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Surgical Weight Loss

At Summa Health’s Weight Management Institute, we understand the challenges of weight loss. If you’ve struggled for years and traditional methods haven’t worked in helping you reach your weight loss goals, consider surgical weight loss as a potential solution.

 Is Weight Loss Surgery Right for You?

Struggling to lose weight and keep it off? You’re not alone. While diet and exercise work for many, it does not work for everyone. If you’ve tried other methods unsuccessfully, bariatric surgery, also known as weight loss surgery, could be an option for you.
 
man preparing coffee

Who Is Weight Loss Surgery For?

Surgery is considered a tool for weight loss when used in combination with lifelong lifestyle changes. You are candidate for surgery if you:

  • Have a Body Mass Index (BMI) 40 or higher or a BMI between 35-39.9 and have at least one other condition caused by the excess weight (diabetes, sleep apnea or high blood pressure).
    • If your BMI is less than 35, our medical weight loss program would be the best option for you. Click here to determine your BMI.
    • If your BMI is 40 or above, weight loss surgery has proven to be the most safe and effective in achieving significant, long-term weight loss for patients in this range
  • Have struggled to lose weight through diet and exercise and are committed to making permanent lifestyle changes.

Having weight loss surgery is a big decision, and we’re here to guide and support you. We encourage you to meet with one of our surgeons early on to get answers to your questions to help you make an informed decision.

 
doctor reviewing diagram with patient

Weight Loss Surgery Options

At Summa Health, our preferred approach is laparoscopic (or minimally invasive) surgery. Learn more about our weight loss surgery procedures.

There Are Three Easy Steps To Start Your Weight Loss Journey.

patient and doctor talking

1. Start the conversation 

  • Call our new patient team at 330.375.6554.
  • Discuss your goals and concerns.
  • Get answers to your questions about insurance coverage and costs.
  • Schedule an introductory visit or instruct you on how to view an informational video and help you submit new patient intake forms.

Please note: We strongly encourage you to contact your insurance company prior to this call to ask if you have the weight loss surgery benefit on your plan. If you do not, we have other options for weight loss, so we still encourage you to call.

 

2. Personalized surgical evaluation

  • Meet with a board-certified surgeon specializing in weight loss.
  • Explore different surgical options tailored to your unique needs.
  • Receive a clear understanding of potential benefits and risks.
  • Meet with a financial counselor to address your insurance and out-of-pocket expense questions.

Your surgeon will:

  • Review your medical history and determine whether surgery is an option for you
  • Talk with you about your weight loss goals
  • Explain the types of surgical procedures available
  • Help you decide which procedure is the best choice for you
  • Complete a physical examination
  • Answer any clinical questions that you have about weight loss surgery
patient and doctor
woman eating cereal

3. Prepare for success

Once you have completed the initial surgical evaluation and have been cleared by your surgeon to proceed with the program and start preoperative testing, you will need to do the following:

  • Begin visits with dietitians, psychologists and other members of your care team to learn about healthy eating and lifestyle strategies required, in addition to your surgery, to be successful in achieving your weight loss goals.

Ready to take the first step? Contact us today at 330.375.6554 for more information. Let's explore if surgical weight loss is the right choice for you.

 

 
nurse and patient talking

Weight Loss Surgery Costs

At Summa Health, we understand that weight loss surgery is a big decision, and cost can be a major concern. We're here to guide you every step of the way, including navigating the financial aspects of weight loss surgery so you can achieve your weight loss goals.

About Our Program

We are a nationally accredited Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) which signifies we meet rigorous standards for quality and safety. Our experienced surgeons and support team will guide you through every step of the journey, from pre-surgery consultations to lifelong follow-up.

Benefits of our program:

  • Nationally accredited: We meet the highest standards for weight loss surgery.
  • Experienced team: Our surgeons have performed over 4,000 successful weight loss surgeries.
  • Comprehensive support: We offer counseling, nutrition guidance, and fitness programs to help you succeed.
  • Proven results: We’ve helped more than 8,000 individuals lose a combined 400,000+ pounds.

We offer a personalized, compassionate approach to guide you every step of the way.

MBSAQIP Seal Bariatric Care
Video

Gary Coleman

Weight Management Patient

Summa Health's Weight Management Institute provided life-saving care, leading to successful weight loss surgery and improved health.

Transcription

Gary Coleman - "I've struggled with my weight my whole life. I got so bad medically that I was on so much insulin, I couldn't breathe, couldn't walk. I was falling apart. My cardiologist told me about Summa Health's Weight Management Institute.

It basically saved my life. The minute I met Dr. Zografakis, I felt so relieved, like I was in the right place where I really needed to be. He said I would be a great candidate for the weight loss surgery. I got such great care through the whole thing. It was the psychologist, the endocrinologist, the nutrition, the dieticians. There was just, it's just a whole team. You just become one of the family.

It's been a year since my surgery now. I'm down 143 pounds. My medications have reduced, I'm totally off insulin. Life now is unbelievable. I can do anything I want now. Yeah, I've got Gigi and Ginger. They're my two little pups, and at least I can keep up with them now. I couldn't before, but I can now."

Video

Robert Hileman

Weight Management Patient

With Summa's Weight Loss Institute, Robert lost over 300 pounds and gained more time with his family.

Transcription

Robert Hileman - "I always struggled with my weight. I mean, just climbing a flight of stairs was hard, so I missed out on a lot of my kids' lives when they were younger. Just being the big guy sitting at the picnic table. It was when I found out that I had type 2 diabetes that I just said, "Enough's enough."

My primary care doctor referred me to Summa's Weight Loss Institute. Dr. Bedford said I was a perfect candidate for the weight loss surgery. The whole team at the Weight Loss Institute is phenomenal. You feel like you're part of their family, and they actually care for you. I was pushing 600 pounds. After my surgery, I was able to get down to 270 now with a goal of 250.

Life now is great. My kids and my wife are my life, so I'm glad I could extend my life, and have time to be with them. With anybody struggling with weight loss, give Summa Weight Loss Institute a try. Let them be your Northern Light to bring you back home."

Video

Reggie Eggleston

Weight Loss Surgery Patient

Shed pounds and medications with bariatric surgery

Transcription

Reggie: I always lived a large life. I was a big man, and I loved to eat. I'd say the weight gain was definitely the tipping point, you know, for me.

I got introduced to Summa's bariatric team, Dr. Wells, Dr. Pozsgay. And they said this was something totally doable. They assured me right off the top, you could do this. I'm so glad I did.

Since the bariatric surgery, my diabetes, under control. Blood pressure, under control. The best thing of all, I'm off of nine pills total. That's a lot of pills.

I lost a lot of weight, but I gained better health, a better life. And I feel so much better. And I told Dr. Pozsgay and Wells, I said, "well you ain't seen nothing yet!" It's a real game changer. It's just fun. I'm a cheap date now, you know.

Video

John Konneker

Weight Loss Surgery Patient

Back to the hobby he loves because of bariatric surgery

Transcription

John: Since I was a kid, I've been plane crazy. P.L.A.N.E. I've always loved flying. But at over 300 pounds, I couldn't even get into my airplane anymore. It was embarrassing to do even simple things like go to a movie, sit in a restaurant booth. I wanted to have bariatric surgery so I could fit in an airplane again.

Summa Health was recommended by the family doctor. So early after the process started, I met Dr. Pozsgay. I can't say enough about him. The nurses and caregivers on the bariatric floor at Summa Health were the best. Always friendly, happy, pleasant. Maybe one day I'll just stop by and bring them some flowers. Dr. Pozsgay gave me my life back. When I see him, I smile. I just smile to myself.

After the surgery, one of the greatest things is I can fit in my airplane again. Flying high, sunshine and blue skies.

Video

Cressane Sollenberger

Weight Loss Surgery Patient

Living her dreams after bariatric surgery

Transcription

Cressane: I've had weight issues all my life. It got to the point where I couldn't go upstairs. I couldn't walk any distance. I didn't fit in chairs. It was embarrassing, and it was exhausting. I needed to make a change, and it needed to be drastic.

Dr. Dan with Summa Health System convinced me to go through bariatric surgery. His enthusiasm is just so contagious and convincing. The weight is just melting off. Melting away. Being able to buy clothes. Being physically able to go up and down stairs. There is so much joy in my world now. One of my lifelong dreams is to go to Paris. Now that I've had the surgery, I've lost the weight, I'm going to Paris.

The bariatric surgery really does work. I want my weight loss journey to inspire others on their weight loss journey.

Video

Cheda Heaton

Weight Loss Surgery Patient

There for her family after weight loss surgery

Transcription

Cheda: I have always struggled with my weight, and then I became wheelchair-bound. And you gain more weight, and it's very hard to get it back off. I have three family members who went through Summa's Bariatric Center. They inspired me to look into it.

I get very emotional when I talk about Dr. Zografakis. He is a hero, the best cheerleader, he pushes you, encourages you. He's like a doctor from TV, only he's for real.

Before I had bariatric surgery, I had high blood pressure, diabetes, couldn't sleep. And after the surgery, I'm no longer on all those medications. And now I can fit in to a pretty dress like this, and I feel pretty.

I'm independent, love to craft, and being the best housewife. Most importantly, I'm able to be here for my family.

Video

Michael Andrews

Weight Loss Surgery Patient

Enjoying life every day after bariatric surgery

Transcription

Michael: I struggled with my weight all my life, and my body deteriorated where I wasn't able to walk anymore. And that led me to bariatric surgery at Summa.

When I committed to bariatric surgery it was a partnership between the whole department and myself. Besides the surgeon, Dr. Dan, there was a dietitian, Hanna, Psychologist, Jennifer, and everybody else in the department. The whole staff is special. Dr. Dan is a caring surgeon. He also wanted to know what your goals were and what you expected as an outcome from having the surgery.

I've lost almost 200 pounds due to bariatric surgery, and I feel like a new person. I don't recognize myself in the mirror. I'm getting my life back, enjoying things now that I didn't enjoy beforehand because I couldn't move, couldn't walk. I couldn't go to an Indians game or a baseball game. I'm looking forward to going back to the baseball games and enjoying things with my family, my friends. It all is credited to the Summa Bariatric Care Center. I'm just enjoying life everyday.

Video

Cassandra Wyatt

Weight Loss Surgery Patient

A healthier mom thanks to bariatric surgery

Transcription

Cassandra: I was probably 200 pounds overweight at my heaviest. I just kept putting on weight, and I couldn't lose it on my own. I wanted to be an active mom, and I couldn't do that at 320 pounds. I needed to stop being unhealthy, and the Bariatric Center at Summa gave me that opportunity.

Whenever anyone asked me how I lost the weight, I'm very honest about it. I say I had gastric bypass surgery. It's the perfect tool to jumpstart you.

Dr. Pozsgay's amazing. He's kind, he's really friendly. So the morning of the surgery obviously I was nervous. He comes over, and he squeezes my arm, and he says "we're going to do this, you've got this."

Since I had the surgery, I'm able to do so many more things with my kids. I don't have high cholesterol any more. My sugar is normal. Dr. Pozsgay and the staff at Summa, they gave me my life back.

Now I walk down the street with my head held high, and I smile at people just trying to bring a little more compassion into the world.

Video

Ssrelle Saikaly

Bariatric Surgery Patient

Excited to have a healthy pregnancy after gastric sleeve procedure

Transcription

Ssrelle: I was always the chunky little girl, bigger than most girls my age growing up. So I was gaining weight throughout adulthood, and gained even more weight as I was having my babies, and I just didn't want high blood pressure, diabetes, heart disease. I tipped the scale at over 322 pounds, and that was my breaking. point.

I did some research, and I discovered the Summa Health Weight Management Institute. When I got there Dr. Zografakis told me that I would be an excellent candidate for the gastric sleeve procedure. Dr. Zografakis is one of the best surgeons, he has the best bedside manner, and he even bought me roses. Weight loss surgery definitely isn't easy, it is just a tool, but you have to continue eating right,. exercising.

Since my gastric sleeve surgery, I've lost over 150 pounds. I eat right, I exercise, and I'm even actually expecting a baby. I'm gonna have a healthy pregnancy. Yes.

Video

Richard Garcia

Bariatric Surgery Patient

Describes his gastric sleeve procedure as a lifesaver

Transcription

Richard: Believe it or not, in high school, I was an athlete, but after high school, I started developing bad eating habits, not working out, and my weight ballooned up to 580 pounds. Everything was a chore; walking, trying to take the trash out, just basic daily functions. I had high blood pressure, water on the knees. 580 pounds, it was just killing my body. My life was in danger. I had to do something, so I looked into Summa bariatric program.

So then, I met Dr. Dan and he said I'd be a candidate for the gastric sleeve procedure. It was the hardest thing I've ever done in my life. It's not a magic pill. It gives you a good start, but the rest of it's up to you. You're gonna have to change your lifestyle, eat correctly, exercise. I've lost 350 pounds.

I feel like I've been given a second chance at life. That's exactly the way I feel. This surgery is a lifesaver, by far, the best decision I ever made. Dr. Dan and his colleagues at Summa are working miracles and I'm one of them.

Video

Annabelle Blankenship

Bariatric Surgery Patient

Living proof that there is hope – and help.

Transcription

Annabelle: I believe my highest weight was 367 pounds. And so I knew that I was on a path to developing a lot of health concerns and health issues, if I didn't take control. My primary care doctor referred me to Summa Weight Loss Management Institute, and that's where I met Dr. Dan. And he told me I'd be a great candidate for gastric bypass surgery.

The one thing I've learned is surgery is not a fix-all. You'd have to work at it every day and follow the process. I've lost over 180 pounds. When I look in the mirror now, I just see confidence. It's more than just a physical change, it's more inner and emotional. What I feel on the inside now matches the outside.

Well, the future is bright. I recently married. I know I can have children safely when I wanna start a family now. For anyone that's struggling with weight like I was, I would encourage you that there is hope and there is help. And, I'm living proof.

Video

Alicia Fitzgerald

Bariatric Surgery Patient

Living her best life with the support of Summa Health

Transcription

Alicia : I was struggling with weight ever since I had my son. I kept putting on pounds until I had to take control. My primary care physician referred me to the Weight Management Institute at Summa. When I met Dr. Pozsgay, he said I was a great candidate for bariatric surgery, and it just changed my life totally.

Bariatric surgery definitely is not a fix-all. You have to do your work. You have to eat right. You have to do your exercise.

Dr. Pozsgay and the weight loss management team is beyond unbelievable. The support that they have showed me through this whole journey has been tremendous, and I'm forever grateful.

As a result of surgery, I lost 160 pounds. That's a whole nother person, and boy, I feel beautiful and look beautiful. Thank you to Summa. Life today is like a miracle. I'm living my best life.

Video

Stephen Catalano

Weight Loss Surgery Patient

Found new purpose after weight loss surgery

Transcription

Stephen: Growing up in an Italian family, we showed love with food. Before I knew it, I was tipping the scales at 312 pounds before I decided to make a change. An acquaintance of mine who had bariatric surgery through Summa really encouraged me to go speak to Dr. Zografakis and his team.

Dr. Z is a very charismatic man that truly cares about his patients, and I signed up that day. Everybody on the team was encouraging and almost acted like cheerleaders for me. Summa's bariatric program has become a tool for life, where the team is gonna be around me for the rest of my life. I've lost 138 pounds in the last 15 months. This past summer, you know, I did a 100-mile bike ride that I could have never done in the past.

As a man of faith, I do believe that God put people in my path, and the Summa bariatric team and Dr. Zografakis for a purpose, and I do believe that my purpose is to help other people and inspire other people, and that's what I'm here for.

Video

Amanda Medure

Weight Loss Surgery Patient

Gained so much more than she lost after bariatric surgery

Transcription

Amanda: Once I got married and had kids, I just started gaining weight. And it got to the point where my daughter was hugging me and said "boy Mom you're really squishy and none of my other friends mommies are squishy," and I knew something needed to be done.

I did my research on bariatric surgery, and Summa came up as a center of excellence and they were yards ahead of every other bariatric program.

My surgeon was Dr. Zografakis. Absolutely amazing man. The care and program is amazing. They tell you at the beginning that you're going to be a patient for life, and they're going to take care of you, and they really do mean that.

Since the surgery, I've lost over 150 pounds and 81% of my excess body weight. Just astounding.

When I look at myself now it's just surreal. It's about being the healthiest version of myself. Life with my kids is wonderful now. I mean, I'm not their squishy mom anymore.

Video

Rebecca Schneider

Weight Loss Surgery Patient

Became a shining star after bariatric surgery

Transcription

Rebecca: Weight is something I struggled with most of my life. And I finally just decided I needed to do something, and I needed to do something for myself.

I went to the Summa Bariatric Center and I met with Dr. Zografakis, and he said that I was a candidate for bariatric surgery. Doctor "Z" makes you feel very important. He said you will be a star, you will shine, and he was right. I get teary-eyed every time I think about it. I have truly been blessed.

Before surgery, it was like the world was in black and white. And then after surgery, it's in Technicolor, it's just so beautiful now. I'm the person that I always knew that I was inside. She was just trying to get out.

My new fascination is clothing, so I have stock in all the stores that I shop in now because it has gotten so crazy.

Video

Brooks Dozier

Weight Loss Surgery Patient

Filled with joy after bariatric surgery

Transcription

Brooks: I always struggled with my weight, and it started causing medical issues with the diabetes, the mobility issues and ultimately kidney failure.

My primary care physician with Summa, she referred me to the Bariatric Program. That's where I met Doctor "Z", and it was one of the best days of my life.

From day one you will feel comfortable with him. I did not have a lot of family and friends around, so the bariatric team became my family and friends.

With the weight loss surgery it's a lifestyle change. With the healthy eating, you try to eat clean and do right, stay on top of your vitamins.

At my heaviest weight, I was 312 pounds. Today, I'm 190 pounds. So do the math, that's a lot of weight. That's like I lost a whole person.

I'm so proud of myself and have so much joy in my life now.

Video

Brian Brobson

Weight Loss Surgery Patient

Reclaimed his life after bariatric surgery

Transcription

Brian: To look at me now, you would have never believed I weighed 497 pounds.

The wakeup call for me was when I went to the doctor's office, and I had gotten so big that it wouldn't even register my weight on the scale.

I was recommended to Summa Health's bariatric program by my primary care physician. My physician was Dr. Adrian Dan. He's very positive. He always makes you feel really secure. You know you're in good hands with him.

Summa's bariatric team approach is really the key for success for me. It focuses on mind, body and spirit. It's about nutrition and health, and giving you the tools that you need to be successful going forward. They are five stars all the way around.

Prior to the surgery, my reward was food. And what is surprising now is I reward myself with exercise and I really enjoy it.

When I look in the mirror now, I'm able to see someone who reclaimed their life. And I see a totally different person than I ever did before. And I'm ecstatic with that person.

Video

Misti Miller

Weight Loss Care Patient

Weight loss patient gains happiness

Transcription

Misti: I turned to Summa for weight loss surgery when I realized I couldn't do it on my own. The care that I received from start to finish was absolutely wonderful. They're kind of like cheerleaders. They want to see you do better. The care didn't just stop with me. It included my family. Sometimes it's the little things that Summa did that meant the most.

My nurse made sure I was comfortable, and Dr. Dan was absolutely wonderful. When I woke up from the surgery, and I happened to see some flowers sitting there, and to realize they were sent from my surgeon, I'll never forget that. That was a nice thing to wake up to. Made me feel very, very special.

I'm healthier now because of my weight loss. I'm just so much happier, healthier, and smiling is my way of, it's shining through. Yeah, I really love the new me. I'm so thankful for Summa.

Video

Margo Haren

Weight Loss Care Patient

Rebuilding her life through weight loss

Transcription

Margo: I could barely walk. I had no energy. And one of the things that I loved doing was I love teaching children at church, and I had to quit teaching the kids. I had to quit substituting with special needs children. I had trouble bending over and tying my shoes, and even wearing a seat belt. It was tough. It was horrible. It just was horrible. You're so addicted to wanting to eat. You were tied down. It was almost like a prison.

Dr. Zografakis: Margo had the Roux-en-Y gastric bypass. That's a combination procedure where we restrict the size of the stomach from traditionally about the size of a football and reduce the size of the stomach to the size of an egg. And it does provide about 60%-70% of the excess body weight to be lost. Most people lose about 100 pounds depending on where you start. But more importantly than the weight that is lost, it has tremendous improvement in medical comorbidities or medical problems that are associated with being overweight, especially two things that Margo had which is the obstructive sleep apnea and the hypertension. And for her she was on multiple medications, and I think now you are down now only to one, correct? So from three or four medications before. So tremendous improvement in health overall. Better quality of blood pressure control, especially for diabetes resolution as well as very good outcome in improving diabetes.

Margo: And no more apnea machine.

Dr. Zografakis: And no more sleep apnea machine. I always tell people they can use that machine for an anchor on their boat on Lake Erie.

Margo: I think the most difficult part for me was becoming totally committed. But once I saw the team in action and how everyone was treating me, and there was a gentleman named Jeff that does some scheduling, I could not make a certain appointment at a certain time, so I asked him if I could come in at 6:00 in the morning, and he made arrangements to do that. They usually don't do that. But then I started to realize that these people, all of them, including Jeff, they were all for me and making my experience comfortable. The biggest thing that helped, that I really enjoy, the surgery helped that I really enjoy is being able to teach the Petunia Power kids at church. I couldn't do that because I had gained so much weight, but it was just so wonderful after I lost the weight I could re-signup and teach the kids again. I got my health back, I got my life back, and I got my energy back.

Video

John Speelman

Weight Loss Surgery Patient

After having weight loss surgery at Summa Health, John’s life is completely different and he’s able to be the dad he wants to be.

Transcription

John: - I've been struggling with my weight since eighth grade. I missed out on a lot of things with the weight gain. I'm a Cubmaster for my boys and so the breaking point for me was not being able to have the endurance that it takes to go on hikes, to do the activities that are required to be a leader.

My wife had bariatric surgery with Dr. Zografakis and the Summa Health team and I saw she had great results and so I decided to look into it also. I met with Dr Z and turned out that I was a candidate for a gastric bypass. Dr. Z encouraged me that it is a tool for me to get there and to have success.

I've gone from 260 pounds to 130 pounds and my life is completely different now. I'm able to be the dad I wanna be, the Cubmaster they need me to be. So my daughter, Lucy, she's able to give me a big hug and tells me all the time that she can get her arms all the way around me and that just brings a big smile to my face.

Video

Gwendolyn Smith

Weight Loss Surgery Patient

Choosing to have weight loss surgery at Summa Health was the best decision for Gwendolyn.

Transcription

Gwendolyn: For years I struggled with my weight, with the high blood pressure, the diabetes, and the sleep apnea, and I just decided it was time to start doing something for myself. My doctor referred me to the weight management program at Summa Health.

That's where I met Dr. Pozsgay and we decided together it would be a good idea for me to go with the gastric sleeve surgery. It's not a magic bullet. I have changed my eating habits. I'm more conscious of what I put in my mouth now and along with exercising.

Before surgery, my BMI was over 50. I am proud to say my BMI is now approximately 30. When I look in the mirror, now I am a more confident me 'cause I can see the new me, the real Gwen that was here before she put on all this weight. That weight loss surgery was the best decision I made.

Video

Leontyne Lynn Jones

Weight Loss Care Patient

After having weight loss surgery, Leontyne is enjoying life and no longer on medication.

Transcription

Leontyne: After I had my children, I just started gaining weight. I started having joint pain, back pain, found that I was a diabetic, hypertension, heart palpitations. I knew I had to do something.

A friend of mine told me about the Summa Weight Management Program. That's when I met Dr. Kenneth Wells. And he put me on a weight loss plan for a better lifestyle. He is amazing. I did lose some weight but I still needed to have the weight loss surgery. I met with Dr. Dan. And he recommended that I have the gastric bypass surgery.

I lost 96% of my body fat since I had the surgery. I am no longer diabetic. I'm no longer on medication. Life is heavenly. I am enjoying myself.

Video

Mariah Clark

Weight Management Patient

After having gastric bypass surgery at Summa Health's Weight Management Institute, Mariah rediscovered her health, strength and worth.

Transcription

Mariah Clark - In my family, food was love, but I loved it so much I got addicted to it, and I gained all this weight, and I was worried about hypertension. I was worried about diabetes. I was worried about dying.

My primary care doctor referred me to the Weight Management Institute at Summa. I met Dr. Z. I love him to death. He is literally like my dad. He has said that I was a candidate for gastric bypass surgery. It is a tool, and it's up to me to do the work, and I did it. My life definitely changed.

Because of my weight, I really didn't think I was worth anything. I'm worth so much, and my body is so powerful, and I found worth within myself, which is huge. I lost 160 pounds. Go to the gym and I'm lifting 160 pounds. I'm amazing. That's great.

Surgery Support Group

This support group is for patients before and after weight loss surgery.

Weight Loss Surgery Information Session

Hear from physician experts at Summa Health Weight Management Institute to learn why surgery might be the best option to treat your obesity.

Pre-Operative Education Class

This is a class for patients before weight loss surgery.

Surgical Weight Loss FAQs

How can I prevent hair loss?

We recommend that you consumer adequate amounts of protein and also take Biotin and/or Zinc on a daily basis after surgery. Your dietitian will guide you regarding when to start these supplements.

How do I know when to call the doctor?

Some situations can be handled over the phone by one of our surgeons, but others need to be handled in the office by a live person. You can use the following general rules when trying to decide whether to call the doctor: The following situations should result in a call to the doctor. Because we have a full team available to help you Monday through Friday between 8:00 a.m. and 4:30 p.m., please try to call early in the day so that we can see you if needed, and so we can order testing if needed.

  • Severe pain that is uncontrolled with your pain medication
  • You are unable to drink liquids – feels like something is stuck when you swallow
  • You are unable to keep any liquids down
  • You see bright red blood when you use the bathroom or vomit
  • You have a fever greater than 101 F within the first two weeks after surgery
  • Your incision changes in appearance – redness, warm to touch, any drainage other than clear, swelling

To reach our office call 330.375.4199 or 330.375.6590
Questions about your diet or vitamin supplements are best answered by one of our dietitians. Our dietitians are available during business hours, so please call 330.375.6590, option 3, Monday through Friday 8:00 – 4:30 p.m. with all questions about your diet and vitamins.

The following situations are important enough to merit a call to our on-call surgeon:

  • Severe pain that is uncontrolled with your pain medication
  • You are unable to drink liquids – feels like something is stuck when you swallow
  • You are unable to keep any liquids down
  • You see bright red blood when you use the bathroom or vomit
  • You have a fever greater than 100 F within the first two weeks after surgery

To reach our on-call surgeon after hours, call the main number 330.375.6590 to reach the answering service.

How long will I be in the hospital?

The average hospital stay for patients undergoing laparoscopic gastric bypass surgery at Summa is two days. The average hospital stay for patients undergoing laparoscopic sleeve gastrectomy surgery is one day.

How long will I be off of work?

Most patients are off work for four weeks following a laparoscopic weight loss procedure. The actual length of time may vary depending on the type of surgery that you undergo, other medical conditions that you may have and your individual recovery. Regardless of which surgery is performed, heavy lifting is prohibited for a minimum of one month following surgery. If your job involves lifting objects that weigh more than 15 pounds, your time off work may be longer.

How much does surgery cost?

Understanding the details of medical insurance coverage as it relates to paying for weight loss surgery can be overwhelming. That’s why our team has a full-time financial specialist who helps you understand your insurance benefits and out-of-pocket financial responsibilities.

Patients who do not have the weight loss surgery benefit on their plan may choose to take advantage of our private pay program. Participation in the private pay program requires the patient to be enrolled in a major health insurance throughout the process and for 6 months after surgery.

How much weight can I expect to lose?

People who have weight loss surgery can expect the following:

After gastric bypass surgery, patients will begin to lose weight quickly and will continue to do so during the first 12 months following surgery. Studies show that post-operative patients who choose to be compliant with post-op recommendations can expect to lose 60 to 70 percent of their excess body weight in the first 12 to 18 months following surgery. Studies also show that patients who continue to follow the program can maintain 50 to 60 percent of their weight loss. After Sleeve Gastrectomy, patients will begin to lose weight right away, although not as quickly as with Gastric Bypass surgery. Patients who follow all post-op dietary guidelines will lose about 50-60% of their excess body weight, and to maintain about 40% of their excess body weight lost.

How often will I see my surgeon after surgery?

Post-operative visits are scheduled for all patients at one week after surgery. After your initial post-op visit, you will be scheduled for appointments with your surgeon or our Nurse Practitioner at the following intervals:

Year One: One month, three months, six months, 12 months

If you need to be seen more often, additional visits will be scheduled.

How will my weight loss affect my health?

In addition to lower BMI and other health benefits from weight loss, 96 percent of patients experience an improvement in or elimination of obesity-related health conditions such as Type 2 diabetes, high blood pressure, sleep apnea, reflux disease (GERD), etc. Patients also decrease their risk of some cancers/recurrence by lowering their BMI.

How will the size of my stomach change after surgery?

This will vary, depending upon your surgeon. A gastric bypass pouch will typically be about the size of an egg, and will hold about an ounce of fluid (30 - 50cc’s). A sleeve gastrectomy results in a sleeve-shaped tube that will hold about 2-3 ounces (60-100cc’s).

Is it normal to feel nauseated after surgery?

Some patients do feel nauseated after weight loss surgery. We provide you with a prescription for anti-nausea medication, which we encourage you to take so that you can drink all of your fluids.

If you find that you are unable to drink the quantity of liquids that you were instructed to drink at the time of discharge, it is possible for you to become dehydrated. Symptoms of dehydration can include a headache, decreased or dark urine output, or nausea or vomiting. If you experience these symptoms, and you know you are not drinking all of your fluids, please call us.

My left incision hurts a lot more than the others - is this normal?

This is normal. Most patients find that the left incision is the most painful because the instruments used to perform your surgery cause increased pressure on the left side of the abdomen. We recommend wearing your binder at all times and using ice packs to minimize the amount of discomfort.

Once I start the process, how long do I have to wait until surgery?

The average time from program enrollment to surgery is approximately six to eight months. This can vary depending on your readiness for surgery, the requirements of your insurance company, and the results of the testing ordered by your surgeon.

You must complete all required testing and have approval from your insurance before your surgery can be scheduled.

Should I be feeling pain after my surgery?

It is normal to feel pain after surgery. The day of surgery you may be given a special non-narcotic pain block to help you with pain control. We will give you a prescription for oral pain medication prior to sending you home. You should take that medication as directed because it is important that your pain be controlled so that you can walk, take deep breaths and drink liquids.

Will I continue seeing my primary care physician after surgery?

What about all of the excess skin after I lose weight? Will I need plastic surgery?

Unfortunately, the skin that holds the fat tissue before surgery tends NOT to shrink down as the fat goes away. This means most patients are left with excess skin in areas such as the abdomen, upper arms, upper thighs, and breasts. Some patients choose to undergo plastic surgery to remove excess skin. We recommend that you wait until after you have achieved you weight loss goals and maintained them for at least 6 months before considering plastic surgery. Most plastic surgeons will not consider an evaluation until at least 18 months after surgery.

What are the signs of a wound infection?

When a wound becomes infected, it can become red and warm to the touch. It may drain green or yellow or think white fluid. You may or may not have a temperature. It may also feel swollen and tender to the touch. If you notice any of these symptoms, please call us. Wound infections are not common, but they do need to be treated if they occur. If you think you have a post-operative wound infection, call our triage line at 330.375.4199 or 330.375.6590.

What happens to the old stomach?

For Gastric Bypass patients, the remaining stomach is left in the body, where it continues to function by making important digestive juices that are used to process food farther down in the small intestine. For Sleeve Gastrectomy patients, part of the stomach is completely removed at the time of surgery.

What kind of support will I need at home after surgery?

During your first week after surgery, you will need someone to assist you. All patients are required to have someone staying with them for their first week.

What kind of testing is required before surgery?

Some of the testing is required by your insurance company and some is required by your surgeon. All insurance companies require a normal Thyroid Stimulating Hormone (TSH) level, psychological clearance and nutrition clearance. Most also require you to complete a certain number of months of physician supervised diet and exercise visits during which you lose at least a little bit of weight each month. The remainder of pre-op testing required by your surgeon varies based upon patient history, but could include cardiology clearance, pulmonary clearance, a sleep apnea evaluation, other lab work and/or other clearances or tests.

What should I do if I start to worry after surgery?

It is very normal to worry after surgery. Many patients start to worry about whether they will lose weight, whether they will lose enough weight, whether they will be hungry, whether they will be able to follow the meal plan, and for many other reasons.

This is VERY normal.

We have four behavioral health specialists that are available for our patients. They see all of our patients before surgery, and they strongly encourage patients to come back after surgery if they start to have these worries. Your body goes through many changes after surgery, so we expect that there will be some psychological changes that will also occur. Please do not hesitate to reach out for help.

Our behavioral health specialists also co-lead our monthly surgical support groups. We strongly encourage all patients to take advantage of our free support groups so that they can get the additional nutrition and behavioral health support that is provided by a dietitian and a specialist at each meeting.

What should my incisions look like after surgery?

You will have 5-6 small ½” incisions located on your upper abdomen. These incisions will be covered with steri-strips, which are temporary. You will have internal, dissolvable stitches. Keep your incisions clean and dry. You will be given home going instructions as to how to care for your incisions.

What will happen if I do not follow the prescribed diet?

It is very important to follow the diet progression carefully. Not following instructions can result in nausea, vomiting, diarrhea, difficulty swallowing, pain with swallowing, sweating, abdominal cramping and flatulence.

What will I be able to drink right after surgery?

All patients are started on a clear liquid diet the morning after surgery. Specific instructions are given to you by the RN Case Manager when you are in the hospital. You will be asked to measure, time and write down all of the fluids you drink while you are in the hospital.

When can I get pregnant after surgery?

Women tend to be more fertile after surgery. Birth control pills are not reliable when your weight is changing. Menstrual periods can be very irregular and you can get pregnant quite easily. Most surgical programs recommend waiting 12-18 months after surgery before getting pregnant, as it is difficult for you and a baby to get adequate nutrition when you are rapidly losing weight.

When can I start exercising after surgery?

We want you to walk gently and frequently right away to prevent complications such a blood clots and pneumonia. The key is to start slowly – listen to your body and stop when you get tired. Exercise beyond walking is not recommended for the first month after surgery. Swimming is not allowed until after all incisions are completely healed.

When will I be able to advance my diet?

You will be sent home with instructions to begin a full liquid diet on post-op day 3 after surgery.

You will stay on a full liquid diet until your first post-op office visit with your surgeon (usually 7-10 days after surgery).

You will advance to a pureed diet after you see your surgeon, and will follow that diet for 2 weeks.

You will advance to a pureed/blenderized diet after completing the full liquid diet and will follow that diet for 2 weeks.

You will advance to a regular/maintenance diet once you have completed the Pureed/Blenderized diet and will continue this diet for life.

When will I start to see results following surgery?

Patients will begin to lose weight immediately following surgery. Those who closely follow the recommendations of the team can expect to see significant weight loss as soon as six months after surgery.

Who will provide my follow-up care after the first year?

After the first year of follow-up, your needs will change. At that point all surgical needs are generally resolved, and your need will change to a focus on continuing to lose weight until you reach your goal weight, and then on maintaining that weight loss for the rest of your life. We have found that this is best accomplished through follow-up with our team of Obesity Medicine Specialists. You will be scheduled for ongoing follow-up at the following intervals:

Year Two: 18 months, 24 months, and annually thereafter.

Why is post-operative follow-up so important?

Success after weight loss surgery is directly related to how closely you follow your post-operative program. This includes diet, exercise and vitamin supplementation. Because we know that there are numerous changes to make and requirements to follow, we see you frequently in our office for follow-up. History shows that patients who come in for all scheduled visits and who regularly attend monthly support group meetings have the best outcomes.

Why should I choose the Summa Health Weight Management Institute for my surgery?

The Summa Health Weight Management Institute focuses on the individual needs of each patient. Our comprehensive surgical program, comprised of fellowship-trained surgeons, psychologists, nurses, dietitians, and an array of highly trained support staff work hard to insure you have the best possible outcome. Our program provides a high level of coordination of care throughout the process to make sure nothing falls through the cracks.

Will I be able to stop taking some of my medications after surgery?

As you lose weight, you may be able to reduce or eliminate some or all of your medications for diabetes, high blood pressure, heart disease, arthritis, high cholesterol and sleep apnea. It is important that you not stop any medications without the guidance of the physician who prescribed them for you.

Will I continue seeing my primary care physician after surgery?

Yes. Your medical condition will change after surgery and your medications will need to be monitored and adjusted. Additionally, our team treats your weight condition, but your primary care physician treats all of you. It is therefore very important that you continue to see your primary care physician soon after surgery, and thereafter.

Will I develop gallstones after surgery?

Weight loss can promote the production of gallstones. A small percentage (15%) of patients develops gallstones after weight loss surgery, which may require surgery to remove. If it is determined that you have gallstones before surgery, your gallbladder may be removed prior to or during your weight loss surgery. You can discuss this with your surgeon prior to surgery.

Will I have to go on a special diet before surgery?

Most weight loss surgeons recommend a very low calorie specialized pre-operative diet for 2-4 weeks right before surgery. This diet promotes rapid weight loss which decreases the amount of fat in the liver and makes it shrink in size. This makes the surgery safer for you. At Summa, patients may be prescribed the use of Optifast for this specialized diet.

Will I lose my hair?

Most patients will experience some hair thinning around 3-7 months following surgery. This occurs as part of the body’s response to a sudden decrease in nutrient intake. The hair follicles become dormant, but then begin to regenerate hair over time.

Will I need to take vitamins after weight loss surgery?

All patients take vitamin supplements for the rest of their life after weight loss surgery, including a multivitamin with iron, calcium, vitamin D and vitamin B12. It is very important to take all of the vitamins as prescribed to avoid malnutrition.
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