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5 Questions That Tell You If You’re a Good Candidate For Weight-Loss Surgery

Let's get one thing out of the way right now: Weight-loss surgery isn't only a lazy way to drop a few pounds, particularly if you've got more weight to lose than you care to admit.

Real talk: “ The chance of a very obese person maintaining weight loss with diet and exercise alone-or even about medications-is about 2 percent after six months, ” affirms Erik P. Dutson, M. D., medical professor of surgery and chief of UCLA’s section of minimally invasive and bariatric surgery treatment.

And while trying to willpower your way to weight loss 1st sounds great and all, sometimes, doing weight-loss surgery sooner rather than later is actually your smartest choice: “ I think bariatric surgery has always been thought of as last resort, but actually the longer you wait, the less the effect it has, " Dutson says.

Wondering if a procedure like bariatric surgery may be right for you? Here are the questions doctors ask individuals before they make the final call.

1. How overweight are you?

Many insurance companies won't cover weight-loss surgery unless you have a BMI of more than 40-or diabetes and a BMI of more than 30, affirms Dutson.

2. Do you have any underlying health conditions?

You can have health problems like diabetes and high blood pressure and still get weight-loss surgery-but the main element is to have these conditions in order. Usually, it ups the chance of problems, Dutson says.

That means patients have to take medications to modify symptoms prior to they ever set foot in the OR.

“Plenty of patients can be found in and say the nice reason they need the surgery is to regulate their diabetes, ” Dutson explains. “But my emotion is: Even if you have to go on insulin temporarily, that’s much better in terms of safety during the operation-and then after surgery, you can go off the meds completely. ”

3. Have you had any addiction problems in the past?

Most patients go through a psychological analysis pre- surgery, says Dutson. This helps ID and address any addiction problems-including those related to food.

“The problem here is addiction replacement, ” he explains. In other words, if someone is addicted to food, then after surgery, they’re more likely to get develop an harmful relationship with something similar to drugs, alcohol, or sex or gambling even.

“ Invest the away the meals, they’ll seek to displace that, ” Dutson says. “And that means you have to address these addictive drives so they’ll be setup for success later 1st. ”

4. Do you smoke?

Sorry to break it to the smokers away there, but this habit will coincide with an addictive character, Dutson says-which can result in the presssing issues mentioned above.

What’s more, smoking may also raise the threat of difficulties (not precisely a shocker considering that side effects of smoking: a higher chance of heart disease, respiratory problems, and stroke).

5. Have you already started making healthy changes?

You can’t just go under the knife and expect to see lasting results without overhauling any of the habits you had beforehand, says Dutson.

And while pre-op behaviors don’t always match what a patient will do post-op, some doctors (including Dutson) won't consider you for surgery unless they see that you've already started making an effort in the whole "I'm eating better and moving more" department.

“This just increases the risk and minimizes the potential benefit, ” says Dutson.

The pre-operation period is about three to six months for the typical patient, so this is the time when you need to start making diet and exercise changes-and lose a few pounds.

Dutson says he encourages about 5 percent weight loss ( so for a 300-pound person, that’s 15 pounds). “ The fact is that most patients we see have been on a million different diets and have been temporarily successful in weight loss, but gained it back, which is normal, ” he says. “But if they were able to lose weight temporarily, they'll be very successful probably, because surgery helps it be permanent. ”