If you have completely gone through the website, you have a reasonable understanding of surgeries for reducing weight. Going through other links will further your knowledge in this.

1. Determine if it is something you really want to do. Bariatric surgery is not an easy way out or a quick fix. It is a major procedure that helps most people but requires commitment and lifestyle changes.

2. Find out what your body mass index (BMI) is and determine if you are a candidate.

3. If you are a candidate, decide on which procedure you want after you have researched your surgical options. You may change your mind after your surgical consultation or during your research. This is normal. You can learn more about your options at The American Society for Bariatric Surgery Website.

4. Download and print the medical history form below (You will require Adobe Acrobat Reader 7 or later) or call our office to have one mailed to you. Fill out the form and mail it to us or post to the address on the last page of the form.

Once the form is received, you will get confirmation from the office & an invitation to fix an appointment will be extended. At the initial office appointment the patient will undergo a physical examination & will be guided through the steps necessary to complete the preop evaluation. Arrangements for this evaluation will be made for the patient depending upon the patient's preferences. In most cases this includes an upper GI X-ray series, a Helicobacter Pylori assay (blood test for bacteria in the stomach), psychology evaluation, and arrangements for medical preop evaluation. This includes blood tests (complete blood counts, BT, CT, PT blood sugar fasting & post prandial, blood urea, liver function tests, lipid profile and TSH), X-ray chest, ultrasound of upper abdomen & EKG. This evaluation can be carried out at the patients hometown hospital provided the medical staff is familiar with the issues surrounding morbid obesity and weight loss surgery.

When the preoperative evaluation has been completed a second appointment is made with doctor. At this time all the reports will be examined and any outstanding issues are resolved including the questions that may have arisen since the last visit. At this time the patient will be provided guidance regarding preoperative preparation including nutrition. The surgical date is scheduled and preoperative orders are carried out. Consent for the operation is obtained by initialing and signing a pamphlet explaining many of the benefits and risks involved in the surgery. Outstation patients can send the report by E-mail. They will be mailed the consent form which they should discuss with their family members.

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