FAQs

Got questions? Get them answered here or contact us today!

General

Am I a candidate for surgery?

If you are overweight and have concerns that your weight may be affecting your health, then weight loss surgery could be right for you. Surgery can be considered when other attempts at weight loss have been tried and have been unsuccessful.

There are internationally agreed patient criteria for performing weight loss surgery that are based on BMI measurements. The best way to find out if you are eligible is to make an appointment for an assessment with Dr Ian Baxter, or to meet for a free consultation with our Bariatric Educator who can answer all your questions.

In order to be considered for weight loss surgery, you should:

  1. Be more than 50% above your ideal weight
  2. Be at least 16 years of age
  3. Have been obese for at least 5 years
  4. Have been unable to lose weight by other non-surgical methods, such as supervised diet or behaviour modification programs
  5. Have no medical problems that are causing your obesity
  6. Be willing to accept significant changes in eating habits
  7. Be willing to participate in post-operative follow-up visits at your surgeon’s office and to have 6 monthly blood tests

As well as meeting the specific criteria for weight loss surgery which are based on BMI and other health co-morbidities:

  • BMI 35+ with obesity related health issues.
  • BMI 30–35 with obesity related health issues may be eligible; individual assessment is required.

You may be eligible for the bypass if you identify with one of the following conditions:

  • BMI ≥ 35 with associated obesity-related illnesses such as chronic reflux and Diabetes (Type 1 and Type 2).

Dr Baxter will carefully assess your medical history, your age and your family history of obesity and associated serious illnesses. He will then consider your particular case before making a decision about your eligibility for surgery.

To find out if surgery could be suitable for you please phone (07) 5444 8594 to discuss your options with one of our team.

What is obesity?

The term “morbid obesity” is used to describe severe, abnormal and debilitating obesity. Individuals with this condition are prone to develop different medical problems through their lives.

The life expectancy of severely obese people is decreased by 10 to 15 years, mainly because of increased incidence of heart attacks, strokes, hypertension and diabetes. They also tend to develop severe arthritis in weight-bearing joints. Self-image may be poor, and depression can result.

The most widely used method to assess weight is the body mass index (BMI), which is weight in kilograms divided by height in metres squared.

If your BMI is:

  • Between 25 and 29: overweight
  • Between 30 and 40: obese
  • Over 40: morbidly obese

Another useful method is waist measurement. Men with a waist of 94cm or more and women with a waist of 80cm or more are more likely to develop obesity-related health problems such as Type 2 Diabetes, heart disease and some cancers.

Do I require a referral to see Dr Baxter?

Yes. You require a referral to see any specialist. This can be obtained from your GP and will allow you to claim a Medicare rebate for your consultations and surgery.

What happens after my appointment?

If Dr Baxter deems you a suitable candidate and you decide to proceed, our team will organise appointments with the dietitian and psychologist. You will then see Dr Baxter once more to go through results and consent of the procedure with surgery. A date will be booked and our admin team will go through all information regarding your procedure and any necessary appointments.

Successful treatment for obesity involves continued treatment, guidance & support. We will continue to work closely with you to establish new ways of living and help you achieve your weight loss goals.

Superannuation – If I access it and then don’t proceed with surgery, what happens?

We inform the ATO that you did not proceed with the surgery, as the application we provided was under the understanding you were accessing your superannuation for a “chronic condition” as a “Compassionate Release of Superannuation” based on hardship.

Can I drink large amounts of water/fluids at once or throughout the day?

Only small amounts of water can be digested, particularly for the first few months after surgery—frequent sips are key. The amount you can comfortably ingest increases over time; however, “guzzling” a whole glass/bottle at once is generally difficult, causes discomfort and is not advised. Many people can increase their fluid intake to over 2 litres per day.

Will I ever be able to eat foods I love again after surgery?

Yes. After you have healed and formed new, healthier eating habits, nothing is off limits—it’s whether you still like it or not. Takeaway and high-fat/sugary foods should be in moderation (as is ideal with or without surgery). It takes time for your smaller tummy to adjust and for you to work out what sits well.

Will my life be boring after WLS if I’m not going out for food anymore?

Your life is what you make it. If food has been the main source of pleasure, this is an opportunity to build new, healthy, fun, creative habits. Weight loss surgery is an effective tool to limit how much you can eat and can suppress appetite (particularly in the first 12–18 months). It does not fix the “head chatter”—that’s something you’ll work on, often with our dietitians and psychologists.

Life becomes about quality over quantity—you can pick the best of the best (entrée size), feel guilt-free, avoid bloating and that “food coma,” and you become a cheap date!

Do many people put weight back on after WLS?

Some people do regain weight. It’s generally related to gradually returning to old habits, not following the fundamentals we teach for long-term success, or other life factors. The tools for success are explained and reinforced before surgery and throughout the first 12 months of support we provide.

Is it true people who have WLS need to take vitamins and calcium for the rest of their life?

Yes. Taking specifically designed bariatric vitamins and calcium daily ensures you receive what your body requires if you’re not getting enough through food choices. What you save on your food bill is replaced with what you require for your new life after WLS (vitamins, calcium, protein powders).

Will my hair fall out after having WLS?

Yes, there is generally a period between 4–7 months where you may experience some hair loss. If you follow guidance—taking vitamins, having sufficient protein, living a healthy lifestyle—this will be limited.

Will I have loose skin after considerable weight loss?

More than likely. It depends on your age, the amount of weight loss, where you predominantly carry weight, your skin’s collagen/elasticity, and whether you exercise throughout weight loss.

We advise revisiting this topic at least 2 years after surgery, once you have maintained a stable weight for at least 6 months. Focus on one step at a time—step one is surgery and forming the fundamentals for long-term success.

Is reflux common after WLS?

Approximately 5% of people who have WLS develop reflux at some stage. To minimise the risk of needing revisional surgery due to reflux, all patients undergo a Contrast Swallow test to determine if you suffer from reflux or silent reflux prior to surgery.

Pre-Surgery

What pre-operative tests do I require?

We require routine blood tests and a radiology examination called a barium swallow (an X-ray to examine the digestive system and your oesophagus).

I live rurally — can I have a Telehealth conference?

Yes. Telehealth consultations are available for new and existing patients who live in remote areas. Please contact our friendly team for further information.

Do I need to modify my diet prior to surgery?

Yes. Before bariatric surgery, you are required to have a very low energy diet (VLED), such as Formulite/Optifast or similar meal replacements. This helps reduce liver size for a safer, more effective operation. The diet is required for up to 2 weeks prior to surgery. Your dietitian will give you instructions and our administration staff can help you navigate this pre-operative phase.

Will I need time off work?

We usually recommend a 2-week recovery following weight loss surgery. If you are a FIFO worker or your work requires heavy lifting/manual labour (e.g., miner, builder, concreter), you will require between 2–4 weeks off or modified/light duties.

How long will my hospital stay be?

Recovery varies. For Gastric Sleeve or bypass: usually a 2 night hospital stay. Lap band patients typically require an overnight stay.

How long should I stay on the Sunshine Coast post-surgery?

If you live remotely, we recommend staying approximately 1 week so you can be seen post-operatively before travelling home. This is assessed case-by-case by Dr Baxter.

False nails, shellac and polish for surgery?

You’ll need one nail free from these products as they can interfere with monitoring oxygen levels.

Post-Surgery

What follow-up appointments will I need?

Dr Baxter and his team provide comprehensive long-term care. You will require two post-operative appointments with Dr Baxter and three with our dietetics team within the first three months after surgery.

Can you take cold and flu tablets after surgery?

Yes—tablets, capsules or syrups are fine provided they do not contain ibuprofen and are not non-steroidal anti-inflammatory drugs (NSAIDs). Use paracetamol-based options.

Can I take anti-inflammatory medications after bariatric surgery?

We usually like to avoid anti inflammatory medications after bariatric surgery . They can be taken sparingly as they can ulcerate the stomach.

Can I use Voltaren gel/ointment on muscles?

Yes. These topical medications can be used for sore muscles and inflammation.

How long after surgery can I use a sauna?

Generally after four weeks. Use with caution and only for short periods—blood pressure can drop and dehydration can occur quickly. Stay extremely well hydrated.

Can I drink alcohol after bariatric surgery?

Refrain for the first 6 months. After that, introduce alcohol cautiously. Many people feel the effects much quicker and may overestimate tolerance. Do not drive after even one drink, as absorption can be faster and stronger than before.

Will I be able to eat out in the first 3 months?

Yes, but be selective. If you’re within the first 7 weeks of the texture-progression stages, choose foods suitable for your stage. After the initial phases, you can experiment with what you like and what sits well.

Will I be able to eat and drink at the same time?

We strongly recommend you do not eat and drink at the same time and adopt this habit for life, because:

  • In the early days, consuming food and fluids together may overfill your newly sized tummy and can cause a leak.
  • Drinking when eating can flush food through too quickly, interfering with nutrient absorption.
  • Food may pass faster, making you hungry sooner and increasing appetite, which can lead to weight gain.
  • It can cause “dumping,” where food hits the small intestine too quickly, triggering sweats, palpitations, nausea and urgent bowel movements.
Can I donate blood after having bariatric surgery?

Yes (you generous soul!), but wait at least 12 weeks post-surgery to reduce the risk of deficiency, particularly iron. Consider waiting until your first pathology test after 6 months confirms your levels are fine before donating.

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