Bariatric Surgery in Munich

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 Munich?

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 Munich 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 Munich

About Munich

Munich is the largest city in Southern Germany and it is one of a few places on earth where traditional and modern sit side by side, with its royal palaces and high-tech cars. Known as the ‘city of art and beer,’ this city is famous for its annual beer festival known as Oktoberfest. What most people do not realize is that Munich is also one of the world’s most famous medical tourism destination. Thanks to the famous German education system that creates skilled specialists, as well as state-of-the-art medical centers that invest in the latest medical technology, medical tourism in this city is a booming business that continues to grow at a fast rate. International patients usually travel to the city for quality rather than the price.

Popular Parts of Munich

Munich boasts a beautiful historic center, amazing German food, large parks and gardens, and beer halls packed with welcoming people. Visitors can explore numerous historical buildings, such as the Church of St. Peter and Frauenkirche. These two buildings have been around for centuries and are located in Munich’s Old Town. One of the most popular attractions in the city is Alte Pinakothek, which is an important art museum that houses over 800 works from the 14th – 18th centuries from German masters. Those who want to have a picnic, hike, simply relax or even try surfing should visit the English Garden. Other popular places include Dachau Concentration Camp, Nymphenburg Palace, BMW Museum, and Deutsches Museum.

Transport in Munich

The international airport of Munich is Munich Airport, which is the second-busiest airport in Germany in terms of passenger traffic. It serves international flights from many cities around the world, including Dubai, Bangkok, and Atlanta. Munich has a comprehensive network of public transportation that will take visitors virtually anywhere around the city. The most common transit system is the U-Bahn, which is a fast and easy underground subway system. Buses, trams, and commuter trains are also available and each has a vast network. Taxis are easy to hail, reliable, and safe. However, they are a bit pricey and Uber operates in Munich.

Visas in Munich

As a member of the Schengen Area, Germany allows citizens of several countries, including Australia, New Zealand, the US, and Poland to enter and stay in the country without a visa for up to 90 days. Citizens of other countries not listed in the visa-free entry need to obtain a visa to visit the country. Always check the requirements for Germany Visa Application before applying.

Weather in Munich

From June to August is the summer, which is a popular time to enjoy outdoor activities as the temperatures hover around 24°C. On very hot days, the temperatures can reach 30°C. Autumn (September – October) and spring (March-May) has pleasant weather with mild temperatures. Winter can be very cold, with temperatures dropping as low as -10°C.

Additional Info

1. Local Currency: Euro (EUR) is the official currency. 1 EUR is approx. 1.12 USD.
2. Money & Payments: ATMs are easy to find. Credit cards are not widely accepted and tipping is common practice.
3. Local Language: The official language is German. Many people, particularly in tourism areas, understand English to some extent.
4. Local Culture and Religion: Christianity is the largest religion in the city, followed by Islam, Buddhism, Hinduism, and Judaism.
5. Public Holidays: Munich celebrates numerous holidays, including New Year’s Day and Christmas Day. It also hosts several festivals throughout the year, such as Oktoberfest in October.