Step-by-Step Procedure
Evaluation by a bariatric surgeon and multidisciplinary team
Full medical history, physical examination, and laboratory tests
Discussion of goals, expectations, and surgical suitability
Specialized pre-surgery diet to reduce liver size
Instructions regarding medications and fasting
Psychological preparation for long-term behavior change
Performed under general anesthesia
Minimally invasive laparoscopic technique
Creation of a small stomach pouch
Rerouting of the small intestine to reduce calorie absorption
Hospital stay of 2–4 days
Pain managed with medication
Gradual dietary progression: liquids → soft foods → solids
Ongoing nutritional and lifestyle guidance
Regular medical check-ups to monitor progress
Significant weight loss expected over 12–18 months
