Symptoms/Conditions Addressed

• Excess body weight and obesity

• Diabetes and insulin resistance

• High blood pressure

• Sleep apnea and snoring

• Joint pain and mobility restrictions

• Risk of cardiovascular disease

Types of Bariatric Surgery

1. Gastric Sleeve (Sleeve Gastrectomy)

   • Removal of a large portion of the stomach

   • Restricts food intake, reduces hunger hormones

2. Gastric Bypass (Roux-en-Y)

   • Small stomach pouch created; part of the small intestine bypassed

   • Reduces calorie absorption and limits food intake

3. Adjustable Gastric Banding

   • Inflatable band placed around the upper stomach

   • Creates a small stomach pouch to control food intake

4. Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

   • Combination of sleeve gastrectomy and intestinal bypass

   • Highly effective for weight loss and metabolic improvement

5. Mini Gastric Bypass

   • Simplified version of gastric bypass with shorter operative time

Procedure Overview

1. Pre-operative Assessment

   • Blood tests, imaging, cardiopulmonary evaluation

   • Nutritional and psychological assessment

2. Surgery

   • Performed under general anesthesia

   • Laparoscopic (minimally invasive) or open surgery

   • Duration: 1–3 hours depending on procedure

3. Post-operative Care

   • Hospital stay: 2–5 days

   • Pain management, wound care, and early mobilization

   • Gradual transition from liquid to solid diet

   • Long-term follow-up for nutrition and weight loss

Benefits of Bariatric Surgery

• Significant and sustained weight loss

• Improvement or resolution of obesity-related comorbidities

• Reduced risk of cardiovascular disease and diabetes complications

• Improved mobility, sleep, and quality of life

• Minimally invasive techniques reduce recovery time and scarring

Bariatric Surgery Cost in India

Table 1: Average Bariatric Surgery Cost in India

Factors Affecting Cost

1. Type of bariatric surgery – Sleeve, bypass, banding, or BPD/DS

2. Hospital facilities and city – Metro cities and premium centers may charge higher

3. Patient health and comorbidities – Complex cases may require ICU care

4. Pre- and post-operative assessments – Nutritional counseling, labs, and imaging

5. Follow-up care – Long-term nutritional supplementation and monitoring

Who Should Consider Bariatric Surgery?

• Individuals with morbid obesity or BMI ≥35 with comorbidities

• Patients who have failed medical or lifestyle management for weight loss

• Those seeking improvement in obesity-related health conditions

• Candidates referred by bariatric surgeons, endocrinologists, or nutritionists

• Suitable for adults, with pediatric bariatric surgery considered in select cases