Bariatric Surgery
At our center of excellence we provide surgical weight loss solutions. The selection, preparation, performance, and aftercare of surgery happens under the guidance of our expert team.
Surgeries Offered
The type of surgery that is performed is selected by our team based on the knowledge gathered from your personal and medical histories.
SADI
Malabsorption Procedure
"single anastomosis duodeno–ileal bypass"
The SADI operation requires the most surgical expertise out of all the procedures.
Gastric Bypass
Restriction Procedure with a Malabsorption Component
"roux-en-y"
The better long term success achieved by the GBP over the purely restrictive operations is largely due to the hormonal changes that occur in the bypassed stomach and duodenum that in turn regulate the appetite and satiety centers of the brain.
BPD-DS
Malabsorption Procedure
"biliopancreatic bypass with duodenal switch"
Malabsorptive procedures lead to the best longterm outcome results.
Sleeve Gastrectomy
Restriction Procedure
Medical Aid Contribution Qualifiers
In order for certain medical aids to pay for your surgery, you will need to meet qualifying requirements. Please note that the amount paid by medical aid is dependent on plan and provider. Our office can assist you with information regarding whether your medical aid will contribute, as well as the approximate percentage of costs that are subsidised.
1
Your BMI is above 40
2
Your BMI is above 35 and you have co-morbid diseases
3
Your BMI is above 30 and you have poorly controlled diabetes*
4
You do not have clinical contraindications
5
You do not have psychological contraindications
*
The following exclusion criteria applies for patients at a BMI 30 with poorly managed diabetes:
- Known type 1 diabetes.
- Type 2 diabetes for longer than 10 years, on more than 200 units of long acting insulin.
- Documented past pancreatitis.
- Alcoholism.
- Recreational drug use.
- End stage disease of any nature with poor prognosis
The Process
With you every step of the way
01
Application
Fill in our patient onboarding form by clicking the button below.
Once we have assessed whether you qualify for surgery based on your current conditions, an appointment will be made for you to start the process.
02
Preparation
Your preparation and process before surgery will comprise of:
-
Clinical tests such as an ECG, lung function, and bloodwork.
-
A possible sleep study to assess anaesthesia risk and for medical aid motivation.
-
In-house compilation of your medical aid motivation document.
-
Nutritionist visits.
-
Psychologist visits.
-
Biokineticist visits.
-
Possible psychiatrist visits.
-
Optional preparation of your pre and postoperative liquid phase diets.
-
Specialist care by Prof Tess.
03
Surgery
Your surgery will take place at Waterfall City Hospital. The type of surgery performed will be decided preoperatively by Prof Tess and the surgical team. This is done after careful review of your clinical circumstances. You can expect an exploratory gastroscopy before, and approximately two months after your surgery.
04
Aftercare
After your surgery, we provide lifelong follow-ups with the professional team. Online bookings are available for follow-up services with your nutritionist and biokineticist. For nutritional supplementation, you may be required to visit our IV clinic for a prescribed infusion based on blood pathology.
1 / We follow the process
Following international guidelines for bariatric surgery requires a larger team, that in turn means more costs. We are also transparent about the appointments you will need to undergo, as well as their associated costs.
2 / Our estimates are comprehensive
Our costing structures provide you with the estimate costs of surgery, preparatory tests, appointments, and three months of vitamin supplies post-operatively. Many practices only provide you with a ballpark figure that will not include many hidden costs down the line. Our goal is to assist you with your financial planning to ensure you can adequately budget for the necessary expenses.
3 / We do not take shortcuts
Our center does not leave out any steps in the process of preparing you for bariatric surgery. Some centers may do this to reduce costs, but our philosophy is that buying cheaply can be buying expensively in the long run.