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Before & After Weight Loss Surgery

Before Weight Loss Surgery

Prior to booking a consult with surgeon, patients should attend one of our new patient information sessions, offered online or virtually. This session reviews a number of important topics – including details about our available procedures, insurance requirements and fees, and pre and post-op care.

To help you have the safest and most successful outcome after surgery, you will need to attend several pre-operative appointments. We know your life is busy so we do our best to make your appointment schedule as simple as possible and many appointments can be done virtually. The number of appointments needed vary by case and can be more or less based on complexity. On average though, a patient can expect:

  • 2 or more appointments with the surgical team to discuss your medical history and surgical options
  • 2 or more appointments with a dietitian to discuss pre and post-op nutritional plans, as well as long-term nutritional strategies for success
  • 1 appointment with a psychologist to review common psychological barriers to weight loss, as well as long-term strategies for success

To schedule appointments, please call our New Patient Coordinator at 617-525-3597.

Pre-Surgery Patient Resources

  • The Patient Care Manual:
    • Contains detailed information about what to expect before surgery and during your hospital stay. You will receive a copy at the first appointment with your surgeon and you can view it online here (Spanish version here).
  • Pre-Operative Diet:
    • All patients will start a pre-operative diet 2 weeks before surgery. The diet will be reviewed with you in advance and you can find it on our Nutrition Resources page. If you have questions about the diet, please call the dietitians at (617) 732-8884.
  • Bariatric Forum:
    • We encourage you to attend these meetings that are now being offered through Zoom. The Bariatric Forum brings patients together to share experiences and provide support for each other. Sometimes we have discussion topics, such as plastic surgery, behavioral challenges, and holiday eating tips. Groups are free of charge and no registration is necessary.

After Weight Loss Surgery

Bariatric surgery requires a lifelong commitment to a healthy lifestyle and that includes appointments with your bariatric team as well as other CWMW medical weight loss providers. Here is the appointment schedule for after surgery:

  • 2-3 weeks: Meet with your surgeon or physician assistant and dietitian (small group)
  • 6 weeks: Virtually meet with surgeon or physician assistant, psychologist (small group), and dietitian (optional)
  • 3 months: Meet with the medical weight loss team and dietitian
  • 6 months: Meet in person with your surgeon or physician assistant, psychologist (small group), and dietitian
  • 9 months: Meet with the medical weight loss team and dietitian
  • 1 year: Meet with your surgeon or physician assistant and dietitian and psychologist
  • 1.5 years: Meet with the medical weight loss team and dietitian 
  • After 2 years: Meet with the medical weight loss team and dietitian twice per year (every 6 months), and meet with your surgeon or physician assistant as needed 

You are welcome to schedule additional appointments as needed. Call your surgeon’s administrative assistant to schedule appointments.

Post-Surgery Patient Resources

  • Medical Questions:
    • The physician assistant (PA) phone line is open during office hours at 617-732-8882.
  • Diet and Nutrition Questions:
    • Visit our resources page for more information about the post-operative diet.
    • The dietitian phone line is also open during office hours at 617-732-8884.
  • Bariatric Forum:
    • We encourage you to attend these meetings that are now being offered through Zoom. The Bariatric Forum brings patients together to share experiences and provide support for each other. Monthly topics include discussions about plastic surgery after weight loss surgery, managing behavioral challenges, and holiday eating tips. Groups are free of charge and it is optional to register ahead of time.
  • Post-Operative Behavioral Support Group:
    • Our psychologists hold two behavioral support groups.
      • Initial Post-operative Group for patients 6-8 weeks after surgery
      • Bariatric Behavioral Group for patienets more than 8 weeks after surgery.
    • You must register for these groups in advance and you may have a co-pay depending on your insurance company. To register, call your surgeon's administrative assistant or call 617-525-3597.
  • Care Coordination with Plastic Surgeons:
    • Any major weight loss – whether it comes from diet and exercise or surgery – can result in having loose or excess skin. For patients interested in the removal of excess skin (panniculectomy) after surgery, we can work to coordinate care with the Brigham and Women’s Division of Plastic Surgery. This world-renowned team has extensive experience in working with patients who have recently gone through major weight loss.

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