Who may qualify?
According to international guidelines for metabolic and bariatric surgery (ASMBS and IFSO, 2022), surgery may be considered for adults with:
- A body mass index (BMI) of 35 or higher, with or without related health conditions.
- A BMI of 30 to 34.9 with metabolic disease, such as type 2 diabetes, especially when other treatments haven't worked well enough.
Eligibility isn't based on BMI alone: your medical history, other conditions, habits and ability to follow up are also considered. The final recommendation comes from an individual evaluation.
The evaluation before deciding
Before bariatric surgery, your overall health is reviewed carefully. Depending on your case, this may include lab work, imaging or endoscopy, a nutrition assessment and a psychological assessment, plus other specialists when needed.
The procedure we perform
- Gastric sleeve: part of the stomach is removed, leaving a smaller, tube-shaped stomach. Learn more about the gastric sleeve.
Dr. Antonio García currently performs the gastric sleeve as his bariatric procedure. Not everyone is a candidate: if another procedure would better suit your medical history, we'll explain it clearly and guide you.
Life after surgery
Surgery is a tool, not the whole treatment. Afterwards you'll follow a staged diet, take vitamin and mineral supplements, increase physical activity gradually and attend long-term follow-up visits. Results vary from person to person and depend largely on that follow-up.
Risks
As with any major operation, bariatric surgery has risks, including bleeding, infection, leaks, blood clots, reflux and nutritional deficiencies, among others. During the evaluation we review the ones that apply to you and how to prevent them.
What if I don't want — or can't have — surgery?
Surgery isn't the only option. Medical treatments for obesity may be an alternative or a complement in some cases. Learn about medical weight management.

