Bariatric Surgery in New York City

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 New York City?

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 New York City 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 New York City

About New York

New York City, or simply New York (NY), is the most populous city in the United States with an estimated population of over 8 million. The city is labeled as the cultural, financial, and media capital of the world. It is an important center of international diplomacy since it houses the headquarters of the United Nations. The city has been attracting tourists from all around the globe for its architectural beauty, dining spots, and arts. Fueled by its global popularity and superior healthcare, the city also welcomes patients from many other countries to undergo cosmetic surgeries and complex or rare procedures that are not available in the patient’s home country. The medical professionals are highly qualified, skilled, and experienced. The medical costs might not be the cheapest, but patients will get the best treatment in the world.

Popular Areas in New York

New York offers its visitors a myriad of attractions to see and things to do. Tourists can find world-famous sites in almost every corner. The following are the most popular places in the city.

• Statue of Liberty is a symbol of freedom and democracy. It was a gift from the French people to the people of the United States as a monument of international friendship during the American Revolution. This famous statue was designed by French sculptor Frédéric Auguste Bartholdi, and the metal framework was built by Gustave Eiffel. Tourists can access the pedestal and the crown. Although the climb to the top is strenuous, the view from Lady Liberty’s crown is breathtaking, making it one of the most rewarding experiences of your trip to NYC. To get to the statue, you need to take a ferry from Battery Park City or New Jersey. There is only one official ferry company that is allowed to take you to the islands, Statue Cruises.
• Staten Island Ferry offers a stunning landscape of New York City and the Statue of Liberty. The ferry runs frequently and is free. Tourists can enjoy the refreshing breeze while admiring Governors Island, the Brooklyn Bridge, lower Manhattan and Wall Street’s skyscrapers, Ellis Island, the Statue of Liberty, and the Verrazano-Narrows Bridge.
• Empire State Building is perhaps the most iconic symbol of New York City. This magnificent landmark should not be missed by any visitors. The building was opened during the Great Depression in 1931 and tourists can see its Art Deco style in the architecture. The view from its 86th and 102nd floors is spectacular, especially around sunset time. 
• Central Park is 843 acres of open space and is a good place to escape from the concrete jungle of New York City. The park was designed by Frederick Law Olmsted and Calvert Vaux, and it was the first major landscaped public park in the United States. Tourists can wander around the park, enjoy a picnic, visit a memorial to John Lennon, or interact with animals in the Zoo.

Weather and Climate in New York

New York City has four seasons, each with its own perks, which makes the city a year-round destination.

• Spring starts in March and ends in April. The city enjoys a pleasant temperature during this season. It is one of the most beautiful times to visit since the city is filled with Cherry Blossoms and hosts a number of festivals. However, expect to experience seasonal storms.
• Summer is from June to August. The temperatures are mostly warm, with an average between 25 °C to 30 °C. The city is usually crowded and busy during this season, but tourists can enjoy several free summer concerts. 
• Autumn is a great time to visit New York City, which lasts from September to November. The summer heat will be replaced with a cooler temperature, and the city is overflowing with red and orange leaves. 
• Winter in the city can be freezing and sometimes snowy. The season starts in December and ends in February. The temperatures can drop as low as -25 °C. If you plan to visit during winter, make sure to dress properly.

Getting Around in New York

The primary international airport in New York City is the John F. Kennedy International Airport. More than ninety airlines operate from this airport, including several budget airlines such as JetBlue. Getting around the city is fairly easy and inexpensive, especially by public transportation. The city has 27 subway lines stopping at 472 stations and more than 5,000 buses. To ride the subway, you will need to purchase a MetroCard that cost $1. The fares are $2.75 per trip and you can buy a one week unlimited MetroCard for $33 or an unlimited monthly MetroCard for $127.

The bus will take you to many places including the east or west portions of Manhattan. The bus fares are $2.75 per trip and the buses only accept MetroCard or exact fare in coins. If you do not want the hassle to figure out the public transportation system, the iconic yellow taxis are widely available. You can flag them down directly from the streets. The taxis are green in Brooklyn and Uber and Lyft are also available. 

Tourists Visas in New York

Citizens of Canada, Marshall Islands, Micronesia, Palau, and Bermuda are given visa exemption access. Holders of passports issued by 38 countries including Australia, Singapore, and the United Kingdom are selected for the Visa Waiver Program. Nationals from countries that are not listed in the visa exemption and visa waiver program need to apply for a visa. All visitors may stay for a maximum of 90 days. It is advisable to learn more about the visa policy at your nearest United States Embassy.  

Additional Information

1. Local Currency: US dollar ($) is the official currency. Please check XE.com for the current exchange rate to your local currency.
2. Money & Payments: ATMs can be found everywhere, and credit cards are accepted at most hotels, restaurants, and shops. Tipping is not optional. For restaurant servers and bartenders, 15% - 20% of the bill is acceptable.
3. Local Language: The main language in New York City is English. However, there are over 800 languages spoken in the city, such as Spanish and Chinese.
4. Local Culture and Religion: Christianity is the major religion in New York City, followed by Judaism, Islam, Buddha, and Hindu. 
5. Public Holidays: New York City celebrates various holidays, including New Year, Martin Luther King Jr Day, Independence Day, Thanksgiving Day, and Christmas Day.