For patients who are candidates for bariatric surgery, we incorporate operative treatment into a comprehensive approach to weight loss. In addition to nutritional counseling, fitness training and complete psychologic evaluation, we offer patients who meet the National Institute of Health (NIH) criteria one of three possible bariatric operations. These include the lapraroscopic Roux-en-Y gastric bypass, the laparoscopic adjustable gastric band and the laparoscopic sleeve gastrectomy. These procedures provide a powerful tool in establishing portion control, proper nutritional intake and appetite suppression. In addition, you may attain profound metabolic benefits immediately after surgery in which diabetes, high cholesterol and many other metabolic problems associated with obesity substantially improve or resolve very quickly.