Surgical Weight Loss

The Center for Minimally Invasive Obesity Surgery

For some severely obese people, gastric restrictive surgery may offer the best long-term solution. This procedure reduces the functional capacity of the stomach. Gastric Bypass surgery is the primary surgical procedure done at the Obesity Consultation Center.

An alternative procedure that is enjoying a lot of success is called the Lap Band. We were the first in New England to try using this new device (see The Boston Globe article). The Lap-Band is a silicone strip that looks and feels something like a flea collar and creates a bottleneck near the top of the stomach that will make it hard for a patient to overeat. It is adjustable and it is reversible.

The surgery unit of the OCC is one of the few obesity treatment programs in New England which uses minimally invasive techniques during surgery. Virtually all obesity surgeries are done laparoscopically. Our surgeons' main focus is this surgery, and because of their considerable experience, the procedure is routinely performed in about half the time required by most other hospitals. This leads to faster recovery and greater patient comfort.

Laparoscopic surgery, better known for procedures such as gallbladder removal, involves performing major surgery through several very small incisions of one inch or less. When healed, these incisions often are near invisible.

Tufts-New England Medical Center has the most advanced laparoscopic operating suites in the United States (installed in October of 2002). Known as EndoSuites, they are truly state-of-the-art. They are wired with multiple screens and tools for optimal visualization. They are so efficient to work in, it helps decrease the operating time.

Minimally invasive surgery has many benefits including less wound discomfort, quicker recovery from surgery, lower risk of wound infections, and better cosmetic results. Of course, patients also enjoy a shorter overall recovery with less time in the hospital and a quicker return to work or a regular routine.

Surgery Eligibility Criteria

The Obesity Consult Center uses some of the same indicators as the National Institutes of Health. You may be a candidate for surgery if:

  • you have tried and failed with dieting in other organized programs
  • your Body Mass Index (BMI ) is 40 or greater ( More on this below).
  • your BMI is between 35 and 40 and you have some of the following health problems:
    • High blood pressure  
    • Diabetes  
    • Heart disease  
    • Sleep apnea  
    • High cholesterol   
  • If you are more than 100 lbs over "ideal" weight .
  • If you are between 18 and 65 years of age .
  • If you have an absence of severe emotional or medical illness which would make surgery unnecessarily risky.
  • If you have been drug or alcohol dependent, you must be well into an effective treatment program with at least two years of sobriety.

These are only suggested standards. We also require an individual psychological and behavioral evaluation with one of our therapists. The results of this evaluation, along with other medical, nutritional and behavioral information is then evaluated by the full clinical team before a decision is made regarding acceptance into the program.

For more detailed information on the Gastric Bypass click here.

For more detailed information on the Lap-Band surgery, click here.


Gastric ByPass Surgery




LAP-BAND (Prosthesis)



Other related surgeries

Surgery for excess abdominal skin

of the
Surgical Program





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