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Weight Loss Surgery

​The Weight Loss Surgery Program at Baylor Scott & White Medical Center – Carrollton is accredited by the American Society of Metabolic and Bariatric Surgery (ASMBS). Bariatric surgeons on the medical staff offer individualized medical weight loss and weight loss surgery options designed to promote long-term weight management to those struggling with morbid obesity.

The goal of surgery for morbid obesity is to help the patient modify his or her behavior so that with a proper diet and exercise, successful and lasting weight loss may be achieved.

At Baylor Scott & White Medical Center – Carrollton, we offer a variety of education classes and support groups. Click here to see when our support group meets.

What is Morbid Obesity?

Morbid obesity is a serious medical condition. If you are morbidly obese, it means that you are severely overweight by at least 100 pounds. It also means that you have excessive amounts of body fat compared to healthy standards.

Knowing whether or not you are morbidly obese is important. This condition puts you at very high risk for a host of serious medical problems, including high blood pressure, diabetes and heart disease. Being morbidly obese may also hamper your ability to get around, expose you to possible discrimination or social stigma and may lower your self-esteem.

What Risks Do I Face If I'm Morbidly Obese?

If you are morbidly obese, you have a much greater risk of developing a variety of serious medical conditions compared to individuals who are not obese. You may develop health problems at a younger age. Some of these conditions may include:

  • High Blood Pressure
  • High Cholesterol
  • Type 2 Diabetes
  • Heart Disease
  • Angina
  • Congestive Heart Failure
  • Stroke
  • Arthritis
  • Asthma
  • Obstructive Sleep Apnea
  • Back Pain
  • Pregnancy Complications (including diabetes, high blood pressure, pre-eclampsia and C-section delivery)
  • Menstrual Irregularity and Infertility in Women
  • Bladder Problems
  • Poor Heat Tolerance
  • Complications and Infections after Surgery
  • Skin Infections
  • Depression and Eating Disorders
  • Certain Cancers
  • Premature Death

Who is a Candidate?

Although there are some exceptions, the following criteria must be met before a candidate is accepted for surgery into Baylor Scott & White – Carrollton's Weight Loss Surgery Program.

  • Candidate must be at least 100 pounds over the ideal body weight.
  • Candidate's age must be at least 18 years.
  • Candidate must have a Body Mass Index (BMI) of 40 or above in most cases. Your Body Mass Index (BMI) is an estimate of your body fat, based on your height and weight. Use our BMI calculator link on the right to find out about yours.
  • Candidate has a BMI between 35 and 40 and has additional medical conditions (co-morbidities) such as: hypertension, diabetes mellitus, obstructive sleep apnea, heart disease, pulmonary function abnormalities, gallbladder disease, hiatal hernia, GERD, chronic lower back pain, osteoarthritis or other medical conditions which may be alleviated by weight loss.
  • Candidate must have attempted weight loss using other methods. These attempts must include diets that were nutritionally and medically sound.
  • Candidate must demonstrate a willingness to make the necessary changes in eating habits and express motivation towards weight loss.

Candidate must not have medical conditions which would make surgery or anesthesia unduly hazardous.

What is Bariatric Surgery?

Weight Loss / Bariatric Surgery is not a cosmetic procedure like liposuction or a tummy tuck. Weight Loss / Bariatric Surgery is for individuals who are 100 pounds or more overweight and helps patients lose weight by limiting the amount of food intake (restriction) and/or causing some of the food to be poorly digested and incompletely absorbed (malabsorption).

Today there are several surgical options for weight loss. You and your surgeon must evaluate the procedures and decide which one is right for you. Results achieved by patients must be independently evaluated and managed. Actual weight loss will vary.​

No quick fixes. No gimmicks. No miracle pills. No fad diets. Our weight loss surgery solutions include:

  • Sleeve gastrectomy
  • Adjustable gastric banding
  • Gastric bypass procedures.

Accredited Bariatric Surgery Center

Safe and Quality Care

The Weight Loss Surgery Program at Baylor Scott & White – Carrollton is accredited by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). Faced with clinical evidence that the most experienced and best-run bariatric surgery programs have by far the lowest rates of complications, MBSAQIP was created to recognize bariatric surgery centers that perform well and to help surgeons and hospitals continue to improve the quality and safety of care provided.

Approved Facility for Weight Loss Surgery

Not only does this distinction recognize the quality of care, but also qualifies our program to be recognized as an approved facility for Weight Loss Surgery by the following insurance companies:

  • Aetna Institute of Quality for Bariatric Surgery
  • Blue Cross Blue Shield Blue of Texas Distinction Center® for Bariatric Surgery
  • United Health Care OptumHealth Clinical Sciences Institute Bariatric Centers of Excellence network (COE)

When considering Bariatric Surgery, be sure to ask if the surgical facility is an accredited bariatric surgery center. You deserve the best care available.

Note: Designation as Blue Distinction Centers® means these facilities' overall experience and aggregate data met objective criteria established in collaboration with expert clinicians' and leading professional organizations' recommendations. Individual outcomes may vary. To find out which services are covered under your policy at any facilities, please call your local Blue Cross and/or Blue Shield Plan.

Frequently Asked Questions

Answers to our most frequently asked questions.

What is the Weight Loss Surgery Program?

The Weight Loss Surgery Program is a multi-disciplined approach designed around medical and clinical professionals dedicated to assisting you in your commitment to making a lifestyle change. There are no miracle pills, fad diets, or gimmicks. It is a program for individuals at least 100 pounds over their ideal body weight and who have made serious attempts to lose weight through other methods. It is designed for the person who experiences the discomforts of obesity and who has other adverse health effects as well.

​Is a Psychological Evaluation Required for Bariatric Surgery?

Yes. A routine psychological screening is a means of distinguishing a qualified candidate who may be at risk of psychiatric complications or poor weight loss post-operatively. Although you may have undergone a previous psychiatric evaluation, the Surgical Weight Loss Program requires that a psychologist familiar with bariatric surgery conduct an evaluation prior to surgery. The following is a list of factors that the psychologist/psychiatrist may use for evaluation of bariatric surgery candidates.

  • ​Past or present history of a major psychiatric disorder, especially a psychosis
  • Acute psychosocial crisis
  • Extreme evidence of depression or other expected emotional reaction to morbid obesity
  • Unrealistic expectations of surgery (for example, a conviction that surgery will make a spouse love them more or that the patient will be able to lose weight without restricting the amount and type of food eaten)
  • Abuse of alcohol, prescription drugs or nonprescription drugs
  • Evidence of extreme ambivalence about the surgery such as forgetting important appointments associated with the surgery.

Note: It is important that prior to your psychological evaluation, you contact your insurance company to inquire about your mental health benefits. Familiarize yourself with your out-of-pocket expenses. Click here to view a list of insurance accepted.

How Does this Procedure Assist in Weight Loss?

Many morbidly obese people may be facing life-threatening situations. They have tried many diets with little or no success. Even when they experience weight loss, the weight is often re-gained with added pounds. Bariatric surgery is considered a permanent procedure and therefore can have long term results when patients comply with the nutritional/exercise guidelines and are committed to the program requirements.

What Kind of Diet is Required After Surgery?

After surgery different textures of food are introduced, starting with liquids, followed by pureed and finally advancing to solid foods. At the solid food stage, the food must be high in protein and consumed in much smaller quantities than prior to surgery.

How Quickly Does a Person Lose Weight After the Surgery?

Weight loss is highly individualized. The amount of weight lost after surgery is dependent on many factors including age, sex, amount of weight to lose, and compliance with the nutritional and exercise components of the program.

​Once the Desired Weight is Lost, How Does One Maintain that Weight?

Bariatric surgery has an excellent long-term track record for helping morbidly obese individuals maintain weight loss. If you are committed to making permanent dietary and lifestyle changes, your chance of weight re-gain is minimized.

Is it Necessary to Attend Support Groups Before and After Weight Loss Surgery?

Yes, the long term objective of the group in the surgical treatment of obesity is to ensure the maintenance of a stable lifestyle. The short term objective is setting up new habits for a new healthier lifestyle. Members mutually support themselves in a non-threatening environment. Support groups have important psychological and social meaning as a medical treatment method and are an indispensable part of the surgical treatment of obesity.

How Long Will One Have to Watch Their Weight? Is it Forever?

YES! You will want to maintain the caloric intake in proportion to your desired weight, control your eating behaviors and maintain a regular exercise program.

How Long Does the Surgery Take?

This varies and depends on which procedure is performed. We can explain in more detail during your consult.

​What are the Potential Risks?

There are risks and complications, including death, associated with all major surgical procedures and severe obesity increases these risks. It is of the utmost importance that you discuss the possible benefits and all the possible risks of obesity surgery with your physician.

​Long-term weight loss varies for each patient and will depend upon diet and exercise.

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