Why do I need to be on a calorically restrictive diet two weeks before surgery?

The goal of the pre-surgical diet is to decrease the size of your liver. A critical part of your operation will take place in your upper abdomen covered by the left side of your liver. People with extra abdominal fat often store a percentage of fat in the liver which can make the organ large, stiff, and fragile. Caloric restriction prior to surgery will reduce the size of your liver and reduce risk associated with surgery. The dieticians will work with you to create a customized diet.

Will weight loss surgery work for me if I am an emotional eater?

We realize that weight loss surgery itself is a tool to help minimize the feelings of physical food craving, but the real work comes with changing your mental and emotional relationship with food. We strongly encourabe our patients to seek therapeutic counseling services to assist them with managing their cravings and relationship with food. We do offer support groups to all of our patients so they can feel better prepared before surgery and well supported after surgery. Our team is dedicated to helping you find healthy coping mechanisms as you begin your new lifestyle.

What will my long term diet be like?

Our Registered Dietitians will provide you with nutritional education customized for you depending on the surgery you chose.


  • Normal foods in smaller portions.
  • Protein.
  • Vegetables.
  • Chew slowly.
  • Eat to the point of comfort, and then stop.


  • Processed foods (such as bread, rice, pasta, chips, cereals, crackers etc.).
  • Liquid calories.
  • Eating fast.
  • Sugar

We highly recommend scheduling routine visits with your Registered Dietitian.

Will I lose hair?

Because of rapid weight loss, and the associated metabolic and hormonal changes directly following surgery, hair loss may occur. This experience is unique to each individual, should you experience hair loss, please speak with your care team about suppliments that may help reduce the amount of hair loss you experience.

Can I have weight loss surgery if I smoke or use nicotine?

Nicotine use impedes the healing process and increases the risk of complications after surgery. Due to this, we strongly urge all nicotine users to quit at least 4 weeks prior to surgery and ask that they remain off nicotine after surgery as well. Please talk with your surgeon about how we can assist you in quitting nicotine.  Please (click here) for resources and more information about nicotine cessation.

What is laparoscopic surgery?

Laparoscopic (also called minimally invasive) surgery is a procedure performed internally via small incisions. The surgery is performed using a camera and specialized instruments introduced through these small incisions into the abdominal space. Laparoscopic surgery has been proven to result in less pain and quicker recovery. Most bariatric surgeries will require five small incisions that are about half an inch in length.

How do you adjust the gastric band?

Band adjustments are done in office by adding or removing sterile water through the access port fixed beneath the skin of your abdomen. These adjustments can help you manage your weight loss. If the band is too loose, and your weight loss has slowed, adding more sterile water can help by reducing the flow of food through the band into the stomach.  If that band is too tight, and reducing the flow of food through the band resulting in symptoms, sterile water can also be removed.

What is BLIS?

BLISCare is surgical-complication-protection insurance, which is available exclusively to those surgeons who meet BLIS underwriting standards. Those undergoing bariatric surgery with Northwest Weight & Wellness who are funding this procedure without commercial insurance will be required to carry BLIS insurance for potential complications related to surgery in the first 90 days post-operatively. BLIS surgeons are an elite group of providers who are selected based on experience and low complication rates. We are proud to be BLIS surgeons.