Common Questions
Frequently Asked Questions
Find answers to the most common questions about gastric sleeve surgery, recovery, and life after your procedure.
Please note that the information provided in this FAQ is based on general guidelines and averages. Individual patient histories and circumstances may lead to different guidance and recommendations from our healthcare team. Always consult your healthcare provider for personalized medical advice.
Getting Started
Once you've made the decision to move forward with gastric sleeve surgery, we understand the urgency and eagerness to begin your journey toward better health. Our team is committed to facilitating your preoperative process as swiftly and efficiently as possible, without compromising on the thoroughness and quality of your care. For many patients, the journey from decision to surgery can be as short as a few weeks. Our philosophy is centered on doing everything within our power to expedite your preparation while ensuring you are fully informed and ready for the transformation ahead. We strive to balance rapid progression to surgery with the need for comprehensive health evaluations and personalized care, tailoring our approach to meet your unique needs and circumstances.
The Sleeve Clinic is a private, boutique bariatric surgery clinic specializing in gastric sleeve surgery, and it is not covered by OHIP. The Ontario Ministry of Health covers a different procedure, gastric bypass, for patients with a BMI over 40 or a BMI over 35 with specific obesity-related health conditions. The ministry will only cover a gastric sleeve in rare cases, such as when severe scar tissue from a previous surgery prevents gastric bypass, when a patient has a BMI over 60, or when certain pre-existing medical conditions make gastric bypass excessively risky.
No, you don't have to quit smoking before surgery, but it's a good idea to try. Quitting helps your recovery go more smoothly and makes the surgery safer. We understand quitting is hard, and we would never deny someone surgery just because they smoke. However, many patients see their surgery as a chance to quit for good, and we encourage you to give it a shot, even if it's just for the 30 days before your procedure. After those 30 days, you might decide to keep going.
Yes. We have partnered with Beautifi to offer industry-leading interest rates and affordable monthly payment options. Beautifi offers flexible loans with low monthly payments structured to work with your budget. There is no money down required, no prepayment penalties, and the process is 100% online. Applying is secure and does not impact your credit score.
Preparing for your gastric sleeve surgery involves a comprehensive and supportive process designed to ensure you are fully prepared, both physically and mentally, for your procedure. This includes a detailed medical assessment to minimize surgery risks and optimize outcomes. Our patient coordinators will be with you every step of the way, facilitating meetings with a team of specialists including the surgeon, a bariatric nurse, your assigned bariatric dietitian, and an anesthesiologist. To establish a thorough health baseline, you'll undergo bloodwork and an electrocardiogram, and depending on your needs, additional tests such as gastroscopy or further cardiac evaluations may be required. While comprehensive, our goal is to make this preparation process as streamlined and stress-free as possible.
Yes. A remarkable aspect of our clinic is the vibrant online community we've built among our patients. We offer access to a private Facebook group with thousands of individuals who have undergone the procedure. This community provides invaluable insights into life after surgery, support, and personal experiences. If you're looking for a more personal connection, we're happy to connect you with one of our patient ambassadors who can share their firsthand experience.
Determining your eligibility for gastric sleeve surgery is a personalized process, focused on your specific health needs and history. Ideal candidates are those who have battled obesity for a considerable time and have a BMI of at least 30. Additionally, individuals suffering from obesity-related health issues such as diabetes, high cholesterol, high blood pressure, and sleep apnea may find this surgery particularly beneficial. Our online eligibility calculator is a helpful first step.
Before your surgery, we might ask you to follow a special diet, which includes drinking protein shakes and eating vegetables throughout the day. This isn't about losing weight before your procedure. The main goal is to prepare your body by making sure your liver is the right size for surgery. When we carry extra weight, the liver can grow too large, which can make the surgery more challenging since it sits right above the stomach. By following this diet, your liver shrinks to a more manageable size, allowing us to operate more smoothly. For most people, the diet lasts about two weeks, although some patients may need to continue it a bit longer.
Surgery: What to Expect
Yes. You will be fully asleep under general anesthesia during the procedure. This ensures you're comfortable and feel no discomfort while the surgery is performed.
The duration of the surgery varies for each individual. With a highly experienced bariatric surgeon, the surgery itself often takes less than 30 minutes. When considering the time needed to administer anesthesia before the surgery and for you to comfortably awaken afterward, the total time spent in the operating room is typically between 45 to 60 minutes.
Gastric sleeve surgery is designed to be a permanent solution for weight loss and improved health. During the procedure, a significant portion of the stomach is removed, including the stretchy part that allows for expansion, so the surgery is not reversible in the traditional sense. In rare and unusual circumstances, it can be converted to another type of weight loss procedure, such as gastric bypass or duodenal switch, but those situations are exceedingly uncommon.
In gastric sleeve surgery, the stretchy part of the stomach is removed to form a smaller, sleeve-like shape. This new, smaller stomach, about the size of a small banana, lets you feel full after eating less food. The surgery also removes the part of your stomach that produces ghrelin, the hunger hormone, significantly reducing hunger and cravings.
The surgery is done laparoscopically, which means we make a few small incisions in your abdomen and use slender instruments and a special camera to carry out the procedure. This minimally invasive approach is less invasive and helps with a quicker recovery.
When performed by experienced medical professionals, the gastric sleeve procedure is considered quite safe. In fact, it carries a lower complication rate than other common surgeries like gallbladder removal and hip replacement. The risks associated with gastric sleeve surgery are generally far less than the risks associated with obesity and its related health conditions.
Recovery from this surgery is generally swift. Most patients are able to go back to work about a week after the procedure, although some may need up to two weeks depending on how they feel. Recovery is usually more about managing fatigue and adjusting mentally than dealing with pain or bed rest. Patients are typically up and moving within hours after surgery, and some can even handle light remote work a few days later.
The gastric sleeve and gastric bypass are both effective surgical weight loss procedures, but they differ in approach and overall impact on your body. The gastric sleeve removes the stretchy part of the stomach to form a smaller, tube-like shape, which limits food intake and reduces ghrelin production without altering the digestive tract. Gastric bypass is a more complex procedure that reduces stomach size and reroutes the intestines, which can also affect nutrient absorption. The choice between them depends on the patient's individual health profile.
The portion of the stomach that is removed during surgery is sent to a laboratory for a detailed examination under a microscope by a pathologist.
Life After Surgery
Yes. Since you'll be eating less, it's important to ensure you're still getting all the essential micronutrients. Think of it as an insurance policy for your health. The regimen is quite straightforward. Most patients take a bariatric multivitamin in the morning and two or three calcium chews with vitamin D in the afternoon.
Absolutely. Dining out can still be part of your social life after bariatric surgery. Our expert dietitians will guide you at every step, so whether you're going to a five-star restaurant or meeting friends at a local coffee shop, you can continue to enjoy ordering off the menu.
Some, but not all, patients may have excess skin after surgery. Whether this occurs depends on factors including the patient's weight before surgery, the amount of excess weight loss, age, and genetics. For patients with concerns, plastic surgery after the gastric sleeve can be a highly effective option. We typically recommend waiting 12 to 18 months from surgery to ensure weight has stabilized.
There aren't strict dietary restrictions after surgery, but you will need to adjust how you eat because your stomach will be significantly smaller. We'll guide you on how to make the most of this new, smaller stomach by prioritizing protein over other foods. The aim is not to keep you on a restrictive diet, but to help you eat normally and take control of your relationship with food.
You'll likely begin to lose weight shortly after surgery, with the most noticeable drop in the first few weeks and months. Generally, patients lose about 50% of their excess weight within the first six months, depending on how much they weighed before surgery. The total weight loss journey typically spans 12 to 18 months, and it's not uncommon for patients to lose between 15 to 30 pounds within the first few weeks after surgery.
Gastric sleeve surgery has been shown to be highly effective in helping patients achieve significant and lasting weight loss, as well as improvements in overall health and quality of life. On average, patients can expect to lose between 60 to 70% of their excess body weight within the first year following surgery. This transformational weight loss can lead to a reduction or even complete resolution of many obesity-related health conditions, such as type 2 diabetes, high blood pressure, and sleep apnea. Long-term studies have shown that most patients are able to maintain a substantial portion of their weight loss over time, especially with strong aftercare support.
Long-Term Considerations
The surgery is performed laparoscopically and typically involves 5 tiny incisions. Four of these incisions are about 5 mm, roughly the width of a pea. One of the incisions is approximately 15 mm, which is still less than the width of a loonie.
Yes. Most people see dramatic improvements in obesity-related health conditions after surgery. Conditions like diabetes, obstructive sleep apnea, high blood pressure, high cholesterol, polycystic ovary syndrome, joint pain, and urinary incontinence often improve significantly and, in many cases, may even resolve completely.
Gastric sleeve surgery has been shown to provide numerous long-term benefits, including significant improvements in overall health and quality of life. Many obesity-related conditions can be greatly reduced or even resolved following the procedure. A small percentage of patients may develop heartburn after surgery, which can usually be managed effectively with antacids. Some patients may also require ongoing supplementation of certain vitamins and micronutrients to maintain optimal health. These considerations are generally minor and can be managed with support from your healthcare team.
Yes, you can have children after surgery. It is best to wait until your weight has stabilized and your body is receiving adequate nutrients to support both you and your baby's development. Current guidelines suggest waiting 12 to 18 months after surgery before trying to conceive.
Your gastric sleeve surgery will be performed in a private, state-of-the-art surgical facility in Toronto, Ontario. The facility is fully accredited by the College of Physicians and Surgeons of Ontario, and our expert surgical team uses leading devices, technology, and equipment to ensure your safety throughout the procedure.
You can return to the gym whenever you feel physically ready. Many patients begin light cardio exercises like brisk walking within the first week after surgery. By the end of the first week, activities such as jogging and biking can usually be added. We generally recommend waiting about 6 weeks before starting any strength training with weights.
The surgical staples used during the operation are small titanium staples that stay in your body permanently without causing health issues. They are safe and do not interfere with MRI scans or airport security systems. Within about a week after surgery, scar tissue forms around the staples, making them effectively undetectable during an abdominal exam.
Still Have Questions?
Our team is happy to answer any additional questions during a free, no-obligation consultation.