Bariatric Surgery in France

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 France?

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 France 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 France

About France

France, renowned for its architecture, art, cinema, cuisine, fashion, literature, music, and wine, with the most significant attraction being its glorious capital city, Paris - home to the famous Eifel Tower. With its small medical tourism industry, France sees far fewer medical tourists than its neighbors Germany and Spain, however, many travel each year for Bariatric Surgery procedures among other popular procedures. Other than Paris, popular locations for private medical centers, include Bordeaux, Lyon, and Montpellier.

Popular Parts of France

France has welcomed more than 80 million visitors in the past few years. The country does have a lot to offer, from culture to iconic landscapes, making it an ideal place to spend a memorable holiday. 

• Paris, the capital of France, is an international center of culture, fashion, art, and gastronomy. Hundreds of writers have written about their love of this city, and it is easy to see why. With thousands of years of history, the city is filled with iconic monuments. Some of the most famous and most visited landmarks are the Eiffel Tower, Arc de Triomphe, and Notre Dame. This stunning city is also known for its art nouveau cafes with pretty chairs lining the terrace and the beautiful banks of the Seine that are perfect for romantic walks. 
• Bordeaux is known for its wine, lively restaurant scene, and the futuristic La Cité du Vin. Tourists can take a tour of a winery and taste some of the world’s best wines. Complete the wine tour by visiting La Cité du Vin, an ultra-modern cultural center that provides comprehensive information about wine production. Other than the wine, there are countless things that tourists can do in this city. Visit Place de la Victoire, a pretty square with amazing architecture, or visit Musée D’Aquitaine to see historical collections from all around the Aquitaine region.
• Lyon is the third-largest city in France and it is famous for its cuisine and historical landmarks. The city was an important area for silk production and had lots of trade with Italy and tourists can see the Italian influence in the city’s architecture. The city attracts travelers to come and visit its many museums such as the Museum of Fine Arts of Lyon, Museum of Miniatures, and Textile Museum. Tourists who love cinema will be delighted to explore the Lumiere Institute. Since Lyon is famous for its gastronomic scene, tourists should taste its famous specialties in a Bouchon.
• Nice is the second-largest tourist destination in France. Located on the Mediterranean coast, the city is brimming with stunning beaches, hilltop lookouts, and glamorous restaurants. Thanks to its Mediterranean climate, it is always filled with sun-seekers all year round. The city in the past also attracted many artists such as Henri Matisse, Marc Chagall, Pablo Picasso, and Pierre-Auguste Renoir. The city pays tribute to the artists in its top museums, the Musée Chagall and the Musée Matisse.
• Marseille is the second most populated city in France. Found by Greek sailors in 600 BC, it is one of the oldest cities in Europe. With a complex history, it is now a melting pot of different cultures. Discover the city by shopping in one of the colorful markets like the Noailles market. Do not forget to visit the Calanques to admire its beauty, wander around the interesting Mucem, get lost in Le Panier, and stroll around the scenic Corniche.     

Weather and Climate in France

France generally enjoys mild summers and cold winters except in the Mediterranean area, which enjoys mild winters and hot summers. Spring starts in March and ends in April and the streets in spring are bursting with colors, making it a beautiful time to visit the country. It rains a lot during this season but the weather will start to brighten up in April. The temperature ranges between 7.5 °C in early March and 13.6 °C in May. June is when the summer starts and this season is a high season for tourism. The average temperature in summer is around 24 °C and the season experience little rainfall (around 11 days every month). 

Autumn lasts from September to November. With an average of 12 °C, the temperature is still pretty mild to enjoy some outdoor activities. The temperature will slowly decrease in November when it reaches an average of 7.5 °C. Autumn is also the season of grape harvests, meaning it is a great time for wine tours. Winter is during the months of December to February and the weather can be really cold during this season with an average temperature of 5 °C. Despite the cold, December can be a delightful time to visit the country since it is one of the most festive months in France.

Getting Around in France

France has 34 airports, but the busiest are the airports in Paris: Paris Charles de Gaulle and Orly. Paris Charles de Gaulle Airport is the largest airport in France and the second largest in Europe. The airport serves domestic and international flights. It connects France with almost every country around the globe. It also serves budget airlines such as EasyJet and Norwegian Air Shuttle. While Charles de Gaulle airport serves as the main airport, Orly Airport serves as a secondary hub for domestic and overseas territories flights. 

Traveling around France is easy. The wide range of airports let tourists travel around the country quickly by domestic flights. The country also has a great rail system since it is the creator of the earliest high-speed train system. The TGV (Train a Grande Vitesse) connects 150 cities in the country and Europe. It speeds up to 200 miles per hour. Other than the TGV, there are also Intercity trains, TER, and AutoTrain. The easiest way to buy train tickets is online. The prices vary widely but you will get good bargains if you book early. Before getting on the train, remember to validate your ticket in yellow machines known as compostage de billets.

Taxis can be found easily around France and you can hail a taxi from a taxi rank (station de taxi) outside railway stations, airports, or main areas in cities. You can also hail one directly from the street or by telephone. The taxis are metered and the base fare is around €4.10. If there are more than four passengers, there will be an extra fee of €2.50 and the driver can charge an extra €2 if you have a lot of luggage and Taxis are usually more expensive in Paris.

Tourist Visas in France

France is a member of the Schengen Agreement. Therefore, holders of ordinary passport from 62 countries including Australia, Malaysia, Singapore, and the United States do not need a visa to enter the country for short stays of up to 90 days. Other nationals not listed need to apply and obtain a visa before entering the country. It is advisable to always check at the nearest France embassy or consulate for a France visa.

Additional Information

1. Local Currency: The official currency in France is the Euro (€). US$1 converts to €0.85.
2. Money & Payments: ATMs (known as DAB - distributeurs automatiques de billets) are widely available in the country, particularly in airports, train stations, and street corners. Credit and debit cards are accepted almost everywhere, including shops, supermarkets, restaurants, and hotels. Tipping can sometimes be mandatory, usually around 10% in restaurants.
3. Local Language: French is the official language. Most people in large cities will speak English, especially in hotels and tourist sites. But it is better to know some French.
4. Local Culture and Religion: France has a diverse religion under secular principles. The major religion in the country is Christianity, but other religions such as Islam, Buddhism, and Judaism are freely practiced. 
5. Public Holidays: There are 11 official public holidays in France, including New Year’s Day, Easter Monday, Bastille Day, and Christmas Day.