Skip To Content

Finding the right procedure for you

There is no single best bariatric procedure for everyone. At CaroMont Surgical Associates, we offer two primary options and work closely with each patient to determine the most appropriate approach based on their health history, goals and individual needs.


How Bariatric Surgery Works

Understanding how bariatric surgery works can help you feel more confident going into the process. While sleeve gastrectomy and Roux-en-Y gastric bypass each work in slightly different ways, both procedures share common mechanisms that help the body regulate hunger, fullness and metabolism more effectively.

In general, bariatric surgery works by:

  • Reducing stomach capacity, limiting how much food can be eaten at one time
  • Improving feelings of fullness, allowing satisfaction with smaller portions
  • Changing hunger-related hormones, which can reduce persistent hunger and cravings
  • Improving metabolic function, including blood sugar regulation

These changes help make healthier eating patterns more achievable and sustainable. Many patients notice improvements in appetite control and energy levels even before significant weight loss occurs — and with the support of the CaroMont Surgical Associates team, those changes can last a lifetime.

Sleeve Gastrectomy

Sleeve gastrectomy involves removing a portion of the stomach to create a smaller, sleeve-shaped stomach. This procedure:

  • Limits how much food can be eaten at one time
  • Reduces hunger by affecting appetite-related hormones
  • Does not involve intestinal bypass

Sleeve gastrectomy may be a good fit for patients who:

  • Prefer a procedure without intestinal rerouting
  • Do not have severe or uncontrolled acid reflux
  • Are looking for an effective option with simpler anatomy

Roux-en-Y Gastric Bypass

Roux-en-Y gastric bypass creates a small stomach pouch and reroutes a portion of the small intestine. This procedure:

  • Limits food intake
  • Changes calorie and nutrient absorption
  • Has powerful metabolic effects, particularly for blood sugar control

Gastric bypass may be a good fit for patients who:

  • Have type 2 diabetes or significant metabolic disease
  • Experience moderate to severe acid reflux
  • Would benefit from both restrictive and metabolic effects

Because this procedure affects nutrient absorption, lifelong vitamin supplementation is an important part of your care. Our nutrition team will walk you through everything you need to know and support you every step of the way.


Choosing the Right Procedure

Choosing the right operation is a shared decision made between you and your CaroMont Surgical Associates surgeon. Factors that may be considered include:

  • Your overall medical history and current health conditions
  • The presence of conditions such as diabetes or acid reflux
  • Previous abdominal surgeries
  • Health goals and lifestyle considerations
  • Long-term follow-up and nutrition requirements

Your surgeon will take time to review these factors with you and explain the benefits and considerations of each option. Together you will decide on a plan that aligns with your health needs and long-term goals.