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"The front office is always so friendly, they really seem to know how I feel while going through my surgery."

Susan - After breast biopsy
Evergreen Surgical Clinic Bariatric Services
A service of Proliance Surgeons, Inc.

FAQS: [ Bariatric Home ]
Patient Information

Disclaimer
As with any surgery, there are specific risks and possible complications associated with the bariatric surgery. Your insurance may not cover this visit, please check with your company directly. We’ll work with you to determine if you are a candidate for the bariatric surgery.

Surgical Preparation & Surgery

What do I need to bring with me to my first consultation visit?
After you make your appointment we will give you several Medical History and Insurance forms for you to complete prior to your visit. It is recommended that you prepare and bring with you, a document or packet listing all your weight-loss attempts and results. This will assist in determining if you qualify for surgery.

How long does the work-up process take?
It is difficult to say how long this will take due to a variety of factors, but as the work-up process begins, we can provide you with a reasonable time frame of when your surgery can be scheduled after consultation.

Is there an age requirement for surgery?
We treat patients ranging from 18 to 65 years old.

Why is a psychological evaluation part of the work-up process?
A pre-surgical psychological evaluation by a licensed psychologist or licensed psychiatrist is required by Evergreen Hospital Medical Center, as well as some insurance companies. The primary goal of the psychological consultation is to identify and address personality and psychological factors that may jeopardize successful weight loss and affect the maintenance of your goal weight. Your insurance may not cover this visit, please check with your company.

Is a visit or consultation with a nutritionist part of the process?
A pre-surgical visit with an approved nutritionist is required by Evergreen Hospital Medical Center, as well as some insurance companies. Postoperative classes will educate you about food prep, proper quantities, hydration, how to get enough protein, behavior modification, dining out, supplements, and will provide helpful recipes. Your insurance may not cover this visit, please check with your company.

Where are the procedures performed?
Our procedures are performed at Evergreen Hospital Medical Center in Kirkland, Washington.

How long will I be in the hospital?
An “open” procedure hospital stay is usually 2-3 days.
A “laparoscopic” ROUX en Y or gastric bypass procedure, the hospital stay is usually 1-2 days.
A “laparoscopic” banding procedure, the hospital stay is usually less than 24 hours.

How long is the recovery?
For “open” procedures - six weeks of no strenuous activities and generally returning to work in 2-3 weeks.
For “laparoscopic” procedures – 2-3 weeks of no strenuous activities and generally returning to work 1-2 weeks.

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Support Services

How can I find out more about Bariatric Surgery?
We encourage all of our patients to attend a free educational seminar.
Seminars are scheduled the second Wednesday of each month from 6:30-9:00 p.m. at Evergreen Hospital Medical Center. To register for this free seminar, please call the Evergreen Bariatric Center for Weight Loss Surgery at 425.899.2969 or 1.877.601.2271.

Do I have to attend support groups?
We encourage all of our patients to attend support group meetings. These can be very informative and helpful during your weight loss and once you've reached your goal.

Why do some patients experience depression after surgery?
Mostly due to unrealistic expectations of the outcome of the operation. The support group meetings help patients through these difficult times. Occasionally, patients will need psychiatric consultations.

Will I experience relationship changes after I have surgery?
In our experience, it is not unusual to experience relationship changes with family, friends, co-workers and other acquaintances after surgery. Although there will be many improvements in your life, you may also experience some relationship challenges. Occasionally, some patients seek and benefit from counseling.

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Special Circumstances

Can I obtain follow-up care from Evergreen Surgical Clinic if I had surgery with another surgeon?
We are happy to provide follow-up care for patients that have had surgery performed elsewhere in the United States. This includes band adjustments. Please contact our office for an appointment. If you have had the surgery completed out of the country you will need to seek another local provider.

Do out-of-state patients need to come back for check-ups in the office?
It would be ideal to come back for a check-up at least once a year, but it is not absolutely necessary. We would like for our out-of-state patients to call in once a month for follow-up. We require all patients to have a primary doctor with whom your care will be coordinated.

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Financial

Will my insurance cover this?
Every policy is different. After attending your initial consultation and learning about the risks and benefits of the available procedures, please verify your specific policy to determine coverage. Please also be aware that, even if your Insurance Policy gives you coverage for this elective procedure, there might be substantial co-pays/deductibles which will be your financial responsibility. See submission requirements and insurance verification section on the bariatric homepage.

How can payments for this service be made?
Payments usually need to be made before the initial consultation and surgery. Cash, Debit-Card, Money Order, or Credit Card payments are accepted. See affordability section.

How much is my initial consultation?
Your initial consultation is $415.00 but we discount this to a $250.00 deposit on the day of your visit. We’ll be happy to bill your insurance, and if your plan pays, we can either apply this credit to a future balance or issue a refund. If this deposit is not paid the usual charge of $415.00 applies.

How much is my surgery?
The cost of the surgery is $9,600.00 for the surgeon’s fee, but we discount this to $8,000.00 if paid prior to day of surgery. This must be paid in advance if benefits and eligibility can not be verified prior to your surgery. This payment includes all regular office physician services such as post-op checks, band adjustments, etc. for 36 months from the date of your surgery.

Please note: the hospital and anesthesia services will bill you separately. Please contact the Evergreen Healthcare Bariatric Center for Weight Loss.

What do you do in the event of a denial?
You can appeal, pay privately, or change insurance plans if possible. See appeals section.

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Other Questions

How does the lap-banding procedure work?
Please go to lap-band.com and watch a short video.

Can you drink alcohol after surgery?
Alcohol consumption is not advisable following obesity surgery. Although research in this area is limited, you may become sensitive to even small amounts of alcohol, potentially due to the surgery. Many alcoholic beverages contain sugar and can contribute to regaining weight and may cause dumping syndrome. The long-term effects of alcohol consumption on the liver, as it relates to this surgery, are not known.

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Helpful Bariatric Links
Click on website link to visit website

ASBS.ORG American Society for Bariatric Surgery ( ASBS )
CDC Nutrition and Physical Activity CDC Nutrition and Physical Activity
Obesity Help Obesity Help