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Getting started

Here is some important information to get started on your journey toward a healthier you.

Steps to surgery

  1. Attend an information seminar 
    Staten Island University Hospital offers bariatric surgery information seminars twice a month. A bariatric surgeon will discuss in detail the weight loss procedures we offer. You’ll learn the risks and benefits of each procedure and have an opportunity to ask questions. You will also meet some members of our team and will receive an application.
  2. Submit an application
    You’ll give us some basic information about you and your health. Things we’ll ask for include:
    We’ll review your application to see if you meet the basic eligibility criteria for bariatric surgery. If you do, you’ll be contacted to make an appointment to attend one of our education sessions.
    • Name and contact information
    • Current height and weight
    • Medical and surgical history
    • Diet history
    • Current medications
  3. Attend an education session. This is a group session led by one of our nurse practitioners and a nutritionist. They will:
    • Measure your height, weight, blood pressure and BMI
    • Give you written materials and a program booklet
    • Discuss the main principles of surgical weight loss
    • Discuss the procedures we offer, including the advantages and disadvantages of each
    • Explain the preoperative requirements, including necessary consultations and laboratory evaluations
    • Describe the post surgery follow-up program
  4. Consult with a surgeon
    • You will meet with a surgeon to discuss your procedure. He/she will also review your medical history and conduct a physical examination. You must bring a support person with you (who is over the age of 18) to this consultation.
  5. Receive a nutrition evaluation
    • You will meet with our nutritionist for a one-on-one consultation. You’ll discuss your current nutritional status and dietary patterns, and learn about your recommended diet after surgery. 
  6. Undergo preoperative evaluations and attend support group meetings 
    • Before you are deemed eligible for bariatric surgery, you will undergo a thorough evaluation process, including: 
      • Psychological evaluation
      • Blood screening
      • Gastrointestinal evaluation, including upper endoscopy with biopsy for H. pylori
      • Pulmonary evaluation which may include a sleep study to test for obstructive sleep apnea
      • Cardiac evaluation which may include an EKG, an echocardiogram, and/or a stress test
      • Abdominal ultrasound to evaluate for gallbladder disease and liver size
      • Nicotine screening (if applicable)
    • You must also attend at least two support group meetings prior to surgery. Other evaluations may be required if your medical history or results from the initial testing indicate they are necessary.
  7. Get insurance authorization
    • Once you have met with your surgeon, nutritionist, and psychologist, have had your blood work screening completed, and have met insurance requirements, we will contact your insurance plan for authorization.
  8. Attend a preoperative consultation
    • If you are eligible for surgery, you will meet with your surgeon, nurse practitioner and nutritionist before your procedure is scheduled. You will review the procedure, including the risks and benefits, and sign a consent form. You’ll also receive prescriptions for medications you’ll need after surgery, as well as requisitions for any necessary post-operative testing.
  9. Attend a preoperative class
    • Once you’ve been scheduled for surgery you will take a preoperative class. It will focus on what to expect while you are in the hospital including how long you’ll be there, pain control, how soon you can resume activities, diet, and planning to go home. You’ll also take a tour of the surgical floor.
  10. Complete pre-admission surgical testing
    • Just prior to surgery, you will undergo routine blood screening, urinalysis, chest X-ray, and EKG. You will also receive a brief physical examination.
  11. Have surgery
    • The surgery will take between one and three hours depending on the procedure. Your expected hospital stay will be between 24 and 48 hours.
  12. Schedule follow-up visits
    • After surgery, in addition to periodic blood screening, you will meet with your surgical team regularly:

Gastric bypass and sleeve gastrectomy patients

  • 1st visit – 7 to 10 days following surgery
  • 2nd visit – 1 month following surgery
  • 3rd visit – 3 months following surgery
  • Every three months for remainder of the first year
  • Every six months the second year
  • Annual follow-up thereafter 

Lap-Band patients

  • 1st visit – 7 to 10 days following surgery
  • 2nd visit – 3 weeks following surgery
  • Every 6 weeks for the first year
  • Every three months the second year
  • Every six months the third year
  • Annual follow-up thereafter