How the Impact of Bariatrics Surgery Reaches Far Beyond the Scale

Q: What chronic health conditions do bariatric surgery help address beyond weight loss?

Jacob Roberts, DO: Bariatric surgery offers transformative benefits beyond just weight reduction. It can lead to remission or significant improvement in Type 2 diabetes and cardiovascular health. It can also reduce blood pressure and improve cholesterol levels. Other conditions that frequently improve following bariatric surgery include sleep apnea, fatty liver disease, Gastroesophageal Reflux Disease (GERD), joint pain, and even mental health issues like depression and anxiety. Overall, it can enhance one’s overall quality of life.

Q: What are the most common misconceptions you hear about bariatric surgery?

Jacob Robers, DO: One major misconception is that bariatric surgery is the “easy way out.” In reality, it requires the patient to commit to permanent lifestyle changes such as eating healthier and eating less food overall. To go along with this, people also incorrectly believe most patients regain their weight, but long-term sustained weight loss is achievable if the patient maintains their new lifestyle.
Another myth people believe in is that bariatric surgery is extremely dangerous. Minimally invasive techniques that allow surgeons to make smaller incisions have made the procedure incredibly safe. These surgical advancements also mean the patient will have less scarring from the surgery and will recover much faster.

Q: How do you determine if someone is a good candidate for bariatric surgery?

Jacob Roberts, DO: Quality candidates have a body mass index (BMI) of 35 or higher, or have a chronic illness such as Type 2 diabetes and have a BMI of 30 or more. We also assess the patient’s psychological readiness, commitment to lifestyle changes, and support systems around them. They must be able to follow pre- and post-operative guidelines and not have uncontrolled medical conditions or substance abuse issues. A thorough evaluation, including medical, nutritional, and psychological, is essential to ensure safety and long-term success.

Q: You’ve mentioned lifestyle changes a couple times now. What changes are necessary after surgery to maintain long-term success?

Jacob Roberts, DO: Patients must incorporate a high-protein, low-sugar diet following the operation for successful long-term results. If they don’t do this, there is a strong likelihood they will regain the weight they lost. Establishing healthy eating habits is crucial, while regular physical activity can also help keep the weight off in the long run.
We have a multi-disciplinary approach at Trinity Health, as patients will receive guidance from nutritionists and behavioral health experts before and after the surgery. Our team monitors each patient’s progress and offers long-term follow-up care to help them stay on track and address any challenges that may arise. This approach ensures our patients have the support they need when they need it.

Q: What would you say to someone struggling with chronic obesity?

Jacob Roberts, DO: I would want them to know that they are not alone. And it's not just about willpower — obesity is a complex, chronic disease influenced by genetics, biology, and environment. If traditional methods like dieting and exercise haven’t worked for you, it’s perfectly okay to seek help. Bariatric surgery is a powerful tool, not a shortcut. It can help reduce hunger, improve health, and restore hope. We’re here to support you with compassion and evidence-based care every step of the way.

Take the First Step Toward a Healthier You

If chronic obesity is affecting your health and quality of life, you don’t have to face it alone. Our expert team is here to guide you with compassion and personalized care. Discover if bariatric surgery is right for you.

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