Bariatricsurgery.

Sleeve gastrectomy, gastric bypass, and revision bariatric surgery — performed laparoscopically by our consultant bariatric surgeon in our ACHSI-accredited theatres, with structured multidisciplinary support before and after.

Overview

Performed by a consultant bariatric surgeon with international fellowship training and over 1,500 cases. All procedures are laparoscopic (keyhole) with same-day mobilisation. We are conservative about combining bariatric surgery with body-contouring work — the latter is best deferred until weight has been stable for twelve months.

dr Suka
Lead Surgeon

dr. I Made Suka Adnyana

dr. SpBP-RE (K) · ISAPS Member
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The consultation

Initial sixty-minute consult with the bariatric surgeon, followed by a multidisciplinary review (dietitian, psychologist, anaesthetist). We require a minimum BMI threshold and demonstrated commitment to a twelve-week pre-surgery programme before booking.

Our approach

Sleeve gastrectomy for most primary cases — simpler, lower complication rate, excellent outcomes. Roux-en-Y gastric bypass for patients with severe reflux, type-2 diabetes, or higher BMI categories where the bypass's metabolic effect matters. Mini-gastric bypass for select revision cases.

Recovery

Two nights in hospital, then ten nights in our recovery villa with daily nursing visits and dietitian-supervised graduated diet. We require fourteen nights on-island minimum, twenty-one for higher-BMI patients or revision cases. Full recovery to activity takes four to six weeks.

Treatments

The full list, with our typical price-from. Tap any treatment to expand details. Final quote is tailored after consultation.

Laparoscopic removal of approximately 75% of the stomach, leaving a banana-shaped tube. Reduces stomach capacity and metabolic appetite signals. The most common bariatric procedure worldwide and our most-recommended primary operation.

Duration

60–90 minutes · general anaesthetic

Recovery

14 nights on-island; 4–6 weeks to full activity

What's included
  • Twelve-week pre-surgery programme
  • Theatre, anaesthetic & two-night observation
  • 10 nights in private recovery villa
  • Daily nursing
  • Dietitian-supervised diet progression
  • 12-month telehealth follow-up

Stomach divided into a small upper pouch and connected directly to the lower small bowel — bypassing the rest of the stomach and upper bowel. Stronger metabolic and weight-loss effect than sleeve, particularly for patients with type-2 diabetes or severe reflux.

Duration

2–3 hours · general anaesthetic

Recovery

16 nights on-island; 6 weeks to full activity

What's included
  • Twelve-week pre-surgery programme
  • Theatre, anaesthetic & three-night observation
  • 12 nights in private recovery villa
  • Daily nursing
  • Dietitian-supervised diet progression
  • Vitamin & supplement programme
  • 12-month telehealth follow-up

One-anastomosis gastric bypass — a longer stomach pouch and single connection to the small bowel. Shorter operating time than Roux-en-Y; comparable outcomes; slightly higher reflux risk. We offer for select revision cases and primary cases by patient preference.

Duration

90 minutes · general anaesthetic

Recovery

14 nights on-island; 6 weeks to full activity

What's included
  • Twelve-week pre-surgery programme
  • Theatre, anaesthetic & two-night observation
  • 10 nights in private recovery villa
  • Daily nursing
  • Dietitian-supervised diet progression
  • Vitamin & supplement programme
  • 12-month telehealth follow-up

Conversion or revision of a prior bariatric procedure. Most common is sleeve-to-bypass for patients with weight regain or severe reflux. Technically demanding; we review original surgical records before quoting.

Duration

3–4 hours · general anaesthetic

Recovery

21 nights on-island; 8 weeks to full activity

What's included
  • Pre-surgery review of prior records
  • Theatre, anaesthetic & three-night observation
  • 14 nights in private recovery villa
  • Daily nursing
  • Dietitian-supervised diet progression
  • Vitamin & supplement programme
  • 12-month telehealth follow-up

Frequently asked

Sleeve for most patients — simpler, fewer complications, excellent durable weight loss. Bypass when severe reflux, type-2 diabetes, or BMI 50+ make its metabolic effects more compelling. Decision is made in MDT consultation.
Average is 60–70% of excess body weight at year one for sleeve; 70–80% for bypass. Maintained at year five in ~70% of patients who adhere to follow-up programme.
Fourteen days minimum for sleeve, sixteen for bypass. We do not authorise earlier flights — DVT risk and anastomotic leak risk both remain elevated in the first two weeks.
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