Main content

    Frequently Asked Questions

    Mills-Peninsula's weight loss surgery program is an American Society of Metabolic and Bariatric Surgery Center of Excellence (ASMBS). We offer Lap Band, Roux-en-Y gastric bypass, vertical sleeve gastrectomy and transoral "Stomaphyx" procedures for patients looking to receive the best care in the Bay Area.

    Philosophy

    Long-term success following every procedure depends in large part on making positive lifestyle changes through diet and exercise.

    Back to top

    What are the benefits?

    The emotional and physical benefits of achieving a healthy weight are significant. People who lose at least 50 percent of their excess weight report they have more energy, endurance, and ability to enjoy physical activities, as well as significant improvement in back and joint pain. Research on the effects of major weight reduction have demonstrated a significant decrease in the risk of heart disease, and often improved blood pressure in patients with hypertension.

    Many people with obstructive sleep apnea or respiratory problems enjoy marked improvement. The majority of significantly overweight people who have diabetes enjoy tremendous improvement in blood sugar control following major weight reduction, and many no longer require medication. Skin problems related to obesity usually resolve; Acid reflux (indigestion) symptoms often improve or disappear.

    Back to top

    Who is eligible?

    Generally, patients are at least 100 pounds over their ideal body weight and have a Body Mass Index (BMI) greater than 40. Click for Body Mass Index Tool to figure out your score.

    People with a BMI between 35 and 40 may be eligible if they have two or more conditions associated with their obesity, such as diabetes, obstructive sleep apnea, heart disease or arthritis.

    If your score is below 35, you are not eligible for these surgical procedures. However, you may call 650-696-4772 to schedule a personalized dietary consultation.

    The age range for this surgery is generally 18 - 60 years old. However it may be appropriate for some older people in extreme situations. People with substance abuse issues are not appropriate candidates.

    Back to top

    Will my insurance pay?

    Many health plans will cover this surgery if the person meets all requirements. For example, you must be able to document that you have seriously tried to lose weight multiple times through conventional methods without lasting results.

    We can only accept Medicare patients for evaluation who live locally and are referred by their own physician. We do not accept MediCal. We encourage patients to call their provider and familiarize themselves with their respective plan.

    Back to top

    What are the risks?

    Obesity surgery has a mortality rate of less than half of .1 percent nationally. However, significant obesity itself increases the risk for many life-threatening diseases, including diabetes, heart disease, respiratory problems and liver dysfunction.

    Complications which may occur during surgery, or soon after, include bleeding, a leak or narrowing of the anastomosis (where the loop of bowel is attached to the stomach pouch), abscesses inside the abdomen, wound infection, blood clots developing in the legs (deep venous thrombosis) or a blood clot going to the lungs (pulmonary embolism). Between 5 - 10 percent of patients experience a post-operative problem that requires medical attention. Complications which may occur later include incisional hernia, narrowing or stricture of the anastomosis, small bowel obstruction, gallstone formation, anemia and diarrhea. Some complications may require additional surgeries. These complications are rare and are reduced at MPHS by taking pre-operative measures you will discuss at your MD consultation.

    Back to top

    How much weight can I expect to lose?

    Weight loss after surgery depends on how successful you are in making significant dietary and lifestyle changes. Mills-Peninsula's program is designed to support you in making those changes.

    Most patients lose 8 - 10 pounds a month or more during the first year and continue to lose weight, usually at a slower rate for another year. Lap-Band patients who are not losing weight at a desired rate have the option of adjusting their band periodically.

    Successful habits include eating three small, high protein, low carbohydrate meals per day. Avoid caloric snacks and beverages, including alcohol.

    A program of regular exercise is very important for promoting and maintaining weight loss. Patients tend to gain weight if they start eating larger portions, consume high fat or "junk" foods, or drink high-calorie beverages.

    Back to top

    Can I get pregnant after bariatric surgery?

    We recommend a period of one to two years after surgery before becoming pregnant. For additional nutritional counseling during pregnancy, you may call 650-696-5469 to speak to someone in our Sweet Success program.

    Back to top