Morbid Obesity: Is My BMI a Concern for Surgery?

Q: Morbid Obesity: Is My BMI a Concern for Surgery?

Hello： In response to your question, the current regulations from the National Health Insurance Administration state that the criteria for weight loss surgery in cases of morbid obesity is a BMI (Body Mass Index, calculated as weight in kilograms divided by height in meters squar

excuse me?

Based on your height of 165 cm and weight of 100 kg, your Body Mass Index (BMI) is approximately 36.7, which classifies you as obese.
This level of obesity can be considered as morbid obesity, depending on other health factors.

Regarding the cost of laparoscopic surgery (bariatric surgery), it can vary widely depending on the specific procedure, the healthcare facility, and your location.
In the United States, the cost typically ranges from $15,000 to $30,000.
It's important to consult with a healthcare provider for a more accurate estimate and to discuss your specific situation.

Yu Zi, 20~29 year old female. Ask Date: 2004/02/12

Dr. Ke Fangxu reply Surgery

Hello: In response to your question, the current regulations from the National Health Insurance Administration state that the criteria for weight loss surgery in cases of morbid obesity is a BMI (Body Mass Index, calculated as weight in kilograms divided by height in meters squared) greater than 40.
If the BMI is between 35 and 40, the patient must have obesity-related comorbidities, such as arthritis or cardiovascular diseases.
The cost of the surgery itself is covered by health insurance, but there is an out-of-pocket expense for the materials used in laparoscopic surgery.
Your BMI is 37, and if you have comorbidities, you can qualify for insurance-covered surgery, with only the laparoscopic material costs to pay, which is approximately between 10,000 to 15,000 New Taiwan Dollars.

Reply Date: 2004/02/12

More Info

To determine whether you fall into the category of morbid obesity and whether you might be a candidate for laparoscopic surgery, we first need to calculate your Body Mass Index (BMI). Your height is 165 cm (1.65 meters) and your weight is 100 kg. The formula for calculating BMI is weight in kilograms divided by height in meters squared (kg/m²).

Using your measurements:
1. Convert height to meters: 165 cm = 1.65 m
2. Calculate BMI:
\[
BMI = \frac{100}{(1.65)^2} \approx 36.73
\]
A BMI of 36.73 classifies you as obese, and specifically, a BMI of 35 or higher with obesity-related health conditions (like hypertension, diabetes, etc.) is considered morbid obesity. If you do not have any obesity-related health conditions, you would still be classified as having severe obesity.

Regarding surgical options, laparoscopic bariatric surgery, such as gastric bypass or sleeve gastrectomy, is typically recommended for individuals with a BMI of 40 or higher, or a BMI of 35 or higher with comorbidities. Given your BMI of 36.73, you may be a candidate for this type of surgery, especially if you have associated health issues.

However, it’s important to note that surgical intervention is not a quick fix. It requires a commitment to lifestyle changes post-surgery, including dietary modifications and regular physical activity. The surgery can significantly aid in weight loss, but it is not a standalone solution. Many patients experience complications or regain weight if they do not adhere to the recommended lifestyle changes.

As for the cost of laparoscopic bariatric surgery, it can vary widely depending on the facility, the specific procedure, and whether your insurance covers it. In the United States, the cost can range from $15,000 to $30,000 or more. Some insurance plans may cover the procedure if you meet certain criteria, including a documented history of obesity and attempts at non-surgical weight loss methods. It’s advisable to consult with a bariatric surgeon to discuss your specific situation, potential costs, and insurance coverage.

Before proceeding with any surgical option, it’s crucial to have a thorough evaluation by a healthcare professional specializing in obesity treatment. They will assess your overall health, discuss potential risks and benefits of surgery, and help you understand the lifestyle changes required after the procedure.
In summary, based on your BMI of 36.73, you may be considered morbidly obese, and laparoscopic surgery could be an option for you, provided you meet other medical criteria. However, it is essential to approach this decision with careful consideration and professional guidance.

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