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What to Expect at Your First Weight Loss Surgery Consultation
April 11, 2025
Thinking about weight loss surgery, but not sure where to start?
If you’ve struggled to lose weight and are starting to consider surgery, a consultation is the best first step to see if it’s right for you. And if you’re feeling a little unsure – or even nervous – that’s completely normal.
Aziz Benbrahim, MD, medical director of bariatric surgery at MidState Medical Center, shares what to expect and how to know if you’re ready.
Does your weight hold you back?
For many people, weight isn’t just a matter of appearance — it’s a medical condition.
“Obesity is a complex, chronic disease – it’s not just about willpower,” says Dr. Benbrahim. “Genetics, hormones, metabolism and your environment all play a role. That’s why treatment usually takes more than just diet and exercise.”
Weight loss surgery might be right for you if you:
- Struggle with your weight despite trying diet, exercise and medications.
- Have a BMI of 35 or higher (previously 40), or 30+ with obesity-related conditions like diabetes or high blood pressure.
- Or have a BMI of 27.5–34.9 and also a metabolic disease (based on updated guidelines).
- Were recommended for surgery by a doctor to support your health and weight loss goals.
What happens during a weight loss consultation?
Before booking your appointment, take some time to explore your options.
“Surgery is just one tool to treat obesity,” says Dr. Benbrahim. “That’s why choosing a bariatric program that offers long-term support is important.”
Once you’ve found the right team, you’ll schedule a 45–60-minute consultation. Here’s what to expect during that visit.
> Related: What to Expect Ahead of Weight Loss Surgery
1. You’ll start with a full evaluation.
Your care team will review your medical history, past weight loss efforts and daily habits.
They’ll also check your height, weight, BMI and blood pressure – and may order lab work to get a complete picture of your health.
“This first visit is all about understanding you,” says Dr. Benbrahim. “We want to know your goals and challenges to support you going forward.”
2. You’ll review your surgical options.
You’ll learn about the available procedures that could be a good fit for your health and goals.
Common options include sleeve gastrectomy, Roux-en-Y gastric bypass and other approaches tailored to your needs.
“We’ll walk through each option so you understand how it works, what to expect and how it can support your long-term success,” says Dr. Benbrahim.
> Related: Which Type of Weight Loss Surgery Is Right for Me?
3. You’ll meet your care team.
Weight loss surgery is just one part of the journey – and you won’t go through it alone.
You’ll meet with specialists who guide you before and after surgery.
“This may include a bariatric medicine provider, a dietitian and a psychologist,” says Dr. Benbrahim. “Depending on your health needs, you may also see an endocrinologist, cardiologist or sleep specialist.”
4. You can ask your own questions.
This consult isn’t just about evaluations and options – it’s your chance to get answers.
“No question is too small, and your care team is there to help you feel confident and informed,” says Dr. Benbrahim.
Here’s some questions you might want to ask:
- What are the benefits and risks of weight loss surgery?
- Is your program accredited as a Comprehensive Bariatric Center (MBSAQIP)?
- How do you help with long-term weight maintenance after surgery?
- Does insurance cover the surgery, and what’s needed to qualify?
Ready to take the first step?
Feeling nervous about scheduling a weight loss surgery consultation is normal. But reaching out for help is a sign of strength – not weakness.
Surgery works best when it’s part of a full care plan – including nutrition, mental health and medical support.
“Please know that obesity is a medical condition, not a personal failure,” says Dr. Benbrahim. “We’re here to support you every step of the way, and it all starts with a conversation about what you need most.”