Weight Loss Surgery in Melbourne

Weight loss surgery may be considered for adults living with obesity when other approaches have not provided sufficient or lasting results, particularly when excess weight is affecting health. 

Suitability is assessed individually and may consider factors like: 

• BMI and weight history 

• Obesity-related health conditions 

• Previous weight-management attempts 

• Current medications and overall health 

• Previous abdominal or bariatric surgery 

• Nutritional and lifestyle factors 

• Psychological readiness 

• Ability to participate in long-term follow-up 

BMI is an important part of the assessment, but it is not the only consideration. The appropriate treatment depends on your overall health, circumstances and potential benefits and risks of surgery. 

There is no single weight loss procedure that is right for everyone. 

As an experienced bariatric surgeon, Mr. Niruben Rajasagaram considers BMI, weight history, medical conditions, medications, digestive symptoms, previous surgery, eating patterns, and long-term health goals when discussing your options. 

For example, gastric sleeve and gastric bypass both support weight loss but affect the digestive system differently. Factors such as reflux, type 2 diabetes, and previous bariatric surgery may also influence which procedure is considered. 

A consultation allows you to discuss the potential benefits, risks and alternatives of each suitable procedure before deciding. 

For appropriately selected patients, weight loss surgery can support significant weight loss and may improve health conditions associated with obesity. 

Potential health benefits may include improvements in: 

• Type 2 diabetes 

• High blood pressure 

• Obstructive sleep apnoea 

• Mobility and physical function 

• Obesity-related health risks 

• Quality of life 

The amount of weight lost and the health improvements experienced vary between individuals. Outcomes can be influenced by the procedure, starting weight, medical conditions, nutrition, physical activity, and long-term follow-up. 

Weight loss surgery should therefore be considered as part of an ongoing approach to managing obesity rather than short-term treatment. 

Weight loss surgery is a major medical treatment and, like all surgery, carries potential risks. 

Risks vary depending on the procedure and the individual. Possible complications may include bleeding, infection, blood clots, leaks, digestive symptoms, and nutritional deficiencies. Some procedures also have specific risks that need to be discussed before treatment. 

There are longer-term considerations as well, including changes to eating habits, vitamin and mineral supplementation, nutritional monitoring, and the possibility of weight regain. 

Before surgery, surgeons discuss the potential benefits, risks and alternatives relevant to your circumstances so you can make an informed decision. 

Recovery after weight loss surgery varies according to the procedure and the individual. 

After surgery, patients generally progress through a staged diet while the digestive system heals. Physical activity is gradually increased, and follow-up appointments help monitor recovery and nutritional needs, with support from our dietitian and habits and transformation coach along the way. 

The early recovery period may include: 

• A short hospital stay 

• A gradual progression of diet 

• Increasing physical activity 

• Medication as prescribed 

• Follow-up appointments 

• Nutritional monitoring 

The time required to return to work and normal activities depends on the procedure, occupation, and individual recovery. Surgical team will provide specific instructions for your operation and circumstances. 

Weight loss surgery is only one part of long-term obesity management. After surgery, ongoing attention to nutrition, physical activity and healthy eating habits remains important. 

Patients may need to: 

• Eat smaller portions 

• Follow recommended meal patterns 

• Prioritise protein and nutrient-rich foods 

• Take prescribed vitamin and mineral supplements 

• Maintain adequate hydration 

• Gradually increase physical activity 

• Attend regular follow-up appointments 

• Have nutritional and health markers monitored when required 

Weight management continues after the initial recovery period. Some patients may experience weight regain over time, and additional assessment or support may be appropriate.