Are weight loss surgeries a good idea?

Andrew (No)

Recent medical advances have made weight loss through surgical procedures more accessible than ever; however, these surgeries are not a miracle cure-all for those looking to shed a few pounds. Weight loss surgeries do not treat the underlying causes of obesity, namely poor diet and lack of exercise. If an individual has weight loss surgery but fails to address their lifestyle, they will likely put the weight back on, making the whole procedure a waste of time and money. 

Further, these surgeries are not without risk. These procedures, like all surgical operations, can have complications such as blood clots, wound infections, leaks and slips of the gastric band, malnutrition due to a blocked gut, and complications due to anesthesia. Considering these risks and the National Library of Medicine's findings that show 50% of patients regained weight after 24 months, weight loss surgery is not a good idea.

Weight loss is not easy, but it can be done without surgery. It takes discipline and an effective diet and exercise program, which, when adhered to, results in several benefits besides weight loss, such as better cardiovascular health and, potentially, increased strength. And eating a healthier diet will have a range of effects on our minds and bodies. These benefits do not manifest when one chooses weight loss surgery alone. Finally, removing excess fat surgically often leaves patients with excess skin, which may require surgical intervention if pain or irritation occurs. 

When we lose weight gradually, through diet and exercise, we improve our bodies, not just our weight.

Maha (Yes)

While stigmatized as the “easy way out,” weight loss surgeries offer a new lease on life for many battling obesity. 

According to the American Society for Metabolic and Bariatric Surgery (ASMBS), these surgeries benefit individuals with a body mass index (BMI) of 40 or more. They’re also recommended for individuals with a BMI of 35 or more if they have obesity-related diseases like sleep apnea. 

That’s because individuals meeting these criteria usually have little to no success with diet and exercise alone--especially as they need to start low and go slow to avoid co-morbidities associated with obesity, such as pulmonary or orthopedic risks. 

Instead, weight loss surgeries can jump-start their weight loss almost immediately. For instance, gastric sleeves help individuals reduce excess weight by 30-40% within six months, which, in turn, motivates them to lose more as they adopt healthier diets and exercise. 

According to ASMBS, patients lose weight and keep it off long-term. That’s because they have higher energy levels, feel more enthusiastic, and experience less pain.

Another long-term benefit to consider is better physical and mental health. 

Many potential and existing health problems associated with obesity can be resolved. Type 2 diabetes, coronary heart disease, and even fertility issues can decline or completely go away. 

Weight loss surgeries have also been associated with decreased depression, anxiety, and stress. In fact, one study shows that surgically treated patients showed more significant improvements than conservatively treated patients. 

With these benefits, weight loss surgery can deliver a better present and future for those struggling with obesity.