Bariatric Surgery in Marrakech

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 Marrakech?

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 Marrakech 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 Marrakech

About Marrakech

Located to the north of the foothills of the Atlas Mountains, Marrakech is the fourth largest city in the Kingdom of Morocco. Found nearly a thousand years ago, this city is where Africa, the Middle East, and Europe fuse into one. It is widely known as the red city because of its famous red walls, alleys, and plazas. The city offers a rare opportunity for tourists to immerse themselves in culture, where modern and ancient merge in a perfect balance. Just like many Moroccan cities, the medina in Marrakech is too beautiful to be missed. 

Marrakech has the perfect environment for relaxing and rejuvenating, which is one of the reasons why many medical tourists seek health treatments in this beautiful red city.  The medical facilities in the city offer outstanding quality with the latest technology and a wide range of treatments. Healthcare in this city is considerably cheaper than in Western countries and many people are also attracted to Marrakech because it is known to excel in modern plastic surgery. The most sought-after procedures are liposuction, nose jobs, breast lifts, and ear surgery. Other treatments such as dental care, spa, and wellness are also popular.

Popular Areas in Marrakech

This exotic city has everything for everyone, whether you want to indulge in its culture and history or have a luxurious and modern vacation.

• Djemaa El Fna is the most famous square in Morocco that attracts tourists from all around the globe. Often referred to as the heart of Marrakech, the square is a thrilling place to go shopping and get a closer look into the Moroccan culture. However, the real excitement starts when the sun sets and the square is transformed into an Arabian fantasy. It will be filled with fortune tellers, snake charmers, monkeys, and musicians, making it an interesting place to have fun and experience new things. 
• Ali Ben Youssef Medersa is the largest madrasa in Morocco and one of the most important in North Africa. Built around 500 years ago, the Quranic learning center still retains its splendid beauty. It is said that up to 900 students have lived in the building to study law and theology. In 1960, it was turned into a museum and one of the most popular sights in Marrakech. Tourists can enjoy a striking view of architecture and decoration as its wall and columns have astonishing carvings, the large patio is made of marble, and the inner courtyard is decorated with mosaics.
• Musée Yves Saint Laurent is a must-visit for any fashion enthusiast and the museum exhibits selected masterpieces of haute couture clothing and accessories made by the legendary French fashion designer Yves Saint Laurent from 1962 until his retirement in 2002. Designed by Studio KO, the building itself is impressive with terracotta brick and earthen-colored terrazzo. The museum consists of a 150-seat auditorium, bookstore, a research library, and a terrace café.
• The Bahia Palace means brilliance in Arabic and it is a fascinating well-preserved historical site in Marrakech. It consists of a palace and a set of gardens which was built in the late 19th century. The building perfectly captures the essence of the Islamic and Moroccan style.

Weather and Climate in Marrakech

Marrakech mostly experiences a hot semi-arid climate. Spring starts in March and ends in May, with flowers blossoming and the temperature is between 15 °C at the lowest and 28 °C at the highest, spring is one of the best times to visit the city. If you’re planning to visit during this season, note that April and May have occasional rain showers. June to August are the summer months which can get extremely hot and the average temperature is around 26 °C to 30 °C, but it can increase to 36.8 °C. It is best to stay in the shade from noon to 3.00 PM when the sun is at its hottest. 

The temperature will slowly decrease in the Autumn months of September to November. This season is also one of the best seasons to travel and have some outdoor adventures in the red city. Although the summer is remarkably hot, the winter in Marrakech is cold as the temperature sometimes plummets to 6 °C. This season runs from December to February and it is also the wettest season as rain is most predominant in December.

Getting Around in Marrakech

The main international airport serving Marrakech is the Marrakesh Menara International Airport. The airport operates domestic and international flights. It has two passenger terminals in one large building that serve flights to Europe, the Middle East, and Africa. Budget airlines such as EasyJet, Ryanair, and Wizz Air provides affordable options to travel to and from the red city.  

Taxis are widely available throughout the city. It is also one of the most efficient and flexible ways to get to the main sites and there are two kinds of taxis in the city. The Grand taxis are old Mercedes cars that can carry up to six people and have a specific route with a fixed fare. Tourists can find the grand taxis at the bus station or Djemaa el Fna. Petit taxis are a private taxi, and the drive will take you anywhere. These taxis are metered and can be a little more expensive than the grand taxis. There are drivers who do not use the meter so you should bargain or ask the driver to switch the meter on before you get into one.

Buses are the most inexpensive way to get around. Tourists can find them in the central bus station of Place El Mouarabitene, and most buses will stop at the Djmaa el Fna. Tourists can pay the fare directly to the driver. If you want a more traditional and interesting way to get around, you can opt for the caliche and it is a horse-drawn carriage with a fixed price for the most common routes. 

Tourist Visas in Marrakech

There are around 66 countries granted visa-free access to Morocco for up to 90 days, including the European Union, Australia, China, Russia, and the United States. Citizens of the Republic of the Congo, Guinea, and Mali do not require a visa but must obtain an Electronic Travel Authorization in advance. It is best to always check the current regulations at the nearest Moroccan Embassy or Consulate before applying for a visa.

Additional Information

1. Local Currency: The official currency is the Moroccan Dirham (MAD) and the exchange rate from 1USD is 9.70 MAD.
2. Money & Payments: ATMs can be found all over the city. Credit cards are mostly accepted in top-end restaurants and hotels. Tipping can be obligatory sometimes. 
3. Local Language: Modern Standard Arabic and Berber is the official languages and French is widely spoken. English is not common but there will be people who can speak English especially in tourist areas.
4. Local Culture and Religion: The majority of the population follows Islam. There are also people who follow Christianity, Judaism, and Baha’i Faith.
5. Public Holidays: Islam religious holidays such as Islamic New Year and Eid al-Fitr are celebrated in Marrakech.