What to Expect Before and After Gastric Sleeve Surgery

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Gastric sleeve surgery is one of the most effective and widely performed bariatric procedures for long-term weight loss. Understanding what happens before and after gastric sleeve surgery can help you feel confident, prepared, and mentally ready for this life-changing journey.

At Badge Health, patients receive comprehensive guidance at every stage—from pre-operative preparation to long-term post-operative care—ensuring safe outcomes and sustainable results.

What to Expect Before Gastric Sleeve Surgery

Medical Evaluation and Consultation

Before surgery, patients undergo a detailed medical assessment including blood tests, imaging, and evaluations by bariatric specialists. This process ensures that gastric sleeve surgery is a safe and appropriate option based on your health history, BMI, and weight loss goals.

During consultations, your surgeon will explain the procedure, potential risks, expected results, and lifestyle changes required after surgery.

Pre-Operative Diet

Most patients are advised to follow a special pre-operative diet 1–2 weeks before surgery. This diet helps reduce liver size, making the procedure safer and easier. The diet is typically high in protein and low in carbohydrates and fats.

Mental and Lifestyle Preparation

Preparing mentally is just as important as physical preparation. Patients are encouraged to set realistic expectations, stop smoking, avoid alcohol, and begin adopting healthier eating habits before surgery.

The Day of Gastric Sleeve Surgery

Gastric sleeve surgery is performed laparoscopically under general anesthesia and typically takes 1–2 hours. During the procedure, approximately 75–80% of the stomach is removed, leaving a smaller, sleeve-shaped stomach.

Most patients stay in the hospital for 2–3 days for monitoring and recovery.

What to Expect After Gastric Sleeve Surgery

Immediate Recovery Period

In the first few days after surgery, patients may experience mild discomfort, fatigue, and swelling. Pain is usually manageable with medication, and walking is encouraged shortly after surgery to support circulation and healing.

Post-Surgery Diet Stages

Diet progression is a critical part of recovery after gastric sleeve surgery. Patients typically follow these stages:

  • Clear liquids (first few days)
  • Full liquids and protein shakes
  • Pureed foods
  • Soft foods
  • Solid foods in small portions

This gradual transition helps the stomach heal properly and prevents complications.

Weight Loss Timeline

Most patients begin losing weight rapidly in the first 3–6 months after surgery. On average, patients lose 60–70% of their excess weight within the first year, depending on adherence to dietary and lifestyle recommendations.

Long-Term Lifestyle Changes

Long-term success after gastric sleeve surgery depends on maintaining healthy habits. Patients must focus on portion control, protein-rich meals, hydration, and regular physical activity.

Although gastric sleeve surgery does not cause malabsorption, vitamin and mineral supplementation may still be recommended to support overall health.

Emotional and Psychological Changes

Many patients experience improvements in self-confidence, mobility, and overall quality of life after surgery. However, emotional adjustments can also occur as eating habits change. Support from healthcare professionals and loved ones plays an important role in long-term success.

Why Choose Badge Health?

Badge Health provides personalized bariatric care with experienced surgeons, modern hospitals, and continuous post-operative support. From your first consultation to long-term follow-up, our team ensures you feel informed, safe, and supported every step of the way.

Final Thoughts

Knowing what to expect before and after gastric sleeve surgery helps patients approach the process with confidence and realistic expectations. With proper preparation, expert medical care, and long-term commitment, gastric sleeve surgery can be a powerful tool for achieving lasting weight loss and improved health.

Contact Badge Health today to begin your journey toward a healthier, more confident life.

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