Bariatric Surgery in Phuket

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 Phuket?

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 Phuket 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 Phuket

About Phuket

Phuket, Thailand’s largest island nestles in the Andaman Sea. The island is an incredible blend of beautiful beaches, lush green hills, mangroves and rainforests. The tin mining industry has been the major contributor to its economy since the 16th century. However, In recent years, the tourism industry and rubber production have developed as major industries which contribute to the economy.

But beyond its breathtaking beaches and sceneries, Phuket also boasts an exceptional infrastructure, including advanced property development and luxurious hotels and shopping malls, catering to the needs of every visitor. It offers a plethora of recreational and entertainment options to everyone willing to enjoy its beauty and ambience.

Phuket has quickly become a preferred destination for medical tourists worldwide due to the unparalleled quality and affordability of its healthcare services. Whether it's critical life-saving procedures or elective cosmetic surgeries, the medical care provided in this city is commendable. A significant factor in Phuket's appeal is the comparative cost efficiency - the expense of dental and cosmetic treatments, in conjunction with the costs of travel and accommodation, is significantly lower than similar expenditures in numerous other countries.

Furthermore, the exceptional aftercare services in Phuket are a key component of the fully-rounded healthcare experience. Patients receive top-notch care and attention during their recovery process, enabling quicker recuperation and return to health. In this wellness-centered environment, patients are both physically replenished and mentally rejuvenated in the tranquil, picturesque settings of Phuket.

The medical tourism sector in Phuket is also buoyed by the introduction of attractive and competitive all-inclusive packages offered by numerous medical tourism agencies. These packages ingeniously integrate health and holiday elements, affording medical tourists the chance to recover and relax simultaneously. Tourists are thus afforded the opportunity to enjoy Phuket’s awe-inspiring landscapes and leisure offerings even as they benefit from top-tier medical treatments.

Maintaining its high standards in healthcare, Phuket houses two of the region's top-ranking private hospitals - the Phuket International Hospital and the Bangkok Hospital Phuket. These institutions are renowned for their state-of-the-art medical facilities and services, and their proficient English-speaking doctors. Highly recommended for a range of procedures including Cosmetic Surgery, Lasik Laser Surgery, and dental treatments, they guarantee an excellent standard of care and professionalism.

Popular Areas in Phuket

For a truly immersive Thai experience, one can opt for a walking tour through the heart of Phuket town. On your journey, you will be charmed by the robust impression of the Sino-Portuguese houses, shophouses, and opulent mansions. This architectural splendour is a vivid testament to the Chinese and Portuguese influence that has shaped the island's identity since the 16th century.

In the next phase of the tour, you will traverse the meandering streets, where each corner beckons with a tale of its own. As you further explore the town, you'll see local shops selling traditional Thai goods, bustling markets brimming with fresh local produce, and small family-run restaurants serving authentic, scrumptious Thai cuisine. Each stop underscores the rich, cultural tapestry of Phuket and its unique blend of Thai, Chinese, and Portuguese cultures - a melting pot that has been simmering since the 16th century. It's more than just a tour; it's a delightful plunge into the vibrant history and palpable heritage of Phuket.

For a complete holiday feel, you can visit the numerous small islands around Phuket and visit Phang Nga Bay as it is a mesmerizing site with limestone cliffs jutting out of the turquoise blue waters. You can also try sea canoeing, as many grottoes are accessible only by canoes. Phang Nga Bay is home to the now-famous James Bond Island with its iconic large leaning rock. Patong Beach is the most popular beach resort on the island and is always full of people as the town is bustling with activity and hosts many bars, discos and restaurants serving International cuisine.

Imbued with a profound Buddhist legacy, the island of Phuket is dotted with an abundance of quaint Buddhist temples, each boasting its distinct charm. Standing proudly amongst them all is the illustrious "Big Buddha." This awe-inspiring marble statue graces the peak of a hill and captures the onlooker's attention with its towering stature of 150 feet in height and 85 feet in width, poignantly portraying Gautama Buddha in a serene sitting position.

As you draw closer, the Big Buddha’s elevated location offers panoramic views of Phuket that are genuinely unrivalled – a mélange of the blue-green sea, unbroken stretches of sandy beaches, and the verdant green of the island’s lush hilltops. It’s not just the scale of the statue that captivates visitors, but the soul-soothing tranquillity that pervades the area. Every detail, from the rhythmic chants that resonate through the air to the soft whispers of the winds, adds a spiritual depth to the site. Whether you're a follower of Buddhism or simply a traveller curious to explore, the towering Big Buddha invites you to contemplate the interconnectedness of life and nature, honouring the philosophical principles of Buddhism.

You will not be short of things to do as Phuket has many more islands, museums, the Khao Phra National Park and the Tiger Kingdom to visit.

Weather and Climate in Phuket

Phuket experiences a predominantly tropical climate wherein it's usually hot and humid for most parts of the year. The temperature consistently hovers at a high average of approximately 86 degrees Fahrenheit, making it an ideal destination for sun-seekers.

However, there is a welcome respite during the dry season, which spans from December to March. During this period, temperatures and humidity levels take a slight dip, becoming more agreeable and comfortable, making it the most popular time for tourists. Occasional brief showers may occur, but they do little to interrupt the enjoyment of the tropical paradise. Meanwhile, the southwest monsoon introduces the rainy season from May through to October. At this time, the island is subject to an average rainfall of around 87 inches, with the heaviest deluge typically occurring in May and the September-October timeframe.

Despite the precipitation, this period also offers its unique charm to visitors. The rains bring about a different kind of beauty to the island, with lush greenery awash with life and spectacular waterfalls seen in their full glory. Indeed, the rainy season can be an ideal time for those seeking fewer crowds, more solitude, and the chance to experience a more lyrical and poetic side of Phuket's tropical charm.

Getting Around in Phuket

Phuket International Airport is located north of the island and there are many frequent flights to and from Bangkok and other regional airports like Singapore and Kuala Lumpur. Seasonal flights operate from major cities in Europe and Australia, during peak tourist season.

Phuket International Airport has services from major International airlines such as Singapore Airlines, Cathay Pacific, Emirates, Qantas, Etihad, Air China, and Edelweiss Air.

For domestic travel, Nok Air, Thai Air Asia, Orient Thai, and Thai Lion Air operate flights from the domestic terminal of the airport.

Once you land in Phuket, there are many transport options available to you and you can take the Municipal air-con airport bus to Phuket Town bus terminal 1 for 100 Bahts. There’s also the airport shuttle to Patong Beach for 120 Bahts. Phuket smart bus is another service that operates to various islands at a fixed rate of 170 Bahts. The other option is the Minibus services, which operate every time a flight arrives. They charge between 100-200 Bahts.

You can also hire metered taxis from outside the airport. The average fare starts from 400 Bahts with an extra surcharge of 100 Bahts. You can also reach Phuket from Bangkok by private car. The Sarasin Bridge connects Phuket Island to the mainland.

To move around the island, you will need some mode of transport. Public and private bus services are available from the two bus terminals in Phuket. Long distance buses operate from the new terminal but these only connect Phuket Town to the beach towns.

In Phuket, reliable means of navigation around the beautiful island consist of tuk-tuks and taxis. Of these, the minivan-like tuk-tuks or Songtaews, distinguishable by their distinct red colour, are immensely popular. However, as these vehicles do not have meters, agreeing on the fare before beginning the journey is advisable.

On the other hand, metered taxis often turn out to be a less expensive choice compared to tuk-tuks. Despite this, during peak traffic hours, drivers often switch to flat rates. For reliable and reasonable fares, opt for taxi services associated with your hotel. Other alternatives to exploring the island include rental bikes, motorbike taxis, and traditional longtail boats, each offering a unique perspective of the stunning landscape.

Tourist Visas in Phuket

International tourists travelling to Phuket and other parts of Thailand must have a passport which is valid for at least six months over and above their period of stay.

On the other hand, Effective September 25, 2023, Thailand has granted a temporary tourist visa exemption to passport holders of the People's Republic of China and the Republic of Kazakhstan. This visa exemption is valid until February 29, 2024. Also, Thailand has announced that it will be launching a new visa program for long-term visitors starting from October 1, 2023. The new visa program will allow visitors to stay in Thailand for up to 10 years.

Thailand provides tourist visa exemption to the nationals of 48 countries, which include Australia, the USA, Japan, and New Zealand. Under the exemption policy, they can stay in the country for not more than 30 days during each visit. However, passport holders of 28 countries which include India and Russia need to get a visa on arrival. You can get a tourist visa on arrival at the immigration checkpoints for a period not exceeding 15 days.

If you are required to apply for a Thailand visa, you can do so at a Thai embassy or consulate in your home country. You can also apply for a visa online through the Thai eVisa website.

When applying for a Thailand visa, you will need to provide the following documents:

• A valid passport
• A visa application form
• A passport photo
• Proof of onward travel
• Proof of financial support

Additional Information

• Thai is the official language of Phuket and is widely spoken on the island. However, you can manage with English in the main parts of the city and the tourist areas.
• Thai Baht is the currency of exchange in Phuket. As of late 2023, one US dollar is worth about 36.94 baht. You can, of course, use debit and credit cards anywhere in Phuket.
• Many of the major banks have their branches in Phuket Town and Patong. You can find ATMs in all shopping and tourist areas and in Seven-Eleven stores. Almost all currency exchange booths also offer an ATM service.
• Buddhism is the major religion in Phuket. However, you can find many Muslims too, who constitute about 20 percent of its population.
• Thai people are very friendly and forgiving and understand that visitors are not very aware of their customs and culture.
• The Royal family is held in the highest esteem. It’s a criminal offence to criticize them in public.
• Thailand follows the lunar calendar. Hence, religious holidays fall on different dates every year. Some important holidays in 2019 are Makha Bucha (19th Feb), Songkran Festival (12-16th April), H.M. King’s Coronation (6th May), Visakha Bucha (20th May), Queen Sirikit’s Birthday (Mother’s Day 12th August), Commemoration of King Bhumibol (5th December) and Constitution Day (10th December).
• Thai people are known for their warm hospitality and friendly nature. It is customary to greet people with a "wai" (a slight bow with the hands clasped together in front of the chest). It is also important to be modest in your dress and behaviour, especially when visiting temples and other religious sites.