of certain substances may be impaired. Failure to follow these guidelines can lead to nutrient deficiencies.

7. Weight can come back 

Although many patients lose 50 to 80% of their excess weight in the first few years, there is a risk of some weight regain after 3 to 5 years. This can be due to a return to old habits, a decrease in physical activity, or emotional eating. However, most patients remain significantly lighter than before surgery, even with weight loss of several pounds. To ensure the results are lasting, it is important to maintain lifelong healthy habits.

The bottom line

Bariatric surgery is a powerful tool that can give people new life, improve their health, and enhance their quality of life. But this isn't a miracle or a simple solution. It's work—daily, deliberate, and demanding. If you're considering this path, it's important to gather as much information as possible, consult qualified professionals, and be prepared for changes, not only external but also internal.