Common Bariatric Questions

Individuals interested in learning more about Piedmont’s bariatric program are encouraged to attend our free surgical weight loss seminar in-person or online.

How do I know if I am a candidate for surgical weight loss?

Most candidates for bariatric surgery are:

• 18 years old or older
• Have a Body Mass Index (BMI) of 35 or higher or a BMI of 30 with risk of comorbidities including the following health conditions: 
  • High blood pressure
  • High cholesterol
  • Family history of heart disease
  • Type 2 diabetes
  • Arthritis
  • Joint pain
  • Sleep apnea
  • Asthma
  • Infertility
• Candidates have failed previous weight loss attempts (diet/exercise) and medical weight loss therapies and are motivated, psychologically stable and have realistic expectations of how the procedure can assist them in weight loss. Candidates also have an understanding of weight loss surgery and accept the operative risks. In addition, candidates have a supportive environment that enables them to commit to long-term medical follow-up and making life-long behavioral changes to diet and exercise.

Each patient is unique; you and your physician will discuss your personal medical and nutrition history, risks and expectations following surgery to determine if you are a candidate for bariatric surgery.

How much weight can I expect to lose through weight loss surgery?

Most patients can expect to lose between 50% to 75% of extra their excess body weight. More than 95% of patients will successfully lose half of their extra body weight or more after surgery. Most weight is typically lost during the first six to 12 months following surgery.

Will my insurance cover the cost of weight loss surgery?

Insurance coverage for bariatric surgery varies by insurance company and plan. We will help check your coverage but also recommend you contact your insurance company to find out if your plan includes coverage for weight loss surgery and if there are any other requirements.

Since each insurance provider is different, candidates will work with Piedmont’s insurance navigator, their surgeon and primary care physician’s offices to gather the necessary documentation for submission to your insurance.

Are there other payment options available for bariatric surgery?

Yes, if your insurance does not cover weight loss surgery, there may be other options available to you to cover costs associated with bariatric surgery. Call the bariatric navigator to learn more — 803-578-8356.

How can I get started?

The first step is to submit a copy of your insurance card and complete your medical history questionnaire. You can then schedule an appointment with one of our surgeons.  You are also encouraged to watch or attend an informational seminar in-person or online. To get started, call 1-803-578-8356 to speak with a bariatric navigator.

How long will it take for me to have bariatric surgery?

It can typically take between three to six months from beginning the process to undergoing a surgical weight loss procedure. Your insurance carrier and surgeon can provide you with information regarding your personal bariatric surgery timeline.

What do I need to know before I begin the bariatric surgery the process?

The most important thing to know is that bariatric surgery is not a “quick fix” but a tool to be used for long-term, maintained weight loss and overall health. Success with weight loss surgery is improved by making a commitment to healthy eating, exercise, attending regular surgeon appointments and patient support groups and taking bariatric vitamins for life. In addition, your relationship with your family and loved ones is also an important factor in bariatric surgery success.

Which surgery is right for me?

Patients can learn more about the surgical weight loss procedure that meets their health needs by attending a Piedmont Medical Center surgical weight loss seminar and/or scheduling a consultation with a surgeon. For help or questions, please call 803-578-8356.

How can I prepare for my bariatric surgery?

• Begin to work on healthy eating habits and increasing exercise.
• Keep your appointments.
• Quit all forms of nicotine
• Read and educate yourself about the journey ahead
• Attend a support group

What are the clearance tasks that I will need to complete before surgery?

Your surgeon will provide you with a list of the necessary medical tests and screenings that you will need to have performed before surgery. Many times, these tests can include the following:

• Physical health exam
• Sleep study
• Cardiology clearance
• Lab work
• Visit with Dietitian and behavioral health provider

What can I expect immediately following surgery?

After surgery, you will be taken to the recovery room for observation. Once you are awake, your blood pressure, pulse and breathing are stable you will be taken to your bariatric room.

You may receive pain medication if needed. You will be encouraged to move around as tolerated as soon as possible. You will be given sugar-free clear liquids like water or broth to drink from a small medicine cup.

The bariatric program coordinator will visit you to answer any questions you may have before you are discharged home. Your nurse will review your home care instructions and any prescriptions for medications.

Many people go home same day (with surgeon approval) or stay in the hospital overnight and go home the following morning. You can expect to be out of work for one to four weeks depending on the type of work you do. You are encouraged to discuss your out of work time with your surgeon.

What is the typical recovery time after surgery?

Typical recovery for weight loss surgery is between two to four days, with many individuals returning to their normal routine within two to three weeks after surgery.

Will I regain weight after surgery?

No, most patients lose significant weight and keep the weight off if they adhere to lifestyle changes.

Can I get pregnant after weight loss surgery?

Yes, however, it is recommended to wait 12 to 18 months after surgery before getting pregnant. Most women become more fertile after surgery and birth control pills are less reliable during your weight loss phase. We recommend you discuss your options to prevent pregnancy with your regular healthcare provider.

Will I lose my hair after weight loss surgery?

Some hair loss is expected with rapid weight loss, usually three to six months after surgery. This is almost always temporary. Eating a healthy diet, keeping protein intake adequate and taking vitamins as prescribed will help protect your hair after surgery.

Will I need plastic surgery for excess skin after surgery?

The desire to have plastic surgery is dependent on many factors. Most patients find weight training, shapewear and clothing selection is enough to manage excess skin. Some patients do choose to have plastic surgery once they have reached a stable weight, typically 12 to 18 months after surgery.