Frequently Asked Questions

    • WHICH OPERATION IS BEST? (GASTRIC SLEEVE / MINI-GASTRIC BYPASS/ GASTRIC ROUX-EN-Y BYPASS)

      The real question is which operation is best for you? This decision will take into account your own personal medical and surgical history in a detailed fashion with our team to come up with a decision that helps you get to your desired goals. In a safe and sustainable way.

    • This is not the typical post bariatric surgery journey. There are only 2 main reasons that we would expect a patient to suffer with vomiting post a bariatric. 1. Eating too quickly 2. Taking that one mouth too many (not realising that they are full / ignoring the feedback mechanism that they are full).All our patients know this and our team gets on top of this very quickly with the patients. We do stress if anyone is suffering with vomiting they need to make contact with us.

    • Gastric sleeve/Bypass usually involves 5 cuts about 2 cms in size. The majority of patients would not have significant pain, and would be up and walking day 1 post surgery. 98% of our patient go home day 2 post bariatric surgery. The pain that a patient usually experiences can be gas pain (shoulder tip pain-1st 24 hrs) and pain at wound sites (similar to pain you would expect from say a gallbladder operation).

    • This can happen if a patient does not stick to the appropriate guidelines for healthy nutrition intake coupled together with exercise. This can frequently be a result of a poor behaviour pattern or habit. This is one of the reason’s why we have a habits coach and personal trainer that can be involved with our patients.The focus is not just on the surgery but we want to try and pre-emptively deal with any poor habits that could potentially creep in and sabotage a patient’s journey

    • Patients who have a BMI of greater than 27 can seek a consultation for added support whether that be in the form of medication or the gastric balloon. A patient who has a BMI of greater than 30 onwards will qualify to be considered for surgery. This will be following a consultation with the surgeon

    • This is an operation that gives a patient the ability to battle obesity and reverse metabolic syndrome (Type 2 diabetes, Sleep Apnoea, Hypertension,Reflux, Improve fertility, etc) in a sustainable way. Our heart’s desire for anyone choosing to embark on this journey with us; Is to perform one operation that will last them a life time in battling and overcoming this disease of obesity. The focus of our team in supporting our patients is not solely based on weight loss but is very much based on stopping weight GAIN in the future.

    • During your consultation, Dr. Niruben Rajasagaram will take the time to understand your health concerns, medical history, and weight loss or surgical goals. You’ll learn about suitable treatment options, what the procedure involves, and how recovery works. You’ll have the opportunity to ask questions, receive personalised recommendations, and walk away with a clear understanding and confidence in your next steps.

    • Before your surgery, we will guide you through everything you need to know. This may include diet recommendations, which medications to review, and how to plan for your recovery at home. You’ll receive clear, personalised instructions so you feel comfortable, informed, and fully prepared on the day of your procedure.

    • Recovery time after surgery varies depending on the type of procedure and your health. Most patients start feeling better within a few days to weeks, but full recovery can take several weeks or months. Our team will provide a personalised recovery plan and monitor your progress to help you heal safely and comfortably.

    • Yes, weight loss surgery can significantly improve or even resolve many obesity-related health conditions, including type 2 diabetes and high blood pressure. By reducing excess body weight, the body becomes more responsive to insulin, which supports better blood sugar control. It also reduces the workload on the heart and lowers blood pressure. At our weight loss centre, our dietitian, Ms. Steffania Basso, and our lifestyle coaching program, led by Dr. Monica, work closely with patients to support healthy habits and regular physical activity.

    • Yes, some types of weight loss surgery can be reversed. If the initial surgery has not achieved the desired results, revisional bariatric surgery may be considered. The possibility of reversal depends on the type of procedure performed. However, reversal is rarely recommended and typically only considered when medically necessary. During your consultation, we will recommend the ideal solution tailored specifically to your health condition.

    • Yes, during your consultation, Dr. Niruben Rajasagaram and his team will explain the recommended dietary approach to support your healing and long-term weight management. You’ll receive clear guidance on what to eat at each stage of recovery, along with ongoing support to help you adjust comfortably.

    • Yes, follow-up appointments are an important part of your recovery and long-term health after surgery. These appointments allow your surgeon to monitor healing and assess your progress. The frequency of follow-ups depends on the type of surgery and your individual health needs. In most cases, patients are seen shortly after the procedure, then at regular intervals, such as one month, three months, six months, and 12 months post-surgery.

    • Yes, minimally invasive surgeries often provide several advantages over open surgeries. They typically involve smaller incisions, resulting in less pain, reduced scarring, shorter hospital stays, and quicker recovery times. However, the suitability of minimally invasive techniques depends on the specific condition and patient factors. Dr. Niruben Rajasagaram will evaluate your case to determine the best surgical approach for your health and safety.

    • To determine if you are a suitable candidate for gastric sleeve surgery, a thorough medical assessment is required. This includes reviewing your body mass index (BMI), current health conditions, and your history of weight loss. Generally, a BMI over 40, or over 35 with obesity-related conditions such as type 2 diabetes, high blood pressure, or sleep apnoea, may indicate suitability for this procedure. However, eligibility is carefully assessed on a case-by-case basis.

    • After weight loss surgery, your recovery diet includes several important phases, including eating slowly and chewing thoroughly, avoiding drinking during meals, sticking to recommended foods, and monitoring portion sizes. These steps support healing, lower the risk of complications, and help your body adjust to a smaller stomach. Our bariatric team will guide you through each stage, which may vary depending on the type of surgery and your individual needs.

    • Nausea after eating can be common during the early recovery period following weight loss surgery. To manage it, eat slowly, chew your food thoroughly, avoid drinking during meals, and follow your recommended diet plan. Pay attention to portion sizes and avoid foods that are difficult to digest. Keeping a food diary can help identify triggers. If symptoms continue, consult our experienced bariatric team for guidance and support.

    • Bariatric surgery can improve fertility by restoring hormonal balance. However, it is best to wait 12 to 18 months before trying to conceive. If you are planning a pregnancy, consult our experienced team for careful monitoring and nutritional support throughout your pregnancy journey.

    • Sustaining weight loss after bariatric surgery requires a long-term commitment to healthy habits. Eat healthy, balanced meals in small portions. Ensure you include sufficient protein and avoid foods high in calories. Stay consistent with daily physical activity, even light exercises like walking. Regular follow-up appointments with our experienced team help monitor progress and address challenges early.

    • Most patients report mild to moderate discomfort after bariatric surgery, rather than severe pain. You may experience soreness around the incision sites and temporary shoulder discomfort caused by the gas used during laparoscopic procedures. This usually improves within 24–48 hours. Pain is typically well-managed with prescribed medications. Our experienced team will provide ongoing support throughout your recovery.

    • After weight loss surgery, it’s important to follow a balanced diet that supports your recovery and overall health. This includes eating nutritious foods, taking prescribed vitamins and mineral supplements, and staying well-hydrated. Our bariatric care team will provide personalised guidance and regular monitoring through blood tests to ensure you maintain nutrient levels and avoid deficiencies.

    • Yes, bariatric surgery is often covered by both Medicare and private health insurance in Australia, depending on specific criteria. Medicare recognises it as a medically necessary treatment for severe obesity. Private health insurance, especially Gold or top-level hospital cover, usually includes bariatric procedures. Eligibility and coverage depend on the specific policy you have.

    • A dietitian plays a vital role in your weight loss journey by creating personalised nutrition plans tailored for both pre- and post-surgery stages. You'll gain a clear understanding of what to eat during each phase of recovery, with guidance to help you meet essential protein and vitamin requirements. Beyond recovery, the dietitian supports you in building sustainable, long-term eating habits. Through regular follow-ups, you can track progress, overcome challenges, and stay focused on your goals.

    • Yes, you can donate blood after bariatric surgery, but it’s important to wait until your recovery is complete and your nutritional levels are stable. Most blood donation centres recommend waiting at least 6 to 12 months after surgery. You may also need medical clearance to ensure you meet the required iron and haemoglobin levels. Always check with your doctor and the blood donation service before donating.

    • Blood tests are important after bariatric surgery to monitor your nutritional status and overall health. Since the surgery can affect how your body absorbs essential vitamins and minerals, regular testing helps identify and manage any deficiencies early. To support a smooth recovery and long-term health, our bariatric team will provide a personalised testing schedule based on your needs.

    • Yes, vitamin and mineral supplements are essential after bariatric surgery to help prevent nutritional deficiencies. Your body may absorb fewer nutrients due to changes in your digestive system. Our dietitian team will recommend the right supplements based on your specific needs and monitor your levels through regular follow-ups.

    • Yes, most medications can still be taken after bariatric surgery. However, due to changes in your digestive system, some medicines may need to be adjusted in form or dosage. For example, large tablets may need to be replaced with liquid versions or smaller pills. Our bariatric team will carefully review your current medications and provide clear guidance to ensure they remain effective and safe after your procedure.

    • Feeling full after eating small amounts is expected following bariatric surgery. The procedure reduces the size of your stomach, which limits how much food it can hold. During the early recovery period, the digestive system is still adjusting, and even soft or pureed foods can cause early fullness. Our bariatric care team will guide you on how to eat during each stage of recovery, helping you adjust safely and reduce the risk of discomfort.

    • Yes, it is possible to regain weight after bariatric surgery. While the procedure is effective for long-term weight loss, results depend on maintaining healthy habits over time. Weight regain can occur if high-calorie foods are reintroduced, portion sizes increase, or physical activity decreases. Our bariatric team will work closely with you to monitor your progress and provide ongoing support if any challenges arise.

    • Yes, it is generally safe to travel after gastric bypass surgery, but timing depends on your stage of recovery. Most patients are advised to wait at least 4 to 6 weeks before taking long trips or flying, especially if the travel involves limited access to medical care. Our bariatric team, led by Dr. Niruben Rajasagaram, will provide individual guidance based on your recovery progress and any medical needs that may affect travel safety.

    • After weight loss surgery, regular blood tests are important to monitor your nutritional levels and overall health. Typically, blood tests are recommended every 3 months in the first year, then every 6 to 12 months thereafter. This helps ensure you are getting enough essential vitamins and minerals. Our bariatric team will provide a personalised testing schedule based on your surgery type and health needs.

    • Yes, weight loss surgery can help improve joint pain and mobility challenges that are often linked to excess weight. By reducing pressure on weight-bearing joints like the knees, hips, and lower back, many patients experience significant relief from chronic pain and improved ease of movement. Dr. Niruben Rajasagaram and his team will assess your condition and guide how weight loss may enhance your physical mobility and quality of life after surgery.

    • Preparing for your hospital stay after bariatric surgery helps ensure a smoother and more comfortable experience. Pack loose, comfortable clothing. Bring your identification, Medicare or private health insurance card, and relevant medical paperwork. It's also helpful to include lip balm, a water bottle, and a list of questions for your care team. Avoid bringing valuables. Dr. Niruben Rajasagaram’s team will provide specific guidance based on your procedure and recovery plan.

    • Hair thinning can occur in the months following bariatric surgery, usually between the third and sixth months after the procedure. This occurs because your body is adjusting to rapid weight loss and lower nutrient intake. The hair loss is generally temporary, and most patients notice improvement as their body stabilises. Our bariatric care team will monitor your nutrition and recommend supplements to help support healthy hair growth during recovery.

    • Yes, bariatric surgery can influence mental health and mood due to physical changes, rapid weight loss, and lifestyle adjustments. Some patients experience improved confidence and well-being, while others may face emotional challenges. Regular follow-up and support from the care team help manage these changes effectively.

    • Yes, weight loss surgery can help improve life expectancy by reducing the risks associated with obesity-related conditions such as type 2 diabetes, heart disease, and sleep apnoea. By supporting sustained weight loss and enhancing overall health, many patients enjoy a significantly better quality of life. Dr. Niruben Rajasagaram and his team provide ongoing care and guidance to help you achieve and maintain a healthier future.

    • After weight loss surgery, alcohol affects your body differently and is absorbed much faster, which can lead to higher blood alcohol levels in a short time. This increases the risk of dehydration and stomach irritation. Regular alcohol use may also slow weight loss and interfere with nutrient absorption. Our bariatric team recommends limiting or avoiding alcohol, and we will provide clear guidance based on your surgery type and lifestyle needs.

    • There are many misconceptions about bariatric surgery. A common myth is that it is the “easy way out,” when in reality, it requires lifelong commitment to healthy eating and regular follow-up care. Some also believe it’s unsafe, when in fact bariatric surgery is now considered very safe with modern techniques. Our bariatric care team will guide you and provide support for your nutritional needs after surgery.

    • Yes, certain types of weight loss surgery, such as gastric bypass, alter how food and nutrients are absorbed in the body. This is why regular follow-up care, a balanced diet, and vitamin supplementation are important to prevent deficiencies and maintain long-term health. Our bariatric care team will guide you to support your nutritional needs after surgery.

Our Client Reviews

If you are thinking of this journey and would like to talk to one of our patients directly to get their perspective – Please feel free to contact us.