For new patients inquiring about weight loss surgery, please ask for Janet Bollier, Bariatric Program Coordinator. Her direct number is 650-652-8772. Please leave a message if she is unavailable, since she checks her messages frequently throughout the day, and typically responds within one working day.
Our coordinator, Janet Bollier, usually responds to email within one business day. Please do not leave emergency or clinical messages. If you are having an emergency, please dial 911. If you have an urgent need, please call our office directly.
PORTAL Please click on Portal button to register on our secure, private patient portal
Steps to Surgery
Step 1- Inform yourself: Please read the contents of this site and related sites suggested. Feel free to attend a support group meeting so you can meet other individuals that have had surgery for obesity. Talking to someone that has experienced these changes is the best way to assess if this type of management of morbid obesity is appropriate for you. Discuss your wishes with your Primary Care Physician, to get their input as well, realizing that they may have limited experience with patients who are considering bariatric surgery.
Step 2- On-Line Questionnaire: We need basic information regarding your medical condition, insurance information and contact information. Please register on our secure, private patient portal, to provide the information requested. This will help us expedite your correspondence and will be reviewed to ensure that it is appropriate to consider obesity surgery as the next step for you.
Step 3- Informational Package: After completing the online questionnaire, or speaking with our Program Coordinator, Janet, at (650) 652-8772 or our general line (650) 652-8787, we will send you a packet of information that covers the essentials of our surgery program. Once reviewed, please contact Janet to set up a consultation appointment with our surgeons by calling (650) 652-8772. Click here to send an email.
Step 4- Surgical Consultation: With your surgeon, you will discuss the program in detail and determine if you are a good candidate. It is recommended that you bring a family member or significant other with you to this appointment. It is helpful for you to bring a summary of your medical condition from your primary care provider, particularly if not on electronic health records (Epic) that communicate directly with our office.
Step 5: Additional Consultations: Your surgeon will need you to complete other consultations to evaluate your suitability for surgery. Exact details regarding other evaluations will be provided before you leave your consultation with the surgeon, though our coordinator, Janet, can provide information about the basics. You may complete these before or after your initial consultation. All will need to be completed prior to surgery.
Surgical options for obesity management
Our surgical weight management program is a comprehensive approach surgical program for the treatment of patients who are severely obese. The weight is often accompanied by weight-related health problems like Type II diabetes, hypertension (high blood pressure) and obstructive sleep apnea. Other health issues associated with obesity include elevated lipid levels (as seen on routine blood work), gastroesophageal reflux (GERD), degenerative joint disease that cause chronic pain, and fatty liver (abnormal liver tests associated with obesity).
Our program focuses on an individualized approach to weight loss, with a multidisciplinary preoperative assessment process. With the patient, there is careful selection of the most appropriate surgical procedure, depending on specific health and weight issues.
Fortunately, weight loss surgery is performed using the laparoscopic technique, through small incisions. This decreases pain and shortens recovery. We perform laparoscopic operations at both Mills-Peninsula Hospital (Burlingame) and El Camino Hospital (Mountain View).
The most common operations that we perform are:
- Laparoscopic vertical “sleeve” gastrectomy
- Laparoscopic Roux-en-Y gastric bypass
- Laparoscopic gastric band removal with vertical “sleeve” gastrectomy
- Laparoscopic gastric band removal with gastric bypass
The best way to ensure long-term success is to invest in thorough preparation before proceeding with surgery. Our surgeons create an individualized evaluation program, based on your health issues, to help assess the safety of the surgery and to uncover any potential problems before surgery.
Many insurance companies have a series of requirements that must be met before you can have surgery. The experienced program coordinators in our office will work closely with you and your insurance company, to help get your operation authorized.
Our registered dietician will work with you one-on-one to help you prepare for the surgery and help build supportive lifestyle habits for your surgical weight loss.
We have a deep commitment to helping our patients after their surgery. Short and long term follow-up is clearly linked with good outcomes from weight loss surgery. It is our expectation that our patients will continue to allow us to guide their journey for years after their operation.
Our team includes experienced surgeons and dieticians, plus a coordinated network of psychologists, cardiologists, pulmonologists and endocrinologists, that work together to help you before, during and after surgery, if needed. The support staff of nurses and coordinators are both office- and hospital-based, depending on what phase our patients are in.
Detailed information about our surgeons, procedures and process is updated frequently on our website. We try to provide useful tips to allow our patients to make informed decisions, streamline the evaluation as well as link to other sites and blogs that may be of interest.
On-line registration allows for expedited assessment of one’s candidacy for metabolic obesity surgery and simplifies the insurance approval process. After registration, you will be contacted by phone, usually within a few days. Our Program Coordinator will review your registration and if appropriate, make an appointment for you with one of our surgeons, for a consultation. She can also advise you as to any medical information that may be required.
We feel strongly that the best person to help you make a decision as to whether metabolic obesity surgery is right for you is the surgeon who performs these operations. This interview will determine whether you are an appropriate candidate for our program and allow you to learn more about the program.
We prefer to meet our patients individually, at the beginning of their exploration of weight loss surgery, rather than in large groups. Most people are not comfortable sharing personal medical history in a group. We think the best way to individualize your care is to have a detailed discussion of your medical history with the surgeon who would be doing the operation. All our patients have many questions and concerns, and these are best addressed in a one-on-one meeting. You are encouraged to bring a family member, spouse or friend with you to your appointment with the surgeon.
The Surgical Procedure:
The ThinnerFuture surgical team performs a full spectrum of operations for the treatment of obesity and obesity-related health problems. This includes the laparoscopic Roux-en-Y gastric bypass, laparoscopic vertical “sleeve”gastrectomy as well as revisional surgery including laparoscopic band removal with either vertical “sleeve” gastrectomy or gastric bypass.
Comprehensive In-hospital Surgical Care:
We partner with two nationally-recognized hospitals for our inpatient procedures: Mills-Peninsula Medical Center in Burlingame, CA and El Camino Hospital in Mountain View, CA. Both have been recognized by the American Society of Metabolic and Bariatric Surgery (ASMBS) as a center of excellence with Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) status by independent evaluation. Your around-the-clock care is supervised by our surgeons and monitored by the Bariatric Surgery Nurse Coordinator, who is specially-trained to help you recover.
An appointment with your surgeon will be scheduled 7-10 days after your release from the hospital. Subsequent appointments will be made at six weeks, 3 months, 6 months and then on a yearly basis.. This will allow our team to monitor your progress, check labs and work one-on-one with our dietician to insure your success.
Long Term Support:
Our surgeons, nutritionists, coordinators, psychologist or psychiatrists and other support staff are available to you to encourage you, to answer your questions, and to listen when you need them. We sponsor two support groups, led by trained nurse coordinators or nutritionists, at Mills-Peninsula Hospital and at El Camino Hospital. Our support groups are free, no registration required and family and friends are welcome. Come find inspiration motivation and encouragement during your weight loss journey. The support groups are a great way to connect with others, make friends and stay accountable.
Mills-Peninsula Support Group-The first Saturday of the month. Pre-operative patients should plan on arriving at 9:30 am and postoperative patients arrive at 10 am. 1501 Trousdale Drive, Burlingame, CA 94010. Building B, Ground Floor, Auditorium.
El Camino Support Group – The second Thursday of the month from 6pm – 7:30pm. 2500 Grant Rd, Mountain View, CA 94040. Ground floor in conference room E.