Insurance Woes

I think it varies greatly by program. I saw the surgeon for pre-op, for surgery, and then for follow-up at 2 weeks and 3 months. Now, I see the bariatric center and they order all my blood work, but I don't see the surgeon.

I would probably get the letter and go through your GP.

Personally, I would definitely want to establish a relationship with a new surgeon. My surgeon told me very early in the process "Remember, I am your GI doc now. If you have ANY pain, discomfort, or questions regarding GI issues, please see me first."

And, I'll tell you, having required emergency GI surgery a couple of weeks ago, I am SO glad he was there. I went right to him, and it took him all of about 3 seconds to say "we are getting you to the hospital, you need surgery now, I'm calling an ambulance".

They know the possible complications and associated symptoms relating to your surgery better than anyone. Not to be overly dramatic, but if I had I gone the route of my PCP (who I really like and respect - she just isn't a bariatric specialist) or just dropping into the ER, the likelihood of me being dying would have been much greater. There was a small window to operate, and I would not have wanted to waste any time.

Most likely you will never need their services, but if you do, it will have been well worth the time and hassle to set up the relationship.

I do think you can use your PCP for the routine stuff if you want to go that route, although I still like going to my surgeon for regular follow ups, I don't feel it's strictly necessary.