Weight loss surgery (also
known as bariatric surgery) is a procedure done to help people who
are very overweight and can't lose weight on normal diet and exercise
plans.
Can Anyone Who Is Overweight Get Weight Loss Surgery?
Weight loss surgery works, but it's serious stuff. Doctors usually only recommend
it for people who are very overweight.
These are people who have more than 100 pounds of extra weight to lose and who
face serious health problems
if they don't lose weight.
People who get weight loss surgery have to prepare for the operation. But there's
a lot to do after surgery too. Patients have to cope with the recovery time and learn
to adjust to a whole new way of eating and living. That can be hard. Not everyone
is ready for it.
How Do Doctors Decide Who Can Have the Surgery?
Figuring out if a teen is ready for weight loss surgery is a big decision. It involves
a lot of people: patients, families, doctors, dietitians, exercise specialists, and
psychologists.
Teens can be considered for weight loss surgery if:
They have a body mass index (BMI)
of 35 or more with serious medical problems caused by weight, like diabetes, heart
disease, liver disease, or sleep
They have a BMI of 40 or more, or are 100 or more pounds over their ideal body
weight.
Weight and age are only part of it, though. Before someone can get surgery, doctors
look at other things, including:
Is the patient healthy enough for the surgery? Doctors often
work with patients to improve their health in the months before surgery. This can
make weight loss surgery safer and more effective.
Is the patient emotionally mature enough for the surgery? People
who get weight loss surgery may have to deal with pain, long recovery times, and complications.
Patients must be prepared to accept and handle all these things.
Does the patient know what's involved? The actual surgery is
just one step in the weight loss process. What happens after the operation might be
even more important than the surgery itself.
Is the patient serious about moving to a new way of eating and living
after the surgery? People who get weight loss surgery can't go back to their
old way of life. They need to follow a diet plan and exercise every day, take vitamin
and mineral supplements, and go to all their medical appointments. If patients can't
do these things, the surgery alone may not be enough to help them lose weight and
keep it off.
Will family members help make the operation a success? Keeping
to a new way of eating, exercising regularly, and going to appointments can be hard
without help. Patients must have family members who can provide the practical and
emotional support they need.
Making the Decision
Anyone thinking about weight loss surgery should have several meetings with doctors
and psychologists to decide if an operation is the best choice. Sometimes, doctors
don't think a person is ready. Other times, patients and their families decide that
it's not the right option.
After hearing the facts about weight loss surgery, some people choose to try traditional
weight loss options one
more time — like eating better and getting more exercise.
Weight loss surgery is not for everyone. But the effort may be worth it for people
who are very overweight and have serious health problems because of their weight.
If you're worried about your weight or think weight loss surgery might help, talk
to your doctor.