Bariatric Surgery in Bangkok

Bariatric surgery is a group of weight-loss surgeries that involves making changes to the digestive system, some of which are non-reversible. The idea behind these types of surgeries is to help patients lose weight by either limiting the amount of food they can consume/digest at any one time or reducing their body’s ability to absorb nutrients. Some procedures do both. 

Bariatric surgeries should only ever be the final option when diet and exercise have proved inadequate and there are now serious health concerns caused by a person's weight. In general, these surgeries can only be an option for patients whose body mass index (BMI) is 40 or higher (extreme obesity). In certain cases, patients whose BMI is 30 to 39.9 may qualify for certain types of bariatric surgery if they have serious weight-related problems, such as type 2 diabetes.

The three most common types of Bariatric Surgeries are as follows:

1. Gastric Sleeve – The most common surgery, in which about 80% of the stomach is irreversibly removed, resulting in a sleeve or tube-like structure. This smaller stomach will not be able to hold as much food and produces less of the hormone that regulates appetite (ghrelin), which can lessen the patient’s desire to eat. 
2. Gastric Bypass – A more complicated procedure in which the stomach is divided into two parts; a small upper pouch and a large lower ‘remnant’ pouch. The small intestine is rearranged to bypass the large pouch. As a result, the volume of the stomach is significantly reduced. This causes food to go into the small upper pouch of the stomach and then directly into the small intestine. The small upper pouch can only hold around an ounce of food. Gastric Bypass is typically not reversible. 
3. Gastric Band – Involves an inflatable silicone device that is fitted around the top portion of the stomach to create a smaller stomach pouch. This procedure causes the patient to feel fuller with less food but still allows the body to digest food as usual, without malabsorption. The device can be removed when the patient reaches their desired weight.

The bariatric surgeries mentioned above are typically performed laparoscopically, in which the surgeon creates around one to five small incisions in the abdomen to insert a laparoscope (a long narrow tube with a camera) and surgical tools. The patients are usually given a general anesthetic, so they will not feel anything throughout the surgery.

How Long Should I Stay in Bangkok?

After bariatric surgery, an overnight stay in the hospital is usually required. In some cases, you may need to stay longer (around 3 to 5 days). However, it is not advisable to leave Bangkok as soon as you are discharged from the hospital. Stay at least 10 to 14 days following your surgery for initial recovery and follow-up checkups. During the follow-up checkups, your surgeon will remove your stitches and check your overall condition.

What's the Expected Recovery Time?

The recovery time may take around 3 to 6 weeks until you are allowed to go back to your normal activities, including work, with some restrictions. You must avoid heavy work and strenuous activities, such as lifting, pushing, or carrying heavy loads for at least the first three months after surgery. You should also avoid sitting and standing without moving for long periods to avoid blood clots forming in your legs.

What Aftercare is Required?

You will be given a special diet plan immediately after your surgery, as well as detailed post-operative instructions. Make sure to follow the diet plan and instructions to avoid complications and speed up your recovery. In order to maximize and maintain weight loss, it is important that you commit to healthy eating and regular exercise. There may be restrictions on how much food you can consume. You may also need to change your eating habits, such as eating 6 small meals instead of 3 large meals each day. You should take vitamins and mineral supplements to ensure proper nutrition. 

What's the Success Rate?

The success rates vary for each of the different types of bariatric surgery. In general, within the first six months following the surgery, most patients lose around 30% to 55% of their excess weight. Then, as early as 12 months after surgery, most patients lose over 70% of their excess weight. Patients could also maintain a 50% to 60% loss of excess weight for 10 to 14 years after their bariatric surgery. Although the success rates are high, there are risks associated with bariatric surgery, such as bleeding, deep vein thrombosis, infections, spleen injury, stenosis, and infections.

Are there Alternatives?

There is a non-surgical Bariatric procedure, known as the Gastric Balloon. This involves an inflatable device that is temporarily inserted into the stomach via endoscopic placement. A sizable area of the stomach is obstructed by the balloon or balloons, thus reducing the amount of food it can contain at any one time, leading to eventual weight loss. The balloons are usually removed after 6 or 12 months. 

If you cannot or do not want to undergo any surgery or medical procedure, you may be able to work with a doctor who is experienced in treating extreme obesity and a dietician as the alternative. They may recommend you to change your diet, adding physical activity, and prescribe medications.

Bariatric Surgery in and around Bangkok

About Bangkok

Bangkok is the Capital city of Thailand and is ranked as one of the world’s most popular holiday destinations. The city holds a magical spell over its visitors and is full of beautifully decorated Buddhist temples, Royal palaces, museums, restaurants, and nightlife. Recently, the city has become the gateway to a large number of medical tourists. According to a BBC report, more than 80% of all medical tourists travel to Thailand, aiming to get the best medical attention, of which Bangkok and Singapore remain the most popular destinations for expats. The trend is increasing by 10% to 15% per year and has been a strong economic driver for the country, next to the tourism industry.

Medical tourism in Bangkok is highly rated within the industry for many reasons, including:

Cost-Efficient Treatments
Experienced Medical Professionals
Top-Tier Facilities
Advanced Technology
Quality Dental Care: Short Waiting Times
Comfortable Recovery:

Popular areas in Bangkok

For starters, Bangkok is a well-developed city. There are plenty of places to stay; shop and explore and deciding where you want to stay can be a difficult decision.

One way to choose the place you will likely stay is to prioritize your activities. For example, if you want to shop then Sukhumvit may be the right district. This 18-kilometer long road is the commercial center and some of the best shopping malls and retail markets are dotted along this road.

The Siam district would be a great place to stay as the more popular and trendy shopping centers can be found here with a great selection of restaurants. There are various other attractions too, the Siam Ocean World, Kidzania, Erawan Shrine, Madame Tussauds, and the BACC, Bangkok's biggest art gallery, and cultural center.

Other popular tourist locations are Sukhumvit, Pratunam, Silom, Chinatown, Khaosan and the famous Bangkok Riverside.

Weather and climate in Bangkok

Bangkok endures a tropical monsoon climate, it is hot and humid for the vast majority of the year with temperatures reaching thirty degrees centigrade. The best weather for visiting tourists in Bangkok is experienced between December and February as the temperature is much cooler and

There are three seasons in Bangkok –

• The hot season that stretches from March to June

• The Monsoon or the rainy season, which starts in July and lasts until October

• The cool season is generally late November and ends late February.

Getting around in Bangkok

There are two airports that serve Bangkok. All the international flights land at Suvarnabhumi International Airport and almost all of the domestic carriers, operate from Don Mueang Airport.

It takes sixty minutes to travel between the two airports and you must check with the airlines which airport your carrier is operating out of. You must also remember to check in for your flight at least two hours in advance to avoid the last minute rush.

Within the city, sky-trains and the underground MRT trains are the best ways to avoid heavy traffic. Taxis and tuk-tuks can also be used for shorter journeys around the city. Most taxis have meters, and you should avoid any that don't to protect yourself from scams. Ask your hotel to help you call for a cab, as they often have relationships with trustworthy companies. For a scenic view of the city, try hopping on a riverboat down the Chao Phraya River.

Tourist Visas in Bangkok

If you wish to visit Bangkok, you will have to go to your nearest Thai embassy to get a visa. The Thai government has a bilateral trade agreement with various countries. It allows citizens of 64 countries to enter without any visa. They can stay for a maximum period of thirty days before having to leave the country.

The latest price for a tourist visa to Thailand depends on the type of visa you apply for and your nationality.

For citizens of most countries, the following visa fees apply:

• Single-entry visa: 2,000 THB (approximately $65 USD)
• Multiple-entry visa: 4,000 THB (approximately $130 USD)

You can pay the visa fee in Thai baht (THB) at the Thai embassy or consulate where you apply for your visa.

To apply, you’ll need to visit a Royal Thai Embassy or Consulate in your home country. Required documents typically include:

• A valid passport with at least six months remaining before expiration
• A completed visa application form
• One recent passport-sized (4 x 6 cm) photographs
• Round-trip air ticket or e-ticket (paid in full)
• Proof of sufficient funds to cover your expenses (at least 10,000 THB per person or 20,000 THB per family)
• Proof of Hotel or private accommodation booking

Be sure to apply at least four weeks before your travel date. You can make your application online at the Thai E-Visa official website https://thaievisa.go.th/.

Additional Information

1. The local currency is the Thai Baht. Before you travel to Bangkok, it is advisable that you arrive with local currency. Your currency is exchangeable at most banks in Bangkok and at exchange bureaus. You will have to look out for specialized signboards that read “Bureau De Change”. 1 US Dollar is roughly 34.5559 THB as 2023. Exchange of foreign currency at the airport is also possible and it may not be at the best rate possible.

2. Bangkok banks and retail outlets accept all types of credit and debit cards. There are ATMs in most of the popular places for the convenience of tourists. Hotels and restaurants also accept credit and debit cards. Tipping is mandatory at ten percent of the value of the goods and services.

3. Thai is the official language of the country. Nevertheless, a majority of the population will speak and understand English. 

4. Buddhism is the official religion of the city and yet nowhere else in the world will you find a sterling example of cultural diversity. A massive 94 percent of the city’s population practices Buddhism and the remaining six percent follow the other world religions such as Islam, Hinduism, and Christianity.

5. There are a lot of festivals and holidays celebrated in Bangkok. The Gregorian and the Chinese New Year are the major festivals. A host of Buddhist festivals such as the Makha Bucha Day and the Visakha Bucha Day are also celebrated. Important dates in relation to the royal family are also prominent as the people celebrate the coronation day of the Monarch.