FAQ - Surgical Treatment of Obesity
425.224.8200 | F: 224.8299 info@nwwls.com
425.224.8200 425.224.8299 info@nwwls.com



What is BLIS?

BLISCare is surgical-complication-protection insurance, which is available exclusively to those surgeons who meet BLIS underwriting standards. 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.

Why do I need to lose weight in the two weeks before surgery?

The goal of pre-surgery weight loss 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 enough of that fat in the liver to make the organ large, stiff, and fragile. Quick efficient weight loss 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 liver shrinking diet.

How long will I be off work after weight loss surgery?

The time to recover will depend on the surgery you select to have and the type of work that you do.



  • Lapband – We typically recommend taking three to five days off work.
  • Gastric Sleeve – We typically recommend taking seven days off work.
  • Gastric Bypass – We typically recommend taking fourteen days off work.
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 offer therapeutic counseling services and 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.

How much weight will I lose?

On average, people lose between 50 and 75 percent of their excess body weight within two years of surgery. This will vary for each individual, but we tend to see increased weight loss in people who meet with their care team regularly.

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.

Why do you lose your appetite after weight loss surgery?

After weight-loss surgery, many patients report changes in appetite, taste and smell. One of the reasons weight loss surgery is so successful is because it helps control background hunger. Surgery reduces hunger causing hormones. Patients often report that they no longer crave the same foods and sometimes, if you can believe it, forget to eat!

Will I lose hair?

Because of rapid weight loss, metabolic and hormonal changes directly following surgery, hair loss may occur.

Will I be able to get pregnant after weight loss surgery?

Yes. Having weight loss surgery alone should not impact your ability to get pregnant. We recommend that you wait for at least one year so your weight is more stabilized, and your nutrition needs can be met.

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

Here at Northwest Weight & Wellness Center, we ask that all smokers/nicotine users quit. Nicotine use impedes the healing process and increases the complication risk post surgery. Please talk with your surgeon about how you can stop.

What is laparoscopic surgery?

Laparoscopic (also called minimally invasive) surgery is a procedure that involves small incisions. The surgery is performed using a video camera and specialized instruments. Laparoscopic surgery entails less pain and a 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 saline solution 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 saline can help by reducing the flow of food through the band. If that band is too tight, saline can also be removed.