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Choosing a Surgeon

By the television and written press, one would think that bariatric surgery is a new field. However, gastric partitioning, as with the Roux en Y gastric bypass, has been practiced for about 30 years. Although not a designated subspecialty of General Surgery, bariatric surgery is a field which requires a set of unique surgical skills, but more importantly experience and dedication to the performance of the operation, and a commitment of the surgeon, and the hospital, to the long term follow-up care of these patients.

Just as there is discrimination in society, many physicians and surgeons discriminate against the morbidly obese, feeling that "if you would only quit eating, you would lost weight." Other surgeons "dabble" in obesity surgery, doing an occasional procedure. This is becoming more prevalent with the advent of laparoscopic procedures and laparoscopic banding, which has resulted in more surgeons "trying a few cases." There is no commitment to obesity surgery, and it is a set up for failure.

You should look at the experience and commitment of your surgeon to the field of obesity surgery. Is there a program of education and follow-up to help you maximize your success? Does the surgeon have the experience to choose the right procedure for you, and does he have the experience to recognize and treat any possible complications?

You would not go to a heart surgeon who read about heart bypass in a book and decided he could probably do that procedure. You would not get on an airplane with an inexperienced pilot and bet your life that he can figure out how to fly the airplane.


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