Dr. Islam Abdelkhalek has performed 1,300+ bariatric procedures over _doctor_5458_years_, specializing in Roux-en-Y gastric bypass. The all-inclusive package costs around $4,500 USD – typically covering laparoscopic surgery, 2 days hospitalization, pre-op tests, VIP transfers, post-op medications, and nutrition consultation. As an FRCS-certified surgeon and IFSO member, Dr. Abdelkhalek operates at an internationally accredited center handling 1,000 weight loss cases annually.
Dr. Islam Abdelkhalek's Clinic is a single-specialty weight loss center in Alexandria, Egypt. Over 500 patients choose this clinic each year for bariatric surgery. The lead specialist holds a Fellowship from the Royal College of Surgeons of England.
Dr. Ahmed Ammar specializes in laparoscopic and bariatric surgery with _doctor_7143_years_ of experience. He holds an MD in Surgery and MRCS England credentials. Roux-en-Y Gastric Bypass typically costs around $2,500–$3,500. The clinic provides lifelong follow-up care and operates in top hospitals with advanced laparoscopic instruments.
Dr. Ahmed Ammar Clinic is a private surgery center in Cairo. It provides lifelong follow-up for weight loss patients and specializes in weight loss surgery and laparoscopic hernia repairs. The lead surgeon has 10 years of experience.
Dr. Mohamed Abdullah Tawfik runs a specialized surgery clinic in Cairo, Egypt. The practice has four branches across Cairo, Giza, Alexandria, and Sharqia. Key focus areas include bariatric surgery, body contouring, and laparoscopic hernia repair. Dr. Tawfik has over 11 years of clinical experience in Egypt.
His team has performed over 5,000 successful surgeries. They report an 80% improvement rate for type 2 diabetes after gastric bypass. For sleeve gastrectomy, patient satisfaction reaches 98%. The clinic uses FDA-approved EasySurge staplers for all bariatric procedures. VASER 2025 technology supports male chest contouring and body sculpting. All weight loss surgeries include lifelong follow-up care to maintain results.
","text_type":"short_description","best_texts":{"techniques":"Laparoscopic Roux-en-Y gastric bypass, EasySurge stapler system, LigaSure","good_fit_for":"Revision cases after sleeve gastrectomy","why_its_ranked":"Surgeon with 5,000+ bariatric procedures uses FDA-approved EasySurge stapler and blue dye leak test for safety. 80% of type 2 diabetes patients see improvement. 98% satisfaction rate."},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":3000,"price_to":4000,"currency":"USD","id":56796},"operation":{"id":1021,"name":"Roux-en-Y Gastric Bypass","alias":"roux-en-y-gastric-bypass"}}],"reviews":[],"clinic":{"id":8129,"alias":"dr-mohamed-abdullah-tawfik-ai","name":"Dr.Mohamed abdallah tawfik","short_description":"Dr. Mohamed Abdullah Tawfik runs a specialized surgery clinic in Cairo, Egypt. The practice has four branches across Cairo, Giza, Alexandria, and Sharqia. Key focus areas include bariatric surgery, body contouring, and laparoscopic hernia repair. Dr. Tawfik has over 11 years of clinical experience in Egypt.
His team has performed over 5,000 successful surgeries. They report an 80% improvement rate for type 2 diabetes after gastric bypass. For sleeve gastrectomy, patient satisfaction reaches 98%. The clinic uses FDA-approved EasySurge staplers for all bariatric procedures. VASER 2025 technology supports male chest contouring and body sculpting. All weight loss surgeries include lifelong follow-up care to maintain results.
","images":[{"base_url":"clinic/6a3649504a819","title":"Modern operating room at Dr. Mohamed Abdullah Tawfik clinic with surgical equipment"},{"base_url":"clinic/6a36495264f22","title":"Modern laboratory at Dr. Mohamed Abdullah Tawfik clinic with advanced diagnostic equipment"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Egypt","id":186,"alias":"egypt","iso_code":"EG"},"city":{"name":"Cairo","id":2572,"alias":"cairo"},"address":"70 l ElNasr St, Al Basatin Al Gharbeyah, Maadi, Cairo Governorate 4234202, Egypt"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1,"year_foundation":2015},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dc2b909d3bff.jpeg","name":"Bariatric Surgery Center of Excellence","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Dr. Mohamed Abdelsalam Surgery Clinic is a surgical center in Giza, Egypt. It focuses on bariatric, laparoscopic, and general surgery for children and adults. Flagship procedures include the Bikini Line Sleeve Gastrectomy for minimal scarring. The team also performs gastric bypass and complex hernia repairs using laparoscopic techniques.
The clinic opened in 2019 under Dr. Mohamed Abdelsalam, a consultant with over 10 years of experience. He earned his M.D. from the Kasr Al-Ainy School of Medicine and holds IFSO certification in bariatric surgery. Gastric sleeve procedures take about 60 minutes, while gastric bypass takes roughly 90 minutes. Patients return to office work after 5 days, with full recovery in about six weeks.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":8372,"alias":"dr-mohamed-abdelsalam-surgery-clinic","name":"Dr. Mohamed Abdelsalam Surgery Clinic","short_description":"Dr. Mohamed Abdelsalam Surgery Clinic is a surgical center in Giza, Egypt. It focuses on bariatric, laparoscopic, and general surgery for children and adults. Flagship procedures include the Bikini Line Sleeve Gastrectomy for minimal scarring. The team also performs gastric bypass and complex hernia repairs using laparoscopic techniques.
The clinic opened in 2019 under Dr. Mohamed Abdelsalam, a consultant with over 10 years of experience. He earned his M.D. from the Kasr Al-Ainy School of Medicine and holds IFSO certification in bariatric surgery. Gastric sleeve procedures take about 60 minutes, while gastric bypass takes roughly 90 minutes. Patients return to office work after 5 days, with full recovery in about six weeks.
","images":[{"base_url":"clinic/6a773fa4625d8","title":"Patient recovery room at Dr. Mohamed Abdelsalam Surgery Clinic with hospital beds"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_parsed_from_docs","value":true},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Egypt","id":186,"alias":"egypt","iso_code":"EG"},"city":{"name":"Giza Governorate","id":2778,"alias":"giza-governorate"},"address":"Clinic 107, 30 Mourad, street, Al Giza, Giza Governorate"},"rating":{"rating":5,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1,"year_foundation":2019},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":4,"total_pages":1}},"promoSlots":[{"card":{"text":"Dr. Islam Abdelkhalek has performed 1,300+ bariatric procedures over _doctor_5458_years_, specializing in Roux-en-Y gastric bypass. The all-inclusive package costs around $4,500 USD – typically covering laparoscopic surgery, 2 days hospitalization, pre-op tests, VIP transfers, post-op medications, and nutrition consultation. As an FRCS-certified surgeon and IFSO member, Dr. Abdelkhalek operates at an internationally accredited center handling 1,000 weight loss cases annually.
Dr. Islam Abdelkhalek's Clinic is a single-specialty weight loss center in Alexandria, Egypt. Over 500 patients choose this clinic each year for bariatric surgery. The lead specialist holds a Fellowship from the Royal College of Surgeons of England.
World-renowned for expertise in obesity surgery – Dr. Abdelkhalek specializes in advanced laparoscopic and weight loss procedures.
Dr. Abdelkhalek is a bariatric surgeon in Alexandria who has performed 1,300+ weight loss procedures. He is a member of the Royal College of Surgeons of England. He focuses on laparoscopic techniques for gastric sleeve and bypass surgery. Dr. Abdelkhalek serves as an instructor at the Alexandria Endoscopic Association.
Dr. Islam Abdelkhalek's Clinic is a single-specialty weight loss center in Alexandria, Egypt. Over 500 patients choose this clinic each year for bariatric surgery. The lead specialist holds a Fellowship from the Royal College of Surgeons of England.
Dr. Mohamed Abdullah Tawfik runs a specialized surgery clinic in Cairo, Egypt. The practice has four branches across Cairo, Giza, Alexandria, and Sharqia. Key focus areas include bariatric surgery, body contouring, and laparoscopic hernia repair. Dr. Tawfik has over 11 years of clinical experience in Egypt.
His team has performed over 5,000 successful surgeries. They report an 80% improvement rate for type 2 diabetes after gastric bypass. For sleeve gastrectomy, patient satisfaction reaches 98%. The clinic uses FDA-approved EasySurge staplers for all bariatric procedures. VASER 2025 technology supports male chest contouring and body sculpting. All weight loss surgeries include lifelong follow-up care to maintain results.
","images":[{"base_url":"clinic/6a3649504a819","title":"Modern operating room at Dr. Mohamed Abdullah Tawfik clinic with surgical equipment"},{"base_url":"clinic/6a36495264f22","title":"Modern laboratory at Dr. Mohamed Abdullah Tawfik clinic with advanced diagnostic equipment"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Egypt","id":186,"alias":"egypt","iso_code":"EG"},"city":{"name":"Cairo","id":2572,"alias":"cairo"},"address":"70 l ElNasr St, Al Basatin Al Gharbeyah, Maadi, Cairo Governorate 4234202, Egypt"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1,"year_foundation":2015},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dc2b909d3bff.jpeg","name":"Bariatric Surgery Center of Excellence","country_code":"US"}]},"procedure_prices":[{"prices":{"price_from":3000,"price_to":4000,"currency":"USD","id":56796},"operation":{"id":1021,"name":"Roux-en-Y Gastric Bypass","alias":"roux-en-y-gastric-bypass"}}]},{"doctor":{"id":7143,"alias":"ahmed-ammar","name":"Ahmed Ammar","clinic_id":5069,"photo":"doctor/65b3fe0ce7791","first_year_working":2014,"created_at":"2024-01-26T18:46:32.151+00:00","short_description":"Dr. Ahmed Ammar is a consultant laparoscopic and bariatric surgeon based in Cairo. He is a member of the European Hernia Society. He serves as a lecturer of surgery at Cairo University Faculty of Medicine. Dr. Ammar treats about 150 patients annually at his private surgical center.
Dr. Ahmed Ammar Clinic is a private surgery center in Cairo. It provides lifelong follow-up for weight loss patients and specializes in weight loss surgery and laparoscopic hernia repairs. The lead surgeon has 10 years of experience.
Using the minimally invasive laparoscopic technique for smaller incisions and faster recovery, this IFSO-certified clinic meets international bariatric surgery standards. Dr. Abdelkhalek, a Fellow of the Royal College of Surgeons of England with 1,300+ procedures performed, offers personalized plans at Dr. Islam Abdelkhalek's Clinic. The 4-day package costs around _offer_price_, covering pre-operative ultrasound and blood work, surgery, and a 2–3 night stay in a 5-star hospital where a companion is welcome.
","clinic_entity_text":"Dr. Islam Abdelkhalek has performed 1,300+ bariatric procedures over _doctor_5458_years_, specializing in Roux-en-Y gastric bypass. The all-inclusive package costs around $4,500 USD – typically covering laparoscopic surgery, 2 days hospitalization, pre-op tests, VIP transfers, post-op medications, and nutrition consultation. As an FRCS-certified surgeon and IFSO member, Dr. Abdelkhalek operates at an internationally accredited center handling 1,000 weight loss cases annually.
Dr. Abdelkhalek is a bariatric surgeon in Alexandria who has performed 1,300+ weight loss procedures. He is a member of the Royal College of Surgeons of England. He focuses on laparoscopic techniques for gastric sleeve and bypass surgery. Dr. Abdelkhalek serves as an instructor at the Alexandria Endoscopic Association.
Dr. Islam Abdelkhalek's Clinic is a single-specialty weight loss center in Alexandria, Egypt. Over 500 patients choose this clinic each year for bariatric surgery. The lead specialist holds a Fellowship from the Royal College of Surgeons of England.
This operation helps lose weight by altering your stomach and small intestine\"s processing of the food you eat.
"},"380":{"operation":{"name":"Gastric balloon","alias":"gastric-balloon","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":9800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1200,"max_amount":2600,"currency":"USD","clinic_count":49,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":3000,"max_amount":5200,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"EG":{"amount":1900,"max_amount":3200,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"EG":true},"description":"This therapy involves placing a balloon in your stomach, aiding weight loss by limiting food intake and reducing hunger.
"},"381":{"operation":{"name":"Metabolic surgery","alias":"metabolic-surgery","use_for_listing":true},"country_price":{"US":{"amount":18000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3800,"max_amount":6800,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":8500,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"EG":{"amount":4800,"max_amount":5300,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"EG":true},"description":"This procedure, for obesity and diabetes, alters the gut to improve the body\"s metabolic regulations and health.
"},"674":{"operation":{"name":"Stomach stapling","alias":"stomach-stapling","use_for_listing":true},"country_price":{"US":{"amount":17500,"max_amount":26000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3000,"max_amount":5600,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":8000,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"EG":{"amount":3500,"max_amount":5200,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"EG":true},"description":"This operation shrinks the stomach size, encouraging weight loss. It\"s swift, relatively safe, and effective.
"},"794":{"operation":{"name":"Biliopancreatic diversion","alias":"biliopancreatic-bypass","use_for_listing":true},"country_price":{"US":{"amount":24000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6000,"max_amount":10800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":10500,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false},"description":"The operation is a weight-loss surgery which redirects digestion, reducing calorie absorption substantially.
"},"1013":{"operation":{"name":"Da Vinci Gastric Bypass Surgery","alias":"da-vinci-gastric-bypass-surgery","use_for_listing":true},"country_price":{"US":{"amount":24000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":9700,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":11500,"max_amount":17000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"EG":{"amount":4800,"max_amount":6800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"EG":true},"description":"This surgery promotes weight loss via a robot-assisted technique, restricting stomach size and rerouting the small intestine.
"},"1021":{"operation":{"name":"Roux-en-Y Gastric Bypass","alias":"roux-en-y-gastric-bypass","use_for_listing":true},"country_price":{"US":{"amount":22000,"max_amount":32000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3200,"max_amount":5000,"currency":"USD","clinic_count":18,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":9500,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"EG":{"amount":2800,"max_amount":5800,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":true,"US":false,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":false,"CZ":false,"AT":false,"ES":false,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"EG":true},"description":"This operation reduces stomach size and reroutes food path for weight loss, improving health issues like diabetes.
"},"1070":{"operation":{"name":"Endoscopic sleeve gastroplasty (ESG) ","alias":"endoscopic-sleeve-gastroplasty-esg","use_for_listing":true},"country_price":{"US":{"amount":9000,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5400,"max_amount":8000,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":16200,"max_amount":20700,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"EG":{"amount":3000,"max_amount":4800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"EG":true},"description":"This operation reduces stomach size through sutures, promoting weight loss without surgical invasion, offering rapid recovery benefits.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":8,"rehabilitation_days":28,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":2},"illness_kind_details":{"requests_processed":6652}},"direction":{"id":57,"name":"Weight Loss Surgery","alias":"weight-loss-surgery"},"illness_kind":{"id":57,"name":{"en":"Weight Loss Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Laparoscopic RYGB; desk work typically after 2-3 weeks, physically demanding work often 4-6 weeks"},"complication_rate_pct":{"min":3,"max":6,"unit":"percent","qualifier":"Major 30-day complications after primary laparoscopic RYGB; 90-day mortality below 0.5%."},"contraindications":["Anesthesia unsafe due to severe cardiopulmonary disease","Uncontrolled psychiatric illness","Untreated substance or alcohol use disorder","Untreated active eating disorder such as binge eating","Pregnancy","Active malignancy or life-limiting illness (relative)","Severe coagulopathy or advanced liver disease with portal hypertension (relative)","Prior complex upper GI surgery with unsuitable anatomy (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical uncomplicated laparoscopic RYGB hospital stay"},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Walking early; strenuous exercise usually resumes at 4-8 weeks."},"final_result_months":{"min":12,"max":18,"unit":"months","qualifier":"Maximum weight loss typically reached about 12-18 months after surgery"},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Discharge after 1-3 nights. Short flights often allowed from about 1 week, longer flights from about 2 weeks."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"First postoperative surgical review, from the day of surgery"}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Dietary, nutritional and laboratory review, from the day of surgery"}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Weight-loss and nutritional review, from the day of surgery; continued periodic lifelong follow-up"}}],"indications":["Severe obesity (BMI 40 or higher)","BMI 35-39.9 with type 2 diabetes, hypertension or sleep apnea","BMI 30-34.9 with metabolic disease in selected patients","Obesity with severe gastroesophageal reflux or Barrett's esophagus","Inadequate results from non-surgical weight-loss measures"],"main_risks":["Anastomotic leak","Bleeding","Infection","Venous thromboembolism","Anastomotic stricture or marginal ulcer","Internal hernia and small bowel obstruction","Dumping syndrome","Nutritional deficiencies (iron, B12, calcium, vitamin D, folate)","Gallstones","Weight regain","Anesthesia-related risks","Rarely, need for reoperation or death"],"pain":"Moderate postoperative abdominal and shoulder-tip discomfort for the first several days, usually controlled with oral analgesics; laparoscopic approach causes less pain than open.","preparation":["Multidisciplinary evaluation (surgeon, dietitian, psychologist, medical review)","Preoperative blood tests, ECG and other cardiopulmonary assessment as indicated","Upper endoscopy or other upper GI evaluation when indicated","Preoperative low-calorie or liver-shrinking diet for 1-4 weeks","Smoking and nicotine cessation","Sleep apnea evaluation and optimization of diabetes and blood pressure","Fasting before surgery per anesthesia instructions","Education on postoperative diet stages and lifelong supplementation"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Monitoring, early walking, clear liquids, pain and nausea control, clot prevention.","restrictions":["No driving while on opioid analgesics","Sip fluids only as directed"]},{"phase":"Weeks 1-2","description":"Liquid then puréed diet at home; incisional soreness and fatigue gradually improve.","restrictions":["Avoid heavy lifting"]},{"phase":"Weeks 3-6","description":"Progress to soft foods; return to desk work and light activity.","restrictions":["Avoid heavy lifting and strenuous exercise until cleared"]},{"phase":"Weeks 6-12","description":"Transition to regular textures in small portions; resume full activity; rapid weight loss with supplementation and lab monitoring.","restrictions":["Avoid NSAIDs and smoking as advised"]},{"phase":"Months 3-18","description":"Continued weight loss until plateau; ongoing nutritional follow-up.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":21,"unit":"days","qualifier":"Light activities from 1-2 weeks; desk work by 2-3 weeks. Heavy lifting restricted 4-6 weeks or more."},"result_longevity":"Durable anatomical change; substantial weight loss is generally maintained long term in many patients, though some regain weight depending on diet, behavior and follow-up adherence.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat or revision surgery within about 5-10 years for internal hernia, stricture, marginal ulcer, weight regain or malnutrition."},"scars":"Laparoscopic approach leaves several small abdominal scars (about 0.5-1.5 cm) that usually fade over months; open surgery leaves a longer midline scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; staged approach is uncommon"},"stages":[{"code":"surgery","label":"Laparoscopic Roux-en-Y gastric bypass operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of admission/first session"}}],"qualifier":"Single-stage primary procedure; follow-up checks are not counted as treatment sessions"},"success":{"metric":"Excess weight loss (EWL)","value":65,"unit":"% of excess body weight","horizon":"12-18 months, largely maintained long term","evidence_status":"proven","population":"Adults with severe obesity after primary laparoscopic RYGB; typical EWL 60-70%."},"techniques":[{"name":"Laparoscopic RYGB","suits_whom":"Most adult candidates; standard approach","recovery":"Hospital stay about 1-3 nights; return to desk work in about 2-3 weeks"},{"name":"Robotic-assisted RYGB","suits_whom":"Selected patients, often higher BMI or complex anatomy, depending on surgeon availability","recovery":"Similar to laparoscopic"},{"name":"Open RYGB","suits_whom":"Rare cases such as extensive adhesions or when laparoscopy is not feasible","recovery":"Longer stay and recovery, more wound pain"}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for uncomplicated primary laparoscopic RYGB"},"initial_assessment_documents":["Previous obesity treatment records","Recent blood tests including HbA1c","Upper endoscopy report","Previous abdominal surgery reports","Cardiology or ECG report (if available)","List of diabetes and blood thinner medications"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage laparoscopic surgery; stay abroad about 7-14 days until first check and flight clearance. Later reviews remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the bariatric program is multi-disciplinary and will support dietary and exercise habits long term","scope":"treatment_type","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Long-term success in bariatric surgery depends on lifelong compliance with dietary habits, nutritional guidelines and exercise as part of a multi-disciplinary bariatric program.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that all medical records and documentation are provided and returned to you for your local area","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Surgical providers should ensure that all medical records and documentation are provided and returned with the patient to their local area.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that preoperative education is provided, as it is an essential component for successful outcomes","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Preoperative education, continuity of care and long-term follow-up are proven essential components for successful outcomes in bariatric surgery and these are not necessarily provided in the setting of medical travel.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that the facility has an intensive care unit, imaging and interventional radiology to manage major post-operative complications","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Some of the facilities participating in medical tourism may not have the capability, such as a modern Intensive Care Unit, imaging capabilities and interventional radiology, etc., to optimally care for major post-operative complications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that individual outcomes for the desired procedure are available during informed consent when possible","scope":"procedure","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Individual surgeon outcomes for the desired procedure should be made available as part of the informed consent process whenever possible.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that postoperative follow-up with a qualified local bariatric surgery program is established","scope":"procedure","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Prior to undergoing surgery, the patient should establish a plan for postoperative follow-up with a qualified local bariatric surgery program to monitor for nutritional deficiencies and long-term complications, and to provide ongoing medical, psychological and dietary supervision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Check that the facility is accredited and preferably a bariatric center of excellence","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Patients should undergo procedures at an accredited JCI institution or preferably a bariatric center of excellence.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An offer of unproven therapy outside true clinical trials is a warning sign","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Certain countries may offer unproven therapies to 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