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Getting Started

Before you begin this journey, it’s important to understand that obesity is a lifelong problem that will not go away overnight. You will always have to work at managing this condition, even after surgery. Our team is here to help and support you every step of the way.


The first step is to find out if you’re a candidate. Typically, to be eligible for bariatric surgery, your body mass index (BMI) needs to be 40 or higher, or 30 or higher if you have certain medical conditions, such as diabetes or sleep apnea. You can calculate your BMI with our BMI calculator or call our office at 903-593-0230 and we’ll calculate it for you.

Payment Options

The next step is to check with your insurance provider about coverage. Different insurance companies have different requirements, so it’s important to know what your plan covers. If your insurance doesn’t provide coverage for bariatric surgery, we also offer private pay.

Before your visit

Before your first visit with us, please watch the following video.


Next, you’ll attend a New Bariatric Seminar at our clinic. In this seminar, you’ll meet with a nurse to go over the steps required by your insurance company, such as preoperative weight management classes, psychiatric evaluation, nutrition and exercise consults, and anything else your insurance may require. You’ll hear from one of our bariatric surgeons, either Dr. Hugh Babineau or Dr. Charles Keith, about the different surgeries offered and the reasoning for each. After the group discussion, you’ll meet with the doctor individually to discuss which procedure best meets your needs.

Surgery and Recovery

Your surgery can be scheduled once all insurance requirements are completed and approved.

All surgeries except the gastric band require a one to two night stay in the hospital. The majority of patients are discharged after one night.

After surgery, you’ll receive post-operative guidelines to help you through the recovery process. You’ll also receive information about support groups, nutrition and exercise post-surgery.

Now that you’re a little more familiar with the process, click here to schedule a consultation.

There are two main reasons why we consider weight loss surgery (WLS). The first is that other methods for controlling weight have not been effective, and the second is that obesity has serious consequences for health. In general, the more severe your obesity, the more severe the consequences will be. After all, obesity has been shown to correlate with a shorter life-span.

1) Other methods to lose weight are not effective.

Anyone considering weight loss surgery should have tried to lose weight without surgery. However, the likelihood that a person will be able to keep off enough weight is slim. Fewer than 3 percent of morbidly obese people who go on a diet, even a medically supervised one, will be able to keep off at least half of their excess weight. In theory any one can lose and keep off all of their excess weight, but in reality, this is rarely seen.

2) Obesity has serious health problems and risks.

Many conditions are known to be associated, worsened, or caused by obesity, including:

  • Diabetes
  • Hypertension
  • Sleep apnea
  • Arthritis
  • Depression
  • Gastro-esophageal reflux (GERD)
  • Dyslipidemia (high cholesterol and/or triglycerides)
  • Edema
  • Urinary incontinence
  • Endometrial cancer
  • Coronary artery disease

Even if an obese person does not have any known problems yet, they are at risk for developing all the conditions above, other conditions, as well as early mortality.


Are you a candidate? Find out now and begin the journey to a better life.