WEIGHT LOSS SURGERY

A dedicated team of providers will walk you through your surgical journey, from start to finish.

We are nationally recognized leaders in the surgical treatment of obesity.

Gastric Bypass Before Gastric Bypass After
Gastric Bypass Before Gastric Bypass After
Gastric Bypass Before Gastric Bypass After
Gastric Bypass Before Gastric Bypass After
Laparoscopic Sleeve Gastrectomy Surgery

About Laparoscopic Sleeve Gastrectomy Surgery

sleeve-gastrectomy-surgeryThe sleeve gastrectomy reduces your stomach to about the size and shape of a banana. The remaining stomach may hold between two and five ounces. Sleeve gastrectomy removes the portion of the stomach that produces the hunger hormone ghrelin. Following surgery, your hunger will be much less because the levels of this hormone are reduced.

Weight Loss after Sleeve Gastrectomy

After the sleeve gastrectomy, many people show improvement in diabetes, high blood pressure, high cholesterol and sleep apnea.

Advantages of Sleeve Gastrectomy Surgery

  • Laparoscopic approach.
  • No intestinal re-routing.
  • Reduces stomach capacity and allows the stomach to function normally so most food items can be consumed in small amounts.
  • Reduces the portion of the stomach that produces ghrelin, the hormone that stimulates hunger.
  • Dumping syndrome is avoided; (dumping syndrome is associated with the gastric bypass).
  • Does not require an implanted medical device.
Gastric Bypass Surgery

About Gastric Bypass Surgery

Laparoscopic-RNY-Gastric-Bypass(RNY-Bypass)The Roux-en-Y Gastric Bypass, also called the gastric bypass or bypass surgery, reduces the size of the stomach and repositions the small intestine to create metabolic changes that help you lose weight. Having a smaller stomach pouch allows you to feel satisfied sooner and eat less. Bypassing a portion of the small intestine helps alter the release of some of the gastrointestinal hormones involved in helping you feel less hungry as well as improve sugar or glucose metabolism for type 2 diabetics.

The Minimally Invasive Procedure

A small camera is passed through a port into the abdomen so the surgeon can view the operative site on a nearby video monitor. Delicate instruments are used to perform the operation through five to six small incisions. This laparoscopic approach to surgery has many advantages over surgery using larger incisions. Some of the benefits include less post-operative pain, shorter hospital stay, quicker recovery and better cosmetic results.

Advantages of Gastric Bypass Surgery

  • Laparoscopic approach.
  • Reduces stomach capacity.
  • Reduces the amount of food that can be eaten at a meal.
  • Promotes rapid weight loss.
  • Small incisions and minimal scarring.
  • May be effective for some type 2 diabetics who are unable to control their blood sugar using medications alone.
  • Has been shown to improve obesity-related diseases, including high blood pressure and high cholesterol.
  • Does not require an implanted medical device.
LAP-BAND® Surgery

About LAP-BAND® Surgery

LapBand - nwwlsLAP-BAND surgery involves implanting an adjustable gastric band designed to help you lose weight, improve weight-related health conditions and enhance quality of life. It reduces the stomach capacity and the amount of food that can be consumed at one time. The LAP-BAND is a silicone ring designed to be placed around the upper part of the stomach and filled with saline on its inner surface. This procedure creates a new, smaller stomach pouch that can only hold a small amount of food, and you feel full sooner. As a result, you will eat less and lose weight.

Advantages of LAP-BAND Surgery

  • Minimal trauma.
  • Least invasive surgical option.
  • No intestinal re-routing.
  • No cutting or stapling of the stomach or intestine.
  • Small incisions and minimal scarring.
  • Reduced pain and shorter recovery.
  • No dumping syndrome; (dumping syndrome is associated with the gastric bypass).
  • Outpatient procedure.
  • Reversible procedure.
How do I decide which surgery is right for me?

Contact our office, and we will provide you with viewing access to our EMMI® videos to help familiarize you with different surgical options. You can then schedule a visit to consult with a surgeon. Together, the two of you will partner to create a treatment plan based off your individual health history.

Can I select my surgeon?

We are happy to accommodate your request for a specific surgeon.

Will my insurance cover weight loss surgery?

Our trained insurance coordinators can help determine what weight loss benefits your insurance plan might provide and programs that might help you finance the surgery should your insurance not cover it.

How many appointments do I need prior to surgery?

Everyone having surgery will initially be scheduled for the following four visits:

  • Surgeon consultation
  • Registered Dietitian consultation
  • Exercise Physiologist consultation
  • Psychological evaluation

Your insurance company may require a surgical preparatory program for three to six months prior to surgery. If this is required by your plan, we will schedule these visits and work with you to complete them.

What kind of medical testing is required before surgery?

After meeting with your surgeon, he/she will order blood work to include nutritional labs. If you are having the Gastric Sleeve or a Gastric Bypass, we will also schedule an upper endoscopy for you. Your medical history will help us determine if additional tests are needed.

Do I have to stay in the hospital?

Lapband® surgery is day surgery  Patients will typically go home a few hours after the surgery. However, in some cases, your doctor may recommend an overnight stay in the hospital.

Gastric Sleeve surgery requires an overnight stay. You will typically go home the following morning. However, in some cases, your doctor may recommend an overnight stay in the hospital.

Gastric Bypass surgery is performed at the hospital, on an inpatient basis. Patients will typically spend one to two nights in the hospital before going home.

How long does the operation take?

The length of an operation depends on many different factors.

The Lapband® procedure typically takes 30 to 45 Minutes.

The Gastric Sleeve procedure typically takes 1 hour.

The Gastric Bypass surgery typically takes 2 to 3 hours.

Where will my surgery be performed?

Sound Surgeons Surgery Center is our outpatient surgery center that is connected to our clinic. Most surgeries are performed here, but we also have privileges at:

  • Providence Regional Medical Center Everett.
  • Evergreen Health Medical Center in Kirkland.
Can I attend weight loss surgery support groups before surgery?

Yes! We encourage everyone to attend support group and talk to others who have already started their weight loss journey.

Can I follow up with your office if I had surgery with another practice?

Please call our office at 425-224-8200 to initiate a transfer of care request.

You will be asked to provide your medical records from your original bariatric surgery and fill out a current medical history. Our surgeons will review your records, and call you to let you know if you have been accepted as a patient with our practice.

What about insurance? Take the first step:

See if our services are covered by your insurance.  Call 425.224.8200 or fill out the form below and we will walk you through the details.  You can also chat with us online below.

Insurance Options

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Being in my mid-50s, change is not something I undertake casually. I had LAP-BAND® surgery with Dr. Michaelson in 2011 because I knew it was time to prioritize my health. My insurance covered the procedure, and I was able to lose 50 pounds in the first eight months. Unfortunately, by 2017, I had gained back all of the weight, plus some. I was still determined to win my lifelong battle with obesity and returned to Dr. Michaelson for a second procedure. This time I had a gastric sleeve revision, which I paid for out of pocket, so you know I believe in my surgeon! To date, I have lost 64 pounds, and I am continuing to slowly lose.

The revision was by far the best decision I have ever made for myself. I feel absolutely amazing! I traveled from Alaska for surgery on a Tuesday and flew home on Friday.
I was back at work on Monday with no issues at all. I’m loving life post-revision!

Robin M.

Wasilla, AK

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