Unmasking 6 Common Myths vs. Facts About Bariatric Surgery

March 10, 2025

Bariatric surgery, a transformative procedure for those struggling with severe obesity, is often surrounded by myths. Let's debunk some of the most common misconceptions about Bariatric Surgery.

**Fact**: While any surgery carries risks, bariatric surgery has significantly advanced over the years. According to the American Society for Metabolic and Bariatric Surgery (ASMBS), the mortality rate for bariatric surgery is less than 0.1%, comparable to or even lower than some common surgeries like gallbladder or hip replacement surgery. Skilled surgeons use advanced techniques to minimize risks, ensuring patient safety.

**Fact**: Bariatric surgery is far from easy. It requires a lifelong commitment to healthy living. Patients must adhere to strict dietary guidelines, engage in regular physical activity, and attend follow-up appointments for optimal results. Surgery is a tool, not an effortless solution. It provides a means to jumpstart weight loss when other methods have failed but still requires considerable effort and dedication from the patient.

**Fact**: Most insurance plans, including Medicare, often cover bariatric surgery if you meet specific medical criteria. Generally, individuals must have a Body Mass Index (BMI) of 40 or more, or a BMI of 35-39.9 with obesity-related conditions such as diabetes or hypertension. Coverage criteria can vary, so it’s essential to check with your provider. Many insurers recognize the long-term cost-saving benefits of treating obesity and related conditions early.

**Fact**: Bariatric surgery is not cosmetic; it's a medical and often lifesaving procedure. Its primary goal is to improve health by aiding in significant weight loss, which can reduce the risk of developing severe obesity-related conditions. While physical appearance may change, the emphasis is always on health improvement. The surgery addresses physiological factors contributing to obesity, unlike cosmetic procedures that solely focus on appearance.

**Fact**: Bariatric surgery has been shown to improve or even resolve many obesity-related conditions. Studies indicate that up to 80% of patients experience remission of type 2 diabetes after surgery. Furthermore, weight loss can reduce the risks of certain cancers, heart disease, sleep apnea, and joint problems. The procedure fundamentally alters the body's metabolism, hormone levels, and appetite regulation, leading to profound health benefits.

**Fact**: While medications like GLP-1 receptor agonists can aid in weight loss, they may not be as effective as bariatric surgery for everyone. GLP-1 medications can help reduce appetite and lower blood sugar levels but often result in moderate weight loss. Bariatric surgery tends to produce more substantial and permanent weight loss, along with significant health improvements. It’s also worth noting that long-term use of weight loss medications can be expensive and may have side effects. For many patients, surgery provides a more comprehensive and durable solution.

Bariatric surgery is a powerful tool for combating severe obesity and related health issues. Dismissing it due to misconceptions can deter individuals from seeking a potentially life-saving option. As with any major health decision, it's crucial to consult healthcare professionals, thoroughly research, and understand both the benefits and risks. The myths surrounding bariatric surgery often obscure its profound and multifaceted benefits, preventing individuals from reaping the full potential of this medical advancement.

Dr. Anish Nihalani practices at New York Bariatric Group.

ABOUT THE AUTHOR Dr. Anish Nihalani maintains active memberships in medical associations, including the American Medical Association (AMA), American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS). Dr. Nihalani practices at New York Bariatric Group.

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