Frequently Asked Questions about Bariatric and Laparoscopic Surgery

Deciding to undergo bariatric surgery is a significant step toward transforming your health and life. It’s natural to have questions about the procedures, recovery, costs, and what to expect. Dr. Carlos Navarrete and his team in Tijuana, Mexico, are committed to providing clear, honest answers to help you make an informed decision.

This comprehensive FAQ guide addresses the most common questions patients ask about bariatric and laparoscopic weight loss surgery. Whether you’re just beginning to explore your options or ready to schedule your procedure, you’ll find the information you need here.

General Bariatric Surgery Questions

What is bariatric surgery?

Bariatric surgery refers to a group of weight loss procedures that modify your digestive system to help you lose significant weight. These surgeries work by restricting the amount of food your stomach can hold, reducing nutrient absorption, or a combination of both. The most common procedures are gastric sleeve (sleeve gastrectomy) and gastric bypass (Roux-en-Y gastric bypass).

Am I a candidate for bariatric surgery?

You may be a candidate for bariatric surgery if you meet these criteria:

Body Mass Index (BMI) of 40 or higher (about 100 pounds overweight for men, 80 pounds for women)
BMI of 35-39.9 with serious obesity-related health conditions like type 2 diabetes, high blood pressure, or sleep apnea
BMI of 30-34.9 with uncontrolled type 2 diabetes or metabolic syndrome
Previous unsuccessful attempts at weight loss through diet and exercise
Age 18-65 (though exceptions can be made)
Commitment to lifestyle changes and follow-up care

Dr. Navarrete conducts a thorough evaluation to determine if surgery is right for you, considering your medical history, current health status, and weight loss goals.

What’s the difference between gastric sleeve and gastric bypass?

Gastric Sleeve (Sleeve Gastrectomy):

Removes about 80% of the stomach, creating a narrow tube or “sleeve”
Reduces stomach capacity to 2-4 ounces
Decreases hunger hormone (ghrelin) production
No rerouting of intestines
Simpler procedure with slightly lower complication risk
Expected weight loss: 60-70% of excess body weight
Non-reversible

Gastric Bypass (Roux-en-Y):

Creates a small stomach pouch (about the size of an egg)
Reroutes a portion of the small intestine
Reduces both food intake and calorie/nutrient absorption
More effective for severe GERD
Expected weight loss: 65-75% of excess body weight
May have greater impact on diabetes resolution
Technically reversible but rarely reversed

Dr. Navarrete will recommend the procedure best suited to your individual needs, health conditions, and weight loss goals.

How much weight will I lose?

Weight loss results vary by individual and procedure type. On average:

Gastric Sleeve: Patients lose 60-70% of excess body weight within 12-18 months
Gastric Bypass: Patients lose 65-75% of excess body weight within 12-18 months

For example, if you’re 100 pounds overweight, you can expect to lose 60-75 pounds. Maximum weight loss typically occurs 12-24 months after surgery, with most weight lost in the first 6-9 months.

Factors affecting weight loss include adherence to dietary guidelines, exercise habits, starting weight, age, gender, and metabolic factors.

Will I regain the weight?

With proper lifestyle changes, most patients maintain significant long-term weight loss. Studies show that 10-15 years after surgery, patients maintain an average of 50-60% of their excess weight loss.

Weight regain can occur if you:

Return to old eating habits
Don’t exercise regularly
Drink high-calorie beverages
Graze or snack frequently throughout the day
Stretch your stomach pouch over time

Success requires permanent lifestyle changes. Dr. Navarrete provides ongoing support and guidance to help you maintain your results long-term.

How long does the surgery take?

Most laparoscopic bariatric procedures take 1-2 hours:

Gastric Sleeve: Typically 60-90 minutes
Gastric Bypass: Usually 90-120 minutes

The actual time varies based on your anatomy, any previous surgeries, and whether complications arise during the procedure.

Is bariatric surgery painful?

Thanks to modern laparoscopic techniques and pain management protocols, most patients experience manageable discomfort rather than severe pain. You’ll receive pain medication both in the hospital and at home.

Common sensations include:

Soreness at incision sites (mild to moderate)
Shoulder or upper abdominal gas pain (from CO2 used during surgery)
General abdominal tenderness
Some nausea

Most patients rate their pain as 3-5 out of 10 on the pain scale. Discomfort typically improves significantly within 3-5 days and resolves within 1-2 weeks.

How long is the recovery time?

Hospital stay: 1-2 nights for most patients

Return to work:

Desk job: 1-2 weeks
Physical job: 3-4 weeks
Heavy labor: 4-6 weeks

Physical activity:

Walking: Immediately (encouraged from day one)
Light exercise: 2-3 weeks
Full exercise routine: 4-6 weeks
Heavy lifting: 6-8 weeks

Most patients feel “normal” within 2-3 weeks but continue improving for several months.

Laparoscopic Surgery Questions

What is laparoscopic surgery?

Laparoscopic surgery, also called minimally invasive surgery, uses small incisions (usually 5-6 incisions about 0.5-1 inch long) rather than one large incision. The surgeon inserts a tiny camera (laparoscope) and specialized instruments through these small openings to perform the procedure while viewing your internal organs on a monitor.

What are the benefits of laparoscopic surgery over open surgery?

Laparoscopic surgery offers numerous advantages:

Smaller incisions and less scarring
Reduced post-operative pain
Lower infection risk
Less blood loss during surgery
Shorter hospital stay
Faster recovery and return to normal activities
Better cosmetic results
Lower risk of hernias at incision sites
Reduced risk of complications

Dr. Navarrete exclusively performs bariatric procedures laparoscopically unless specific circumstances require open surgery.

Will I have visible scars?

Yes, but they’re minimal. You’ll have 5-6 small scars (about 0.5-1 inch each) on your abdomen. These fade significantly over time, usually becoming barely noticeable within a year. The scars are much smaller and less noticeable than the 6-8 inch scar from traditional open surgery.

Can everyone have laparoscopic surgery?

Most patients are candidates for laparoscopic bariatric surgery. However, open surgery may be necessary if you have:

Extensive previous abdominal surgeries with significant scar tissue
Extremely high BMI (over 60)
Certain anatomical complications
Emergency situations during surgery

Dr. Navarrete has extensive experience with laparoscopic techniques and can perform these procedures safely on the vast majority of patients.

Safety and Risk Questions

How safe is bariatric surgery?

Modern bariatric surgery is very safe. Major complication rates are approximately 2-6%, and mortality rates are extremely low (0.1-0.5%), comparable to or lower than other common procedures like gallbladder removal or hip replacement.

Your individual risk depends on factors including:

Age and overall health
BMI
Existing medical conditions
Surgeon experience and surgical volume
Surgical facility accreditation

Dr. Navarrete performs surgery at a fully accredited facility with modern equipment, experienced staff, and comprehensive safety protocols.

What are the risks and complications?

While serious complications are rare, potential risks include:

Short-term risks:

Bleeding
Infection
Blood clots
Leakage from staple lines
Adverse reactions to anesthesia

Long-term risks:

Nutritional deficiencies
Gallstones
Strictures (narrowing)
Dumping syndrome (gastric bypass)
GERD (gastric sleeve)
Bowel obstruction
Weight regain

Most complications can be prevented with proper surgical technique and careful adherence to post-operative guidelines. For detailed information, review Dr. Navarrete’s comprehensive guide on complications, prevention, and management.

What if something goes wrong?

Dr. Navarrete and his team provide 24/7 support after your surgery. If complications arise, they’re addressed immediately with appropriate medical intervention. The team’s experience in managing post-operative issues ensures prompt, effective treatment if needed.

You’ll receive detailed instructions about warning signs to watch for and when to seek immediate medical attention.

Will I need to take vitamins for life?

Yes. Bariatric surgery affects your body’s ability to absorb certain nutrients, so lifelong vitamin supplementation is essential. You’ll need to take:

Multivitamin with iron (twice daily)
Calcium citrate with vitamin D (1200-1500mg daily)
Vitamin B12 (sublingual or injection)
Other supplements as needed based on blood work

Regular blood tests (every 3-6 months initially, then annually) monitor your vitamin levels so deficiencies can be corrected early.

Preparation and Pre-Surgery Questions

What testing is required before surgery?

Dr. Navarrete requires comprehensive pre-operative evaluation to ensure your safety:

Complete blood count and metabolic panel
Liver and kidney function tests
Nutritional status assessment
Upper GI studies or endoscopy
Cardiac evaluation (EKG, possibly stress test)
Sleep apnea screening
Psychological evaluation
Review of medical history and current medications

These tests identify any issues that need addressing before surgery and establish baseline health markers.

Do I need to lose weight before surgery?

Many surgeons, including Dr. Navarrete, recommend losing 5-10% of your body weight before surgery. Pre-operative weight loss:

Reduces surgical risks
Shrinks the liver (making surgery easier and safer)
Demonstrates commitment to lifestyle changes
May improve surgical outcomes

You’ll typically follow a specialized diet for 2-4 weeks before surgery, often including a liver-shrinking diet in the final 1-2 weeks.

Can I have surgery if I have other health conditions?

Most obesity-related health conditions actually improve after surgery, making it beneficial even for patients with multiple medical issues. Common conditions that don’t prevent surgery include:

Type 2 diabetes
High blood pressure
High cholesterol
Sleep apnea
PCOS
Fatty liver disease
Joint problems

However, certain conditions require optimization before surgery. Dr. Navarrete works with your other physicians to ensure you’re medically ready for the procedure.

What medications should I stop before surgery?

You’ll receive specific instructions, but generally you should stop:

Blood thinners (timing depends on specific medication)
Aspirin and NSAIDs (2 weeks before)
Certain supplements (vitamin E, fish oil, herbal remedies)
Weight loss medications

Never stop medications without consulting Dr. Navarrete or your prescribing physician, especially medications for heart conditions, blood pressure, or diabetes.

Post-Surgery and Recovery Questions

What will I eat after surgery?

Your diet progresses through several stages over 6-8 weeks:

Week 1-2: Clear liquids, then full liquids Week 3-4: Pureed foods Week 5-6: Soft foods Week 7+: Regular foods in small portions

Long-term, you’ll eat small, protein-focused meals (3-6 small meals daily) totaling about 1000-1400 calories. You’ll need to avoid high-sugar foods, carbonated beverages, and tough or fibrous foods that don’t digest easily.

For comprehensive dietary guidelines, see Dr. Navarrete’s detailed post-bariatric surgery diet guide.

How much can I eat after surgery?

Initially, your stomach holds only 2-4 ounces. Over time, this gradually stretches to about 6-8 ounces. For perspective:

2-4 ounces = about 1/4 to 1/2 cup
6-8 ounces = about 3/4 to 1 cup

You’ll need to measure portions carefully and eat slowly, taking 20-30 minutes per meal.

Will I be hungry after surgery?

Most patients experience dramatically reduced hunger, especially after gastric sleeve (which removes the portion of stomach producing ghrelin, the hunger hormone). You may experience:

Little to no hunger for the first 3-6 months
Feeling satisfied with very small portions
Gradual return of some hunger after 6-12 months (but much less than before)

This hunger reduction is one reason bariatric surgery is so effective compared to traditional dieting.

Can I drink alcohol after surgery?

Alcohol is not recommended for at least 6 months after surgery, and should be limited long-term. After bariatric surgery:

Alcohol absorbs much faster, affecting you more quickly
You may become intoxicated on very small amounts
Alcohol provides empty calories that can impede weight loss
Risk of transfer addiction increases
Alcohol can irritate your stomach

If you choose to drink after the initial recovery period, do so very carefully and in extreme moderation.

Can I get pregnant after bariatric surgery?

Yes, but timing matters. Recommendations include:

Wait 12-18 months after surgery before becoming pregnant
This allows time for weight stabilization and nutritional optimization
Many women find it easier to conceive after weight loss
Pregnancy after bariatric surgery is generally safe with proper monitoring
You’ll need careful nutritional supplementation during pregnancy

Women of childbearing age should use reliable contraception in the first 12-18 months post-surgery.

Will my insurance cover follow-up care?

This depends on your specific insurance plan. Many U.S. insurance companies don’t cover follow-up for surgery performed abroad. However, Dr. Navarrete provides:

Comprehensive follow-up program through his team
Telemedicine appointments for ongoing support
Coordination with your local physicians
Lifetime support and guidance

Many patients find their primary care physicians willing to order routine blood work and monitor their progress locally.

Cost and Medical Tourism Questions

How much does bariatric surgery cost?

Costs vary by procedure and location:

In Tijuana with Dr. Navarrete:

Gastric Sleeve: Typically $4,500-$6,000
Gastric Bypass: Typically $6,000-$8,500

In the United States:

Gastric Sleeve: $15,000-$23,000
Gastric Bypass: $20,000-$35,000

Dr. Navarrete’s pricing includes:

Pre-operative consultations and testing
Surgical fees
Hospital and facility fees
Anesthesia
1-2 night hospital stay
Post-operative medications
Follow-up care

Why is surgery in Mexico so much less expensive?

Lower costs don’t mean lower quality. Surgery in Mexico costs less due to:

Lower overhead and operating costs
Different healthcare system structure
Lower cost of living and labor costs
No insurance company involvement

Dr. Navarrete uses the same high-quality equipment, techniques, and materials as U.S. surgeons. Many bariatric surgeons in Mexico trained in the United States and have equal or greater experience than their U.S. counterparts.

Is it safe to have surgery in Mexico?

Yes, when you choose an experienced, accredited surgeon and facility. Dr. Navarrete operates at a fully accredited surgical center that meets international standards. Thousands of Americans safely undergo bariatric surgery in Tijuana each year.

To ensure safety:

Verify surgeon credentials and experience
Choose accredited facilities
Research patient reviews and outcomes
Ensure availability of emergency care
Confirm post-operative support availability

How do I get to Tijuana for surgery?

Most patients fly into San Diego International Airport, which is about 30 minutes from Tijuana. Many surgical packages include:

Transportation from San Diego airport to hospital
Transportation to hotel for recovery (if needed)
Transportation back to airport

You can also drive across the border if you prefer. Dr. Navarrete’s coordinators provide detailed travel instructions and assistance with all logistics.

Do I need a passport?

Yes, a valid passport is required to enter Mexico and return to the United States. Passport cards work for land border crossings but not for air travel. Ensure your passport is valid for at least 6 months beyond your travel date.

Should I bring a companion?

While not absolutely required, bringing a companion is highly recommended, especially for the first 3-5 days. A companion can:

Provide emotional support
Help with basic needs during initial recovery
Accompany you to follow-up appointments
Assist with travel logistics
Be there in case of unexpected complications

Many patients bring a spouse, family member, or close friend.

What if I need emergency care after returning home?

While rare, complications can occur after you return home. If you experience emergency symptoms:

Go to your local emergency room immediately
Contact Dr. Navarrete’s team for guidance
Inform ER staff about your recent bariatric surgery

Most U.S. emergency rooms are experienced in treating bariatric surgery patients. Dr. Navarrete’s team remains available 24/7 to consult with your local medical providers if needed.

Lifestyle and Long-Term Questions

Will I be able to exercise after surgery?

Not only can you exercise, but you should. Physical activity is crucial for:

Maximizing weight loss
Building and maintaining muscle mass
Improving cardiovascular health
Enhancing mood and energy
Preventing weight regain

Start with walking immediately after surgery. Gradually increase intensity:

Weeks 1-2: Gentle walking
Weeks 3-4: Longer walks, light stretching
Weeks 5-6: Introduction of light resistance training
Month 2+: Full exercise routine including cardio and strength training

Aim for 150+ minutes of moderate exercise weekly for best results.

Can I eat out at restaurants?

Yes, but you’ll need to make smart choices. Tips for dining out:

Order from appetizer menu or children’s menu
Request protein-based dishes
Ask for sauces and dressings on the side
Eat protein first, vegetables second
Take leftovers home (you’ll have plenty)
Avoid bread baskets and sugary drinks
Inform your server you have a small appetite

Many restaurants accommodate special dietary needs. Don’t be embarrassed to ask for modifications.

Will people be able to tell I had surgery?

Not unless you tell them. While the rapid weight loss will be obvious, many people assume it’s from diet and exercise. You’re under no obligation to share your surgical history, though many patients find support groups and openness helpful.

The small laparoscopic scars fade significantly and are typically covered by clothing.

How will surgery affect my relationships?

Weight loss surgery can impact relationships in various ways:

Positive effects:

Improved confidence and self-esteem
Enhanced intimacy
More energy for activities with loved ones
Better health allowing fuller participation in life

Potential challenges:

Jealousy or insecurity from partners
Changed dynamics in food-centered relationships
Friends who feel abandoned or threatened
Unsolicited comments or advice

Open communication with loved ones and possibly couples or family counseling can help navigate these changes.

Will I need plastic surgery after weight loss?

Many patients choose to have excess skin removed after significant weight loss, but it’s not medically necessary unless skin causes health problems (rashes, infections, mobility issues).

Common body contouring procedures include:

Tummy tuck (abdominoplasty)
Arm lift (brachioplasty)
Thigh lift
Breast lift or augmentation
Lower body lift

Wait until your weight stabilizes (typically 12-18 months post-surgery) before considering plastic surgery. Dr. Navarrete can provide referrals to experienced plastic surgeons.

Making Your Decision

How do I know if bariatric surgery is right for me?

Consider bariatric surgery if:

You have a BMI of 35+ with health issues or 40+ without
You’ve tried other weight loss methods without lasting success
Your weight significantly impacts your quality of life
You’re committed to lifelong lifestyle changes
You understand both benefits and risks
You have realistic expectations

Schedule a consultation with Dr. Navarrete to discuss your individual situation, ask questions, and determine if you’re a good candidate.

What should I look for in a bariatric surgeon?

Choose a surgeon based on:

Board certification and specialized training
High surgical volume (100+ procedures annually)
Low complication rates
Accredited surgical facility
Comprehensive pre and post-operative programs
Availability for follow-up and emergencies
Positive patient reviews and testimonials
Clear communication and education

Dr. Navarrete meets all these criteria and has successfully performed hundreds of bariatric procedures.

What’s the first step?

The first step is scheduling a consultation with Dr. Navarrete. During this appointment, you’ll:

Discuss your medical history and weight loss goals
Learn about your surgical options
Understand the process from start to finish
Get your questions answered
Receive a personalized treatment recommendation
Learn about costs and scheduling

Consultations can often be conducted via telemedicine for your convenience.

Ready to Transform Your Life?

Bariatric surgery with Dr. Carlos Navarrete offers a proven path to significant, lasting weight loss and improved health. With advanced laparoscopic techniques, comprehensive patient support, and affordable pricing, you can achieve your weight loss goals safely and effectively.

Contact Dr. Navarrete’s office today to:

Schedule your personal consultation
Get answers to your specific questions
Receive a customized treatment plan
Begin your journey to a healthier, happier life

Don’t let another day pass living with the health consequences and limitations of severe obesity. Take the first step toward transformation by reaching out to Dr. Navarrete’s experienced team. Your new life is waiting.

Call or email us today to schedule your consultation and start your weight loss journey with confidence.