Here’s a few question you will need to ask to check whether the private surgery will cover:

• Does the private surgery cover the pre–op assessment blood tests and ECG? Surgeon, physician and dietitian fees?
• Are all hospital costs and operation costs included? Fees for surgeon and anaesthetist? What happens if there’s complications and you need to stay in hospital or need more specialised care?
• Is Follow up treatment included? What period of care is covered? How many visits to the surgeon (and how many band fills is incurred?) What about the dietitian? Does it include blood tests for RNY/BPD/DS patients? What if you need additional care?

Don’t be afraid to ask questions regarding your private surgery for gastric banding and what it entails. Many gastric band surgery packages will offer two band fills which normally is not enough. As many patients require several more adjustments over the next two years after the surgery to reach their weight loss goals. If possible get a package with slightly more of surgeon appointments and dietitians follow–up after surgery than to be faced with the dilemma of not doing as well as you had hoped and having to find the money for additional appointments.

Its a pity but most of the UK private health insurance companies will not reimburse the costs of the gastric band surgery as they see obesity is a chronic condition. BOSPA is lobbying the private insurers to adopt a more enlightened approach – treating the obesity will more than likely reduce the likelihood of the insurer having to pay out for many other treatments over subsequent years.

Some patients chose to travel to France or other countries like Belgium for gastric lap band surgery which will be done privately because the basic costs of the operation are considerably lower. However, you may miss out on the follow up care services that UK surgery will provide. Many surgeons may actually refuse to see you even privately if you have had your gastric surgery done abroad.

Whichever route you choose to follow for your surgery, the most important aspect is the follow up care and typically that provided at specialist UK obesity surgery centres will undoubtedly be the best. Multidisciplinary teams of doctors will ensure that the correct attention is given to all aspects of follow up such as weight loss progress, diet, exercise and social aspects, as well as the correct functioning of the alterations made to your anatomy by the surgery. This quality of care should not be compromised by your seeking treatment privately.

Preparing for Surgery

Before you have the surgery, your gastric banding surgeon will discuss your procedure in detail with you. It is also very important for you to discuss your overall health and your health history with him. You need to let your surgeon know if you are allergic to any drugs, have any current/past health conditions, or have ever had a bad reaction to anesthesia. In addition to this, make a list of all the medications that you take how ever small it is, including aspirin, injections, all prescription and over-the-counter drugs, herbal supplements, vitamins, and recreational drugs, and give it to your surgeon.

Your doctor/surgeon may also want you to meet with other medical experts, such as a dietitian and/or psychologist, to help you understand what will happen during and after the gastric banding surgery process. They will help you make certain that you are emotionally and mentally prepared for the up coming surgery and your new life afterwards. You will be required to have a number of tests before your surgery to evaluate your general state of health.

On the day before your gastric procedure, you will need to listen and follow the specific instructions to ensure a smooth surgery the next day. Your surgeon or medical team will provide you with a complete list of the do’s and dont’s on how to prepare for the surgery.

Here are two general guidelines:

1. Do not eat or drink anything after midnight the day before surgery this way your stomach will be empty for surgery to minimize risks during the gastric banding operation.
2. Ask a friend or a family member to be at the hospital with you for comfort and support and to drive you home after the surgery.

What to Expect on Surgery Day

The routine at your healthcare/hospital facility may be different form country to country. You will be admitted to the hospital either the day before, or on the actual morning of your surgery. You may be in the operating room for the morning but the actual procedure typically takes about one hour. Then you will spend a few hours in the recovery room. Once the anesthesia has worn off, you may feel some pain or discomfort from the operation which can usually be treated with pain killers.

On the day after the surgery, you will likely have an X-ray. This allows your health team to see that the gastric banding System is in the right place and that the new stomach outlet is open. You may be asked to swallow a liquid that can be seen on X-ray.

Typically for gastric banding surgery, hospitalization is usually less than 24 hours. However the hospital stay may have you stay longer if there are complications or if the surgeon has to change to an “open” surgical procedure.