Weight Loss Surgery: Costs and Options Explained

Bariatric surgery

Hello, I have been tall and strong since childhood.
Currently, I am 173 cm and weigh 105 kg.
I want to undergo weight loss surgery but I'm unsure how to calculate the costs and which type of surgery would be best for me.

Liu Xiaojie, 20~29 year old female. Ask Date: 2016/01/06

Dr. Ke Fangxu reply Surgery

Taiwan's National Health Insurance (NHI) coverage for weight loss surgery is primarily based on the standards published by the National Institutes of Health (NIH) in 1991, which must meet the following criteria: 1.
BMI ≥ 40, or BMI ≥ 35 with obesity-related comorbidities.
2.
Age between 18 and 55 years.
3.
Failure of medical weight loss treatment for more than six months.
4.
No endocrine disorders or other diseases that could cause obesity.
5.
No substance abuse or mental health disorders.
6.
No significant organ dysfunction and able to accept surgical risks.
If the above criteria are met, patients only need to cover the costs of laparoscopic materials, room differences, and the portion not covered by NHI, which ranges from tens of thousands to over a hundred thousand New Taiwan Dollars.
Since laparoscopic surgery significantly reduces surgical risks and helps patients recover quickly, almost all weight loss surgeries are currently performed using minimally invasive laparoscopic techniques.
The variation in surgical costs is mainly due to different hospital policies, surgical methods, and types of instruments used.
It is recommended that patients communicate extensively with their physicians before surgery to choose the most suitable treatment option.
For those whose weight does not meet NHI standards or who opt for surgery out-of-pocket due to diabetes, the current costs in Taiwan range from over a hundred thousand to two hundred thousand New Taiwan Dollars.
It is advisable to consult a specialist in weight loss surgery for more professional information.

Reply Date: 2016/01/06

More Info

When considering weight loss surgery, it's essential to understand both the costs involved and the various surgical options available. Based on your height of 173 cm and weight of 105 kg, your Body Mass Index (BMI) is approximately 35. This categorizes you as obese, which may qualify you for weight loss surgery, especially if you have tried other weight loss methods without success.

Types of Weight Loss Surgery
1. Gastric Bypass (Roux-en-Y): This is one of the most common types of weight loss surgery. It involves creating a small pouch from the stomach and connecting it directly to the small intestine. This procedure not only restricts food intake but also alters the digestive process, leading to significant weight loss.

2. Sleeve Gastrectomy: In this procedure, a large portion of the stomach is removed, leaving a tube-like structure. This significantly reduces the stomach's capacity and helps in weight loss by limiting food intake.

3. Adjustable Gastric Banding: This involves placing a band around the upper part of the stomach to create a small pouch. The band can be adjusted to control the amount of food that can be consumed.

4. Biliopancreatic Diversion with Duodenal Switch (BPD/DS): This is a more complex procedure that involves both gastric restriction and malabsorption. It is typically reserved for patients with a higher BMI.

Costs of Weight Loss Surgery
The costs for weight loss surgery can vary significantly based on the type of procedure, the hospital, and whether you have insurance coverage. In Taiwan, if you meet the criteria set by the National Health Insurance (NHI), the costs can be significantly reduced. Generally, the NHI covers surgeries for patients with a BMI of 40 or a BMI of 35 with obesity-related complications, provided that you have tried non-surgical weight loss methods for at least six months.

If you qualify for coverage, you may only need to pay for certain expenses, such as the laparoscopic materials and any hospital room differences, which can range from tens of thousands to over a hundred thousand NTD. If you do not meet the criteria for NHI coverage, the out-of-pocket costs for surgery can range from 200,000 to 300,000 NTD or more, depending on the procedure.

Factors to Consider
1. Health Conditions: Before proceeding with surgery, it's crucial to evaluate any existing health conditions that may affect your eligibility for surgery. Conditions such as diabetes, hypertension, or sleep apnea can influence both the decision to undergo surgery and the type of surgery recommended.

2. Consultation with Specialists: It's advisable to consult with a bariatric surgeon who can provide personalized recommendations based on your health status, weight loss goals, and lifestyle. They can help you understand the risks and benefits of each surgical option.

3. Post-Surgery Support: Weight loss surgery is not just a one-time procedure; it requires ongoing support and lifestyle changes. This includes dietary modifications, regular exercise, and possibly participation in support groups or counseling.

4. Long-Term Commitment: Successful weight loss and maintenance require a long-term commitment to lifestyle changes. Surgery can help jumpstart your weight loss journey, but it is not a cure-all.

Conclusion
Weight loss surgery can be a life-changing option for individuals struggling with obesity. Understanding the types of surgeries available, their costs, and the necessary qualifications is crucial in making an informed decision. Consulting with healthcare professionals and considering your long-term health goals will help you choose the best path forward. Remember, the journey to weight loss is not just about the surgery; it’s about adopting a healthier lifestyle for the long term.

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