Prof. Dr. Catalin Copăescu has performed 900 gastric sleeve surgeries in his 32-year career and holds double European/American board certification. The laparoscopic procedure at Ponderas Academic Hospital costs around $8,010 – covering the surgery, 2 nights' stay, preoperative tests, ICU monitoring, and nutritionist support. As Romania's first surgeon of excellence in bariatric surgery, Prof. Copăescu operates at a JCI-accredited Center of Excellence with 10 international accreditations.
Ponderas Academic Hospital is a JCI-accredited private multi-specialty center in Bucharest. It holds 10 international accreditations including SRC and BSCE. Its main specialty is bariatric surgery.
Obezitate360 is a bariatric and metabolic surgery clinic in Bucharest, Romania. It operates within the Nord - Grupul Medical Provita network. The clinic specializes in gastric sleeve, gastric bypass, and gastric banding. It also offers psychotherapy and nutritional support for obesity treatment. A key feature is the one-day preoperative investigation package.
The clinic was founded in 2025. Its medical team has seven doctors. Some specialists are certified as Excellence Surgeons in metabolic surgery. The team uses the Da Vinci Xi robotic system for complex gastric bypass cases. Doctors belong to the International Federation for the Surgery of Obesity. They also hold memberships in the Italian and Romanian societies of surgery.
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The clinic was founded in 2025. Its medical team has seven doctors. Some specialists are certified as Excellence Surgeons in metabolic surgery. The team uses the Da Vinci Xi robotic system for complex gastric bypass cases. Doctors belong to the International Federation for the Surgery of Obesity. They also hold memberships in the Italian and Romanian societies of surgery.
","images":[{"base_url":"clinic/6a76e42bd1a33","title":"Reception area at NORD Centru Medical European, modern clinic interior"},{"base_url":"clinic/6a76e42da9535","title":"Provita clinic reception area with modern seating and bright decor"},{"base_url":"clinic/6a76e42f65068","title":"Surgical LED lights in operating room at Obezitate360 clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Romania","id":116,"alias":"romania","iso_code":"RO"},"city":{"name":"Bucharest","id":2508,"alias":"bucharest"},"address":"Spitalul Nord Pipera, Bd. Dimitrie Pompeiu nr.9-9A, sector 2, Bucharest, Romania"},"rating":{"rating":0,"google":4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":7},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725522d15.jpeg","name":"Certification according to DIN EN ISO 9001 by TÜV NORD CERT","country_code":"DE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":276},"doctors":{"doctors":[{"doctor":{"id":9347,"alias":"catalin-copaescu","name":"Catalin Copaescu","clinic_id":6339,"photo":"doctor/679a28ffab814","first_year_working":1993,"created_at":"2025-01-29T13:11:26.918+00:00","short_description":"Dr. Catalin Copaescu is the first surgeon in Romania to hold both European (IFSO-EC) and American (SRC) certifications in bariatric surgery. He serves as the Director of the Bariatric Surgery Center of Excellence at Ponderas Academic Hospital. Dr. Copaescu performs over 1,000 minimally invasive procedures each year. He specializes in laparoscopic and robotic-assisted surgeries for metabolic, colorectal, and hernia conditions.
Ponderas Academic Hospital is a JCI-accredited private multi-specialty center in Bucharest. It holds 10 international accreditations including SRC and BSCE. Its main specialty is bariatric surgery.
Dr. Ionut Hutopila is a general surgeon at Ponderas Academic Hospital in Bucharest. He is a Master Surgeon in Bariatric and Metabolic Surgery, accredited by the US-based SRC. Dr. Hutopila specializes in stomach resection and laparoscopic obesity treatments. He holds a PhD for his research on preventing complications after gastric sleeve surgery.
Ponderas Academic Hospital is a JCI-accredited private multi-specialty center in Bucharest. It holds 10 international accreditations including SRC and BSCE. Its main specialty is bariatric surgery.
Obezitate360 is a bariatric and metabolic surgery clinic in Bucharest, Romania. It operates within the Nord - Grupul Medical Provita network. The clinic specializes in gastric sleeve, gastric bypass, and gastric banding. It also offers psychotherapy and nutritional support for obesity treatment. A key feature is the one-day preoperative investigation package.
The clinic was founded in 2025. Its medical team has seven doctors. Some specialists are certified as Excellence Surgeons in metabolic surgery. The team uses the Da Vinci Xi robotic system for complex gastric bypass cases. Doctors belong to the International Federation for the Surgery of Obesity. They also hold memberships in the Italian and Romanian societies of surgery.
","images":[{"base_url":"clinic/6a76e42bd1a33","title":"Reception area at NORD Centru Medical European, modern clinic interior"},{"base_url":"clinic/6a76e42da9535","title":"Provita clinic reception area with modern seating and bright decor"},{"base_url":"clinic/6a76e42f65068","title":"Surgical LED lights in operating room at Obezitate360 clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Romania","id":116,"alias":"romania","iso_code":"RO"},"city":{"name":"Bucharest","id":2508,"alias":"bucharest"},"address":"Spitalul Nord Pipera, Bd. Dimitrie Pompeiu nr.9-9A, sector 2, Bucharest, Romania"},"rating":{"rating":0,"google":4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":7},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725522d15.jpeg","name":"Certification according to DIN EN ISO 9001 by TÜV NORD CERT","country_code":"DE"}]}},{"doctor":{"id":15730,"alias":"cristian-boru","name":"Cristian Boru","clinic_id":3269,"photo":"doctor/6a76e6382cde6","first_year_working":2013,"created_at":"2026-08-08T08:17:59.193+00:00","short_description":"Cristian Boru is a primary general surgeon and a specialist in weight loss surgery at the clinic (Spitalul NORD Pipera / Obezitate360). His practice covers bariatric surgery with laparoscopic and robotic approaches, including sleeve gastrectomy and gastric bypass. He also brings academic teaching experience as Professor of Clinical Methodology I–II (MED 18) at Università La Sapienza in Rome (2020–2022).","specialities":[{"id":"sur.010","name":"General surgeon","illness_kind_id":33},{"id":"sur.009","name":"Gastrointestinal surgeon","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":3269,"alias":"nord-by-provita-hospital","name":"Obezitate360","short_description":"Obezitate360 is a bariatric and metabolic surgery clinic in Bucharest, Romania. It operates within the Nord - Grupul Medical Provita network. The clinic specializes in gastric sleeve, gastric bypass, and gastric banding. It also offers psychotherapy and nutritional support for obesity treatment. A key feature is the one-day preoperative investigation package.
The clinic was founded in 2025. Its medical team has seven doctors. Some specialists are certified as Excellence Surgeons in metabolic surgery. The team uses the Da Vinci Xi robotic system for complex gastric bypass cases. Doctors belong to the International Federation for the Surgery of Obesity. They also hold memberships in the Italian and Romanian societies of surgery.
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The clinic was founded in 2025. Its medical team has seven doctors. Some specialists are certified as Excellence Surgeons in metabolic surgery. The team uses the Da Vinci Xi robotic system for complex gastric bypass cases. Doctors belong to the International Federation for the Surgery of Obesity. They also hold memberships in the Italian and Romanian societies of surgery.
","images":[{"base_url":"clinic/6a76e42bd1a33","title":"Reception area at NORD Centru Medical European, modern clinic interior"},{"base_url":"clinic/6a76e42da9535","title":"Provita clinic reception area with modern seating and bright decor"},{"base_url":"clinic/6a76e42f65068","title":"Surgical LED lights in operating room at Obezitate360 clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Romania","id":116,"alias":"romania","iso_code":"RO"},"city":{"name":"Bucharest","id":2508,"alias":"bucharest"},"address":"Spitalul Nord Pipera, Bd. Dimitrie Pompeiu nr.9-9A, sector 2, Bucharest, Romania"},"rating":{"rating":0,"google":4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":7},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725522d15.jpeg","name":"Certification according to DIN EN ISO 9001 by TÜV NORD CERT","country_code":"DE"}]}}],"meta":{"total_count":5,"total_pages":1}},"offers":{"cards":[{"image_count":5,"images":[{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/67bdca7bdccec.jpeg","seo_alt":"Before and after gastric sleeve surgery result at Ponderas Academic Hospital, visible weight loss","operation":{"id":379},"operation_id":379},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/67bdca7bbbcea.jpeg","seo_alt":"Before and after gastric sleeve surgery results at Ponderas Academic Hospital, weight loss visible","operation":{"id":379},"operation_id":379},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/67ab0e8ce8840.jpeg","seo_alt":"Before and after gastric sleeve surgery at Ponderas Academic Hospital, visible weight loss result","operation":{"id":379},"operation_id":379},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/67bdca7b9f735.jpeg","seo_alt":"Before and after gastric sleeve surgery at Ponderas Academic Hospital, weight loss result","operation":{"id":379},"operation_id":379}],"offer":{"id":"67a8ba7b46ddf71f4d03b952","name":"Gastric Sleeve Surgery by Surgeon with 900+ Bariatric Surgeries at JCI Hospital","type":"procedure","tags":[],"for_who":"Ponderas Academic Hospital is the only Center of Excellence in Bariatric Surgery for Southeastern Europe, validated by 10 international accreditations. Dr. Simona Filip performs the laparoscopic procedure, after which patients receive monitoring for one night in the ICU before a private hospital room. This comprehensive package costs around _offer_price_ and includes surgery, a 2-day hospital stay, 5 nights of hotel accommodation, and a dedicated patient navigator for long-term follow-up care. The pre-operative protocol features an extensive 4-6 hour medical clearance with 11 specialized assessments for thorough preparation.
","clinic_entity_text":"Prof. Dr. Catalin Copăescu has performed 900 gastric sleeve surgeries in his 32-year career and holds double European/American board certification. The laparoscopic procedure at Ponderas Academic Hospital costs around $8,010 – covering the surgery, 2 nights' stay, preoperative tests, ICU monitoring, and nutritionist support. As Romania's first surgeon of excellence in bariatric surgery, Prof. Copăescu operates at a JCI-accredited Center of Excellence with 10 international accreditations.
Dr. Simona Filip is a senior consultant general surgeon at Ponderas Academic Hospital in Bucharest. She holds threefold SRC Surgeon of Excellence titles in metabolic, minimally invasive, and breast surgery. Dr. Filip serves as a trainer at the Surgical Training Institute. She is a member of the European Association for Endoscopic Surgery.
Ponderas Academic Hospital is a JCI-accredited private multi-specialty center in Bucharest. It holds 10 international accreditations including SRC and BSCE. Its main specialty is bariatric surgery.
The Gastric Sleeve Surgery reduces stomach size, controlling food intake for weight loss. It's less invasive with quicker recovery periods.
\n"},"753":{"operation":{"name":"Da Vinci Gastric Sleeve Surgery","alias":"da-vinci-gastric-sleeve-surgery","use_for_listing":true},"country_price":{"US":{"amount":17500,"max_amount":25000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6000,"max_amount":6500,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":6500,"max_amount":10500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"RO":{"amount":12200,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"RO":true},"description":"The procedure involves using a robotic system for a less invasive, precise weight loss surgery with quicker recovery.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":7,"rehabilitation_days":60,"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":7,"max":14,"unit":"days","qualifier":"Desk-based work after uncomplicated laparoscopic sleeve gastrectomy; physically demanding work typically needs longer (about 3-6 weeks)."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any early (about 30-day) complication of any severity after primary laparoscopic sleeve gastrectomy; major complications roughly 1-4%."},"contraindications":["Pregnancy","Active untreated severe psychiatric illness or uncontrolled eating disorder","Active substance or alcohol dependence","Unfit for general anesthesia due to severe cardiopulmonary disease","Severe uncontrolled reflux or large hiatal hernia (relative)","Barrett's esophagus (relative)","Unable or unwilling to follow lifelong dietary and supplement regimen","Untreated bleeding disorder or inability to stop anticoagulation (relative)","Active peptic ulcer or untreated gastric pathology (until treated)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical hospital stay after uncomplicated laparoscopic sleeve gastrectomy."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Strenuous exercise, heavy lifting and core strain resume about 4-6 weeks after surgery with surgeon clearance. Light activity starts sooner."},"final_result_months":{"min":12,"max":18,"unit":"months","qualifier":"Time to maximum weight loss; varies with adherence and individual factors."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"From operation date, after surgeon confirms hydration, wounds and no leak, bleeding or clot signs. Long-haul may need longer."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"After surgery, before flying home; wound and diet advancement check."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":45,"unit":"days","qualifier":"After surgery; weight, dietitian nutrition and supplement review."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"After surgery; weight progress and planned laboratory monitoring."}}],"indications":["BMI ≥40 kg/m²","BMI ≥35 kg/m² with diabetes, hypertension or sleep apnea","BMI 30-35 kg/m² with metabolic disease (selected patients)","Failure of supervised non-surgical weight loss"],"main_risks":["Staple-line leak","Bleeding","Infection","Venous thromboembolism","Stricture or narrowing of the sleeve","New or worsened gastroesophageal reflux","Nutritional deficiencies (e.g., vitamin B12, iron, vitamin D)","Gallstones","Nausea, vomiting, dehydration","Anesthesia-related complications","Port-site hernia"],"pain":"Moderate postoperative pain at port sites and abdomen, plus shoulder-tip pain from gas, usually controlled with oral analgesics; mostly settles within 1-2 weeks.","preparation":["Multidisciplinary evaluation (surgeon, dietitian, psychologist)","Preoperative blood tests, ECG and anesthesia assessment","Upper endoscopy or imaging as indicated","Screening for sleep apnea and cardiometabolic conditions","Preoperative low-calorie or liver-shrinking diet for about 1-2 weeks","Smoking cessation","Review of current medications with the surgical team","Fasting before surgery"],"recovery_timeline":[{"phase":"Hospital stay (nights 1-3)","description":"Monitoring, early walking, sips of fluids, pain and nausea control, clot prevention, and hydration and wound checks before discharge.","restrictions":["No solid food","Avoid heavy exertion","Discharge only when drinking adequately and pain is controlled"]},{"phase":"Days 4-14","description":"Clear then full liquid diet, regular short walks and wound healing. Return to desk work and ordinary light activity around days 7-14 if uncomplicated.","restrictions":["No heavy lifting","Small slow sips with a daily fluid target","Take prescribed supplements and medicines"]},{"phase":"Weeks 2-4","description":"Pureed foods per dietitian plan; continue walking and gradually increase light activity.","restrictions":["No strenuous exercise or core strain","Avoid carbonated drinks","Protein priority"]},{"phase":"Weeks 4-8","description":"Soft then regular textures introduced; exercise and heavier lifting resume around 4-6 weeks if the surgeon clears.","restrictions":["Small portions","Lifelong vitamin and mineral supplementation"]},{"phase":"Months 3-18","description":"Ongoing weight loss with nutrition and laboratory monitoring until stabilization around 12-18 months.","restrictions":["Lifelong dietary and follow-up adherence"]},{"phase":"At any time","description":"Seek urgent care for fever, severe abdominal pain, chest pain, breathlessness, persistent vomiting, bleeding, calf swelling or wound discharge. Do not wait.","restrictions":["Do not fly or travel while these symptoms are present"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Return to light daily activity and desk work after uncomplicated surgery; exercise (4-6 weeks) is separate."},"result_longevity":"Stomach reduction is permanent, but long-term weight maintenance depends on diet, activity and follow-up; some weight regain is common over years.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Later revision or conversion surgery (e.g., to bypass) for weight regain or reflux within about 5-10 years; excludes early reoperation."},"scars":"Several small (about 0.5-1.5 cm) laparoscopic port scars on the upper abdomen that usually fade over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks are not counted as treatment."},"stages":[{"code":"sleeve_gastrectomy","label":"Laparoscopic sleeve gastrectomy","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Standalone primary sleeve gastrectomy in one operation."},"success":{"metric":"Mean percent excess weight loss","value":60,"unit":"percent","horizon":"About 5 years","population":"Adults after primary laparoscopic sleeve gastrectomy; group mean, individual results vary.","evidence_status":"limited"},"techniques":[{"name":"Multiport laparoscopic sleeve gastrectomy","suits_whom":"Most adult candidates; standard approach.","recovery":"Hospital stay 1-3 nights; return to desk work in 1-2 weeks."},{"name":"Robotic-assisted sleeve gastrectomy","suits_whom":"Selected patients with higher BMI or complex anatomy, where available.","recovery":"Hospital stay usually 1-3 nights; early recovery similar to multiport laparoscopic surgery."},{"name":"Single-incision laparoscopic sleeve gastrectomy","suits_whom":"Selected lower-risk patients seeking fewer incisions.","recovery":"Hospital stay usually 1-3 nights; early recovery similar to multiport laparoscopic surgery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for uncomplicated primary laparoscopic sleeve gastrectomy."},"initial_assessment_documents":["Recent blood tests including HbA1c","Front and side full-body photos","List of diabetes and blood thinner medications","Previous abdominal surgery reports","Upper endoscopy or gastroscopy report"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage operation; stay about 5-10 days, including 1-3 hospital nights. Later reviews can be remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how many sleeve gastrectomies the surgeon performs; higher sleeve volume is linked to fewer complications","scope":"procedure","source":{"url":"https://researchconnect.stonybrook.edu/en/publications/effect-of-surgeon-volume-on-sleeve-gastrectomy-outcomes/","host":"researchconnect.stonybrook.edu","quote":"High SG volume is associated with improved 30-day readmission, reoperation, and complication rates.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Confirm whether follow-up care is scheduled at the same facility as the surgery","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}},{"id":"C3","text":"Check whether the facility and the healthcare professionals hold accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}},{"id":"C4","text":"Confirm the surgeon you consult is the one who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information promising complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Pressure to decide quickly, or cheap time-limited offers to book","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Package deals that bundle the surgery with holidays","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Be wary of package deals which combine surgery with holidays.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Vomiting blood or sick like coffee grounds","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/complications/","host":"nhs.uk","quote":"you're vomiting blood or poo, or your sick looks like coffee grounds or soil.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Non-stop bleeding from the bottom","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/complications/","host":"nhs.uk","quote":"you're bleeding non-stop from your bottom","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Severe tummy pain","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/complications/","host":"nhs.uk","quote":"you have severe tummy pain","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W4","text":"Chest pain together with leg pain and 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