FAQ and Resources for Bariatric Patients

Bianca Wyatt, a registered dietitian, teaches patients how to eat properly before and after bariatric surgery.

Bianca Wyatt, one of our registered dietitians, helps patients learn how to eat properly before and after bariatric surgery.

Here’s information to help you:

  • Find answers to common questions
  • Decide about bariatric surgery
  • Learn more about obesity, exercise and nutrition
  • Find support

Bariatric surgery FAQ

How long does it take to get surgery?

All told, it can take about six to nine months or so. You’ll start with three to four weeks of orientation, paperwork and other tasks. Then you’ll be evaluated by a nurse practitioner. Once that appointment happens, your surgery will typically be scheduled for four to six months later.

During these months, you’ll be on a weight-loss program. You’ll also meet with a dietitian, psychologist, physical therapist and your surgeon. You might have exams with other specialists. Learn more about Considering Bariatric Surgery.

Why aren’t diet and exercise enough?

Dieting is rarely effective long term for biological reasons, studies show. When you lose weight by dieting, you burn fewer calories because you use less energy. Your body, interpreting less food as a source of stress, also slows down.

Your digestive system sends more hunger signals to your brain, spurring your appetite. Exercise doesn’t always help much because it accounts for only a portion of the calories you burn.

Am I more likely to die from surgery than obesity?

No. Risk of death from bariatric surgery is very low, even though many patients have serious health conditions at the time.

In addition, obese people who get surgery lower their risk of early death from any cause by as much as 89 percent, research suggests. That’s particularly true for those who have obesity-related conditions such as Type 2 diabetes and heart disease.

One study followed about 8,400 patients who had surgery and about 25,000 similar patients who were instructed only in changing diet and behavior. Over 10 years, the patients who had surgery had about half the risk of dying as the other patients. The study was published in 2018 in the Journal of the American Medical Association.

Will I regain all the weight?

This is unlikely. Studies show a large majority of patients who get bariatric surgery lose at least half their excess weight and keep it off for years. Even the 10 to 15 percent of patients who do not lose at least half their extra weight see health benefits.

Do I have to lose weight before surgery?

Yes. It will make your operation safer by reducing belly fat and shrinking your liver. You will also start to learn the eating and exercise habits you’ll need after surgery.

Will I need supplements after surgery?

Yes. You’ll have to take vitamin and mineral supplements for life because your body won’t absorb nutrients the way it used to. You’ll need at least yearly tests to measure your levels of iron, calcium, vitamin D and other elements. The amounts and types of supplements you take may change over time.

Will I need plastic surgery?

You will probably develop loose skin as you lose weight. Deciding on plastic surgery to remove the excess skin is a highly personal decision, however. It will depend on how you feel after your weight loss. You may have to wait at least 18 months after your operation to have plastic surgery.

What about hair loss?

Some hair thinning is common three to six months after bariatric surgery, although it’s unclear why. The hair loss is usually temporary. Getting enough protein, vitamins and minerals can help it regrow.

Will I have problems drinking alcohol?

You will be permanently more sensitive to alcohol after bariatric surgery. You will feel effects with fewer drinks. A small percentage of patients say they have alcohol abuse problems, though most had the problem before surgery as well.

The American Society for Metabolic and Bariatric Surgery recommends that you:

  • Don't drink while you are losing weight fast, such as in the six months after surgery.
  • Be aware that even small amounts can make you intoxicated.
  • Don't drive or operate equipment after drinking any amount.
  • Get help if drinking becomes a problem.

Jill Welshans, nurse practitioner, meeting with a patient

Nurse practitioner Jill Welshans meets with patients to do a complete medical exam.

OHSU resources

OHSU has many services for patients and families, including:

  • An online support group for bariatrics patients, hosted by a nurse practitioner and a dietitian.
  • A concierge desk in the ninth-floor lobby of OHSU Hospital to answer questions and help you find your way.
  • A MyChart secure online tool to manage appointments, contact your doctor, get test results and more.
  • Insurance and billing help
  • Rood Family Pavilion: OHSU’s guest house offers accommodations to out-of-town patients.

Weight/obesity information

Obesity groups

Bariatric surgery information

Nutrition information

Exercise information