Am I a Candidate for Surgery?

You may be a candidate for obesity surgery if:

  • You have a BMI (body mass index) of 40 or more (about 80 pounds overweight for women, 100 pounds overweight for men).
  • You have a BMI between 35 and 40 and a serious obesity-related disease (such as diabetes, high blood pressure, high serum lipids, high cholesterol, asthma, sleep apnea, GERD, arthritis, or coronary artery disease).
  • You are 50 pounds of more overweight but are not in the BMI range of the first two criteria above. Please Note: Insurance will not authorize surgery in this category.
  • You do not have a history of severe uncontrolled psychiatric problems or addiction to drugs or alcohol.
  • You understand the lifestyle changes that weight loss surgery will require you to make.
  • You have been unsuccessful at losing weight through diet and exercise.

Surgery Approval Process

Contact our office

The approval process begins when you first contact our office. At that time, a member of our office staff will talk with you about your obesity and your general health. If your health is reasonably good and you seem to satisfy the criteria for bariatric surgery, we will set up an in-office consultation to discuss surgery in greater detail. If you are suffering from obesity related illnesses, you will not be disqualified from having surgery. In fact, such illnesses may make you an even better candidate for surgery. Before you visit our office, we will ask you to fill out a health questionnaire, which can be found on the patient resources page of this website.


At your consultation, you will meet with Dr. Coon to discuss your health, ask questions, and decide if weight loss surgery is a good choice for you. At this time, you will submit your health questionnaire. If you decide to proceed further with the approval process, a program of testing will be undertaken.


Our practice completes a series of tests to determine the risks and benefits surgery may present to you.

Testing consists of:

  • A group of lab tests
  • An EKG
  • An Upper GI X-ray
  • A chest x-ray
  • A consultation with a psychologist
  • Medical clearance by your Primary Care Physician
  • Nutritional Consultation
  • Possible consultations with a Cardiologist, an Internal Medicine specialist, a Pulmonary (lung) specialist, and other specialists.

Request Submitted to Insurance Company

After you have undergone testing, we will submit your request for surgery to your insurance company. If we obtain approval for your surgery, we will call you to schedule your pre-op history and physical and your surgery.

Approval for Surgery

Once approval occurs, we will make all efforts to schedule your surgery to meet your needs and desires. Please call and let us know when you have completed all of you pre op testing and consultations so we can check to make sure that we have all necessary documentation

Benefits and Expectations of Bariatric Surgery

Following surgery, most patients will lose weight for up to about 24 months. Most of the weight loss will occur in the first nine months after surgery. Depending on your operation, you can expect to lose and keep off 60 to 80 percent of your excess weight. Some patients will lose 100 percent of their excess weight. In rare cases, patients will not lose very much weight at all.

Illnesses that can be improved by significant weight loss include:

  • Diabetes (both insulin and non-insulin dependent types)
  • Hypertension (high blood pressure)
  • Elevated serum lipids and elevated cholesterol
  • Asthma
  • Sleep apnea
  • Heartburn (GERD)
  • Arthritis
  • Depression
  • Coronary Artery Disease

Weight loss surgery is not right for all patients. It is a serious procedure that involves considerable commitment. As with any type of surgery, there is a risk of complications. However, when performed on the right individual, Bariatric Surgery can increase longevity and lead to a better quality of life. Even though having Bariatric Surgery may be considered a major decision, it has helped innumerable patients achieve weight loss for life.
Please visit our Patient Resources page for informational guides about obesity surgery along with weight loss surgery diet plans.