Bariatric Surgery in Koh Samui

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 Koh Samui?

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 Koh Samui 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 Koh Samui

About Koh Samui

Koh Samui is the second-largest island in the Gulf of Thailand. Referred to as Samui, it was once a “backpacker’s paradise”. It has a bounty of natural wonders as well as man-made attractions such as the mummified monks and the glorious Buddha temples.

The idyllic atmosphere of Koh Samui makes it a perfect destination for both physical and mental wellbeing. It has become a preferred destination for medical tourism in the last few years. Visitors love the location and combine their holidays with medical and spa treatments.

The island has several sophisticated and state-of-art international hospitals such as the Bangkok Hospital, Samui, Bandon International Hospital, Samui International Hospital, and Thai International Hospital, Samui. These hospitals offer affordable and timely medical services to tourists who mainly come to undergo Cosmetic surgeries, Dental Aesthetic procedures, and Sex Reassignment surgeries. Such procedures when carried out in Koh Samui cost 20% to 25% less than the cost of the same treatments in their home countries.

With an eye on the possible growth within the realm of medical tourism, these hospitals are actively broadening the array of medical services they offer. They now furnish other types of procedures including, but not limited to, cardiac surgery, orthopedic surgery, and ophthalmic surgery.

In addition to these extended services, they have a roster of highly competent doctors on hand. These medical professionals are clearly proficient in English, thereby effectively ensuring smooth and easy communication with patients arriving from different parts of the world.

Popular Areas in Koh Samui

Koh Samui is home to many amazing beaches, locations, temples, and markets and some of the major and popular attractions of the island are:

• Ang Thong Marine Park – Ang Thong Marine Park is a group of 42 tiny lush green islands with lofty limestone cliffs, crystal clear beaches, fertile mangroves, waterfalls, hidden coves, and lakes. It is one of the most popular tourist destinations in Koh Samui, and it is easy to see why. The scenery is simply breathtaking.
• Wat Phra Yai – Wat Phra Yai, also known as the Big Buddha Temple, is one of the most iconic landmarks in Koh Samui. The golden-colored, 12-meter tall Buddha statue is hard to miss, and it is a popular pilgrimage site for both locals and tourists.
• Wat Plai Laem – Wat Plai Laem is an active Buddhist temple that is known for its beautiful architecture and its 18-arm image of Guanyin, the Goddess of Mercy and Compassion. It is a popular place to visit for both religious and cultural reasons.
• Na Muang Waterfall – It represents a set of two magnificent waterfalls. These lie about 7.5 miles southeast to Nathon Bay in inland.
• Chaweng and Lamai Beach – Are the two most popular beaches on the island. Chaweng beach is on the east coast of Samui and is known for its nightlife. Lamai beach has a more laid-back atmosphere, but it still has a variety of accommodation, dining & shopping choices, luxurious spas, and tourist spots.

Koh Samui’s other attractions include Hin Ta and Hin Yai, Koh Phangan island, Fisherman’s Village Bophut, Mummy Monk at Wat Khunaram, and the Secret Buddha Garden. Full Moon Party is an all-night beach party held on the Koh Phangan island on full moon day.

Weather and Climate in Phuket

Nestled in a tropical climate, Koh Samui basks in hot and humid weather that extends throughout the year. The humidity level typically straddles between 70 and 85 percent, creating a warm atmosphere indicative of tropical locales. Meanwhile, the average temperature usually hovers around a cosy 28 degrees Celsius.

The island ushers in three distinctive seasons, specifically, hot, dry, and rainy, each of them bringing a unique texture to the overall climate.

• Hot Season is between March and September. The hottest period is March and April when the temperature is 30 degrees Celsius and above. From May to September, it’s like a mini monsoon season with bright sunny days and light showers in the evening.
• Dry Season runs from December to February. The weather is pleasant with light cool winds. The sea is balmy and tourists flock the region during this season.
• Rainy Season is between September and November and the island faces its maximum rainfall with unpredictable weather and rough seas.

Getting Around in Koh Samui

Koh Samui’s airport is a private airport built by Bangkok Airways. It is still the main operator of flights to Samui. Flights to and from Bangkok operate almost every hour. It operates domestic flights to Phuket, Pattaya, and Chiang Mai, and international flights to Singapore, Kuala Lumpur, and Hong Kong every day. Thai Airways to flies between Bangkok and Ko Samui.

Besides Bangkok and Thai Airways, Berjaya Air & Firefly of Malaysia and Silk Air of Singapore also fly to Samui Airport. Air Asia offers a special ‘Island Transfer’ which comprises a flight from Bangkok to Surat Thani or Nakhon Si Thammarat, road travel to the port, and a ferry ride to Koh Samui.

Combined bus and ferry service from Surat Thani rail station or Surat Thani Airport are other options to reach Samui.

Moving around Koh Samui is easy as it is a small island and there are many transport options within Samui. They are songthaews, motorbikes, taxis, and cars and there are no tuk-tuks or buses.

• Songthaews – They are mini pick-up trucks that can accommodate 8-10 adults. They circle the main ring road of Samui and travel through the popular beach towns. The drivers pick you up from anywhere on the road.
• Metered Taxis – You can find them everywhere in the town. Despite having a meter, the drivers don’t use them. You need to bargain and fix a fare before you start your journey.
• Rent a Car – There are major car rental chains to book a car and they have a good collection of vehicles, but can be pricey. Then there are local car operators which are cheaper but can be unreliable.
• Scooter-taxis –These are the cheapest and quickest mode of transport.

Tourist Visas in Koh Samui

Visa Exemption or Visa Waiver Entry – Under a bilateral agreement, Thailand exempts nationals from 55 countries including the UK, USA, and many European countries from obtaining a tourist visa. The only condition is that tourists must have a passport that is valid for at least six months. They can get an arrival stamp on their passports, and stay in the country for a period of 30 days. They need not pay any visa fees, as it is not a visa on arrival rather just an entry stamp.

Visa on Arrival – Nationals from 24 countries like China and India with a valid Passport not expiring before six months, can get a visa on arrival at the airport. The visa permits them a stay of 15 days. There are designated immigration counters at the airport for issuing the visa.

Here are some additional tips for tourists applying for a visa on arrival in Thailand:

• Make sure that you have all of the required documents, including a valid passport, a return flight ticket, and proof of funds.
• Be prepared to pay the visa fee, which is 2,000 Thai baht.
• Be prepared to answer questions about your trip and your purpose for visiting Thailand.

Additional Information

• The main currency of exchange is the Thai Baht. One US dollar is worth about 34.5559 Thai Baht as of 2023. You can also use debit and credit cards.
• Most of the major banks operate in Samui Island. They exchange all major currencies and traveller’s cheques.
• ​​​​​​​You can find ATMs everywhere in Koh Samui. They accept both local as well as international debit cards. However, they charge you a small transactional fee when you withdraw from your country’s bank account.
• ​​​​​​​The locals of Koh Samui speak Thai – the official language of Thailand. People also understand and speak English to a certain extent, since the island is a famous tourist destination.
• ​​​​​​​Buddhism and reverence to the monarchy are striking aspects of Samui culture. It has a large Buddhist Thai population along with a traditional Muslim fishermen community.
• ​​​​​​​Important public holidays include:

1. The Chinese New Year in February
2. ​​​​​​​The Thai New Year (Songkran) in April
3. ​​​​​​​The Festival of Lights (Loi Krathong) in November
4. ​​​​​​​Christmas and New Year