I am a physician trained in bariatric surgery but do not do it as part of my practice. That being said, on a population level and until the recent introduction of the GLP drugs bariatric surgery is the only thing that actually results in long-term weight loss for morbidly obese people. It does, however, have significant risk of early and late complications and vastly changes behavior, which some people find it hard to deal with. Early complications include leak with about a 2% risk, death with about 1⁄500 or so, and various and sundry other minor complications that have a risk of about 10%.
I would absolutely undergo sleeve or bypass if my BMI went over 35 with any comorbidities if I did not get adequate results from the new GLP medications, which, in my opinion, should definitely be first line for people without contraindications.
I am a physician trained in bariatric surgery but do not do it as part of my practice. That being said, on a population level and until the recent introduction of the GLP drugs bariatric surgery is the only thing that actually results in long-term weight loss for morbidly obese people. It does, however, have significant risk of early and late complications and vastly changes behavior, which some people find it hard to deal with. Early complications include leak with about a 2% risk, death with about 1⁄500 or so, and various and sundry other minor complications that have a risk of about 10%.
I would absolutely undergo sleeve or bypass if my BMI went over 35 with any comorbidities if I did not get adequate results from the new GLP medications, which, in my opinion, should definitely be first line for people without contraindications.