Obesity & Metabolic Treatment

It is a keyhole operation, done under general anaesthesia, that permanently removes about 80% of the stomach and leaves a narrow tube. Many people feel full sooner with smaller portions. It cannot be reversed. Long-term results depend on diet, activity and lifelong follow-up.

Only the surgeon can decide, after reviewing your history and pre-operative tests. As context, international guidelines commonly consider surgery at a BMI above 35, or 30–34.9 with metabolic disease such as type 2 diabetes, with lower thresholds for some Asian backgrounds. Smoking, reflux, other illnesses and pregnancy plans also matter.

No. Part of the stomach is removed permanently. If problems such as severe reflux develop later, a different operation may be discussed, but the original stomach cannot be restored. Please consider this carefully and ask the surgeon about alternatives, including non-surgical options such as endoscopic sleeve gastroplasty.

No result is guaranteed. Weight loss varies from person to person and depends on your starting point, your health, diet, activity and follow-up. The surgeon explains realistic expectations for you during the assessment.

Please send your health information first. We check availability, the surgeon reviews your case, and then we confirm a date in writing. Please do not buy flights until your assessment and date are confirmed.

Hospital stays after sleeve surgery are commonly 1–3 days, but your surgeon decides when you can leave and when you are fit to fly. Long flights soon after surgery increase the risk of blood clots. Please confirm your date with us before buying a return ticket.

Once your dates are confirmed, send us your flight details. Within your agreed package, our team coordinates airport pickup, transfers, accommodation and hospital admission, and sends your programme before you arrive. Your admission time and the hospital's fasting instructions are sent separately once the schedule is fixed.

Yes, a companion is welcome. They cannot enter the operating theatre, but they can usually be with you before and after surgery, following hospital rules. We tell you in advance whether their accommodation is included and any extra costs.

Yes. Send us the hotel's name and address before you book it. We check that it fits the transfer plan and tell you if this changes the package price or transport costs.

After the surgeon reviews your details, you receive a written quote. It lists what is included, such as the operation, hospital nights, hotel nights and transfers, what is not included, and any possible extra costs, so you can compare it before deciding.

The hospital requires full payment before surgery. Paying after surgery, or paying part of the amount later, is not available. Before you travel, we send you in writing the total, what it includes, any extras, and the accepted payment methods and fees.

You move through stages: liquids, then puréed food, then soft food, then normal healthy food. As an example, UK guidance describes fluids for about two weeks, then gradual steps until about week 8. Your bariatric team gives you your personal plan.

Yes, for life. Most people need a multivitamin, vitamin B12, calcium, vitamin D and iron. Regular blood tests check your levels, and your team sets your doses.

It varies. Many people return to normal activities after 4–6 weeks and feel ready for full work after about a month. Ask your surgeon about lifting, exercise, driving and flying. Avoid nicotine, take extra care with alcohol, and avoid pregnancy for 12–18 months.

Before you leave, you receive a written follow-up plan and contact details. You will need checks and blood tests with a doctor at home, so ask your local doctor about this before you travel. We offer remote support, and sometimes an in-person examination is needed. Take copies of all your records home.

As with any operation, there are risks of bleeding, infection and blood clots. Specific risks include a leak from the staple line, new or worse acid reflux, gallstones with rapid weight loss, and vitamin deficiencies. The surgeon explains your personal risk and answers your questions before you decide.