Weight Loss Surgery FAQ

You should never be left with unanswered questions.  That’s why at Baptist, our friendly nursing and surgical staff is approachable and understanding when it comes to your individual needs and concerns.

We happily provide answers to some of the more frequently asked questions about bariatric surgery and our ROSE procedure below.

Does my insurance cover bariatric surgery?

Some insurance policies do cover bariatric surgery.  It depends on your employer, your group coverage, and if your insurance has a rider for bariatric surgery.  Your insurance can be verified over the phone.  Please call (210) 297-2030 with any questions.

How do I know if I am a candidate for bariatric surgery?
The qualifications for bariatric surgery are based largely on a calculation called your Body Mass Index or BMI.  This is a calculation based on your height and weight.

You may be a candidate for weight loss surgery if:

  • Your BMI is 40 or greater with or without co-morbidities (medical conditions)
  • Your BMI is 35 or greater with co-morbidities (medical conditions)
Regardless of your BMI, bariatric surgery should be reserved for those who have tried non-surgical methods of weight-loss and have been unsuccessful.

Why would I re-gain weight after gastric bypass?
A number of studies suggest that patients regain weight due to the gradual enlargement of the surgically altered small stomach pouch and stoma, the connection between the stomach and small intestine. When the Roux-en-Y procedure is performed, the stomach and stoma are made very small, which slows the passage of food and creates a feeling of fullness after just a small volume of food is eaten. It is believed that when the stomach pouch and stoma gradually enlarge, the feeling of fullness is no longer present, patients can eat larger meals, and weight gain occurs.

How long will I need to stay in the hospital?
Typically, patients stay less than 23 hours.  You may be discharged the same day if the procedure was done early in the morning, or you may stay overnight.  Your surgeon will make the determination following your procedure.

What type of side effects can I expect?
It is anticipated that patients will feel little or no discomfort from the procedure.  To date, the only noted side effects have been short-term sore throat, swollen tongue and lip pain from the insertion of the instruments into the mouth.

What is the success rate?

It is too soon to estimate the likely procedure success rate.  However, to date, the procedure has been well tolerated and the first few patients have experienced weight loss within the first 4 weeks and a reduction in food volume capacity.

What is the recovery process?
Typically patients return to normal activity within a few days of their procedure. Your doctor will give you specific instructions. In addition, patients are asked to follow a post bariatric surgery diet and exercise plan, similar to the regimen prescribed following the initial bypass surgery. In addition, follow-up appointments with your doctor and regular visits with bariatric support staff will be required.

Will it be covered by insurance?
As with gastric bypass surgery, coverage will vary depending upon the insurance provider. A specialist in your physician’s office will discuss your plan with you. In the event insurance will not cover the procedure, financing options may be available. Check with your surgeon’s office for information on possible financing programs as well as potential tax advantages for any expenses you may incur.

What will the procedure cost?
The cost for the procedure will vary depending upon where the procedure is performed, how long you stay in the facility and other factors. Your doctor or the program coordinator will be able to give you an estimate of the total cost.

Is incisionless surgery just for gastric bypass restorations?
This procedure is one of the first of many potential applications for incisionless surgery.  Incisionless surgery is considered the next wave in minimally invasive procedures and, in addition to obesity, it has generated interest among physicians in areas such as GERD, GI cancer and NOTES (Natural Orifice Translumenal Endoscopic Surgery).