Bariatric Surgery at Bayhealth: A Team-Based Approach to Lifelong Wellness

Bariatric surgery — also known as metabolic or weight loss surgery — is a life-changing option for many individuals living with obesity and related health conditions. At Bayhealth, a multidisciplinary approach ensures patients receive the comprehensive care they need before, during and after surgery.

“Bariatric surgery isn’t just about weight loss — it’s about addressing chronic conditions like diabetes, high blood pressure and sleep apnea that are directly linked to obesity,” said Bayhealth Bariatric and General Surgeon Anirudha Goparaju, MD, FACS. “We recognize that people aren’t obese — they have obesity. This helps remove the stigma because this is a disease — a treatable one — not a character flaw.”

Who Is a Candidate?

Not everyone qualifies for bariatric surgery. Eligibility is based on body mass index (BMI) and associated health conditions. Patients in Class 2 (BMI 35–39.9) may qualify if they have comorbidities like high blood pressure or diabetes. Those in Class 3 (BMI 40+) are generally eligible regardless of additional conditions. Those in Class 1 (BMI 30–34.9) typically are not surgical candidates unless there are compelling medical reasons.

Surgical Options at Bayhealth

Bayhealth offers a range of surgical options, each tailored to different needs:

• Gastric Sleeve (Gastrectomy) – This involves removing a portion of the stomach, helping patients lose about 60 percent of excess weight by limiting food intake.
• Gastric Bypass (Roux-en-Y) – This creates a small stomach pouch and reroutes the small intestine to reduce nutrient absorption. It typically results in a 70–80 percent loss of excess weight.
• Duodenal Switch – A combination of a sleeve gastrectomy with intestinal bypass, the duodenal switch can lead to the greatest weight loss — 85–90 percent of excess weight.
• Revisional Surgery – This option is for patients who previously had weight loss surgery and need adjustments due to complications or insufficient results. Patients in the BMI 30-34.9 category may qualify for revisional surgery for medical issues but not typically for weight loss alone.

The Path to Surgery

“Surgery is a team sport,” said Dr. Goparaju. “It involves not just the surgeon and the patient — but also nutritionists, primary care physicians, psychologists, specialists and caregivers.”

Before surgery, the patient completes lab work, undergoes imaging such as an abdominal ultrasound and upper endoscopy and may consult with a team of specialists. Nutrition and psychological evaluations are also required.

Absolute disqualifiers include active smoking and being unable to walk independently — both of which pose serious risks during and after surgery.

Life After Surgery

Weight loss surgery is a lifelong commitment — not a shortcut. Patients must follow specific nutritional guidelines such as consuming at least 60 grams of protein each day, steering clear of alcohol and carbonated drinks, and keeping liquids and solids separate at mealtimes.

Exercise is also essential. “I recommend 30 minutes of sweaty cardio at least five days per week, plus resistance or weight training,” said Dr. Goparaju. Medications may be adjusted post-surgery — some patients can even discontinue treatments for diabetes or hypertension, under medical supervision.

Certain medications, including steroids and NSAIDs like Aleve and Motrin, may be restricted due to their potential to cause complications.

Understanding one’s relationship with food is critical. That’s why Bayhealth also integrates mental health support into every patient’s care plan. Psychologists and social workers help patients identify emotional triggers, such as stress eating, and develop healthier coping strategies.

“Your doctor is an expert in surgery — but you are the expert in your own life,” said Dr. Goparaju. “Unless your surgeon has had the surgery themselves, there are some things they just can’t speak to in the same way another patient can.”

For this reason, Bayhealth encourages all patients to attend at least two bariatric support group sessions, which is a valuable source of guidance and encouragement.

Exploring Your Options

Weight loss surgery is just one tool. Bayhealth also offers non-surgical options, including GLP-1 medications like Ozempic and Wegovy, as well as nutritional counseling and support groups.

If you’re thinking about starting your weight loss journey, talk to your doctor, and do your research. Read more at ASMBS.org, visit Bayhealth.org/Surgical-Weight-Loss or call Bayhealth's Bariatric Program at 302-638-0716. Take the first step — you don’t have to go it alone.