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Choosing a bariatric surgery procedure is a deeply personal decision that should be made in close consultation with your medical team, including your primary care physician and your bariatric surgeon. During your consultation with one of our board certified bariatric surgeons, you will receive the personalized medical advice you need to make the best decision for your future.
As we move through 2026, four primary bariatric procedures remain available to patients managing obesity and its related conditions (comorbidities): gastric bypass, sleeve gastrectomy (also known as the gastric sleeve), duodenal switch, and the SADI.
Each of these procedures has its own advantages and considerations; no two patients require the same care. As a general guideline, the duodenal switch and SADI typically offer the greatest potential for weight loss and improvement in metabolic disease, followed by the gastric bypass and gastric sleeve. Conversely, the gastric sleeve is the most straightforward option, while the DS is the most complex.
Factors to Consider
The decision-making process goes beyond just potential weight loss. Here are some key clinical considerations:
- Type 2 Diabetes: Patients who suffer from severe type 2 diabetes or chronic acid reflux (GERD) often benefit most from a duodenal switch, SADI, and gastric bypass, as they provide significant metabolic changes due to the intestinal bypass.
- GERD: Patients with severe or uncontrolled GERD may do best with a gastric bypass as the procedure does not increase intragastric pressure.
- Anatomical Preference: Those who prefer not to alter the small intestine and want a restrictive and hormonal procedure may opt for a sleeve gastrectomy.
- High BMI or High Risk: Patients with serious health complications that may increase surgical risk, or those with a BMI over 70, may find the gastric sleeve to be the most effective initial step, followed by a DS/SADI.
Only a consultation with a qualified bariatric surgeon can offer the perspective you need to make the right choice for your health and lifestyle. We suggest visiting our page on qualifying for bariatric surgery to learn more.
Ultimately, knowledge is power. We encourage you to thoroughly educate yourself and attend your first consultation with an open mind.
Feel free to contact us at any time for more information on the procedures we offer or the process for qualifying for surgical intervention.