Who Should Not Get Bariatric Surgery 

Who Should Not Get Bariatric Surgery Bariatric surgery is a weight loss procedure that offers substantial and transformative benefits for many individuals struggling with obesity. However, it is not suitable for everyone. Certain medical conditions and psychological factors need to be taken into consideration before undergoing this surgery. In this article, we will explore who may not be eligible for bariatric surgery and why it is important to consult with a healthcare professional to determine suitability. 

Obesity is a complex medical condition that requires a comprehensive approach to treatment. Bariatric surgery is an effective option for those who have been unsuccessful in achieving significant weight loss through other methods. However, it is crucial to understand that there are certain medical conditions, such as uncontrolled heart disease or severe lung disease, that may exclude individuals from undergoing this procedure. Additionally, psychological factors, such as untreated eating disorders or substance abuse issues, need to be evaluated before considering bariatric surgery. 

It is important to remember that each case is unique, and the decision to undergo bariatric surgery should be made in consultation with a healthcare professional who can assess your individual circumstances. By understanding the potential exclusions and considering the impact on both physical and mental health, you can make an informed decision about whether bariatric surgery is the right choice for you. 


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Medical Conditions that May Exclude Bariatric Surgery 

Certain medical conditions may prevent individuals from undergoing bariatric surgery. While bariatric surgery can be a life-changing procedure for weight loss, it is important to prioritize patient safety and ensure that the procedure is suitable for each individual’s unique circumstances. Consulting with a healthcare professional is crucial in determining if any of these medical conditions apply to you. 

One of the common medical conditions that may exclude individuals from bariatric surgery is uncontrolled heart disease. The stress that surgery places on the cardiovascular system can pose significant risks for those with underlying heart conditions. Similarly, severe lung disease, such as chronic obstructive pulmonary disease (COPD), may also make bariatric surgery unsuitable due to the potential complications associated with anesthesia and postoperative recovery. 

Other medical conditions that may exclude individuals from bariatric surgery include active cancer, severe kidney or liver disease, and certain autoimmune disorders. These conditions can affect the body’s ability to tolerate the surgical procedure and the subsequent changes in nutrition and metabolism. It is important to have a comprehensive evaluation by a healthcare professional to determine if any of these conditions apply to you and whether bariatric surgery is a safe option for your weight loss journey. 


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Remember, this information is not meant to discourage you but rather to ensure your safety and well-being. By working closely with your healthcare provider, you can explore alternative treatment options or address any underlying medical concerns before considering bariatric surgery as a potential solution for weight loss. 

Psychological Factors to Consider 

When considering bariatric surgery, it is important to take into account the psychological factors that may impact the success and suitability of the procedure. Bariatric surgery requires a significant commitment to lifestyle changes and ongoing support, and certain psychological factors may affect an individual’s ability to adhere to these requirements.

One crucial aspect to consider is the presence of untreated eating disorders. Bariatric surgery involves significant changes in eating patterns and behaviors, and individuals with a history of eating disorders may be at a higher risk of developing new disordered eating patterns or experiencing relapse post-surgery. It is important to address any underlying eating disorder concerns before proceeding with bariatric surgery. 

Additionally, individuals with untreated or unmanaged mental health conditions, such as depression or anxiety disorders, should carefully evaluate their readiness for bariatric surgery. These conditions can impact a person’s ability to cope with the emotional and psychological challenges that come with significant weight loss. Seeking appropriate mental health support and discussing your mental health history with your healthcare provider is crucial in determining if bariatric surgery is a suitable option for you. 

Remember, the goal is to ensure long-term success and overall well-being. By addressing and managing any psychological factors before undergoing bariatric surgery, you can set yourself up for a more positive and sustainable weight loss journey. 

Frequently Asked Questions 

Who is not eligible for bariatric surgery?

While each case is unique, individuals with uncontrolled heart disease, severe lung disease, active cancer, severe kidney or liver disease, and certain autoimmune disorders may not be suitable candidates for bariatric surgery.

Can I undergo bariatric surgery if I have a history of eating disorders?

Individuals with a history of untreated or unmanaged eating disorders should carefully evaluate their readiness for bariatric surgery. It is important to address any underlying eating disorder concerns before proceeding with the procedure.

What psychological factors should I consider before undergoing bariatric surgery?

Psychological factors such as untreated or unmanaged mental health conditions like depression or anxiety disorders should be taken into account. These conditions can impact an individual's ability to cope with the emotional and psychological challenges that come with significant weight loss

Will I need ongoing support after bariatric surgery?

Yes, bariatric surgery requires a commitment to lifestyle changes and ongoing support. It is important to have a strong support system in place to help you navigate the physical and emotional changes that come with the procedure.

How do I determine if bariatric surgery is right for me?

It is crucial to consult with a healthcare professional who specializes in bariatric surgery. They will evaluate your medical history, current health status, and psychological factors to determine if bariatric surgery is a suitable option for you.

Please be aware that the information provided in these responses is intended to offer general insights and should not substitute personalized advice from a healthcare professional. Consulting with a qualified bariatric surgeon is essential to receive accurate and individualized guidance regarding bariatric surgery.


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