Bariatric Surgery

Gastric bypass and other weight-loss surgeries — known collectively as bariatric surgery — involve making changes to your digestive system to help you lose weight. Bariatric surgery is considered after diet and exercise have not worked or when you have serious health conditions that make it difficult for you to lose weight on your own. Some procedures limit how much you can eat. Other procedures work by reducing the body’s ability to absorb nutrients. Some procedures do both.

While bariatric surgery can offer many benefits, all forms of weight-loss surgery are major procedures that can pose serious risks and side effects. Also, you must make permanent healthy changes to your diet and get regular exercise to help ensure the long-term success of bariatric surgery. We help you make those lasting changes.

Step 1: Psychological Evaluation

The intent of the psychological evaluation prior to the surgery is to assess the patient’s readiness, motivation, and determination to make the essential behavior changes. A pre-surgery evaluation for bariatric surgery is often required by insurance companies and physicians. It is a way for the behavioral health specialist to ensure there are no risk factors that would potentially impede success of the procedure. There are two parts to an evaluation. The first includes an interview where we discuss your background information, including eating behaviors and habits. The second part includes assessment of your personality and coping skills.

Step 2: Evaluation Results

Results of the evaluation are sent to the treating bariatric surgeon. These are usually available within 7 business days from the date of assessment by fax in order to facilitate the process. Feedback sessions are scheduled with patients where behavioral health treatment is recommended. Possible evaluation recommendations include:

  • Acceptable Candidate for Surgery; (psychotherapy desired on an as needed basis; patients are invited to attend any group of interest.)
  • Acceptable Candidate for Surgery with behavioral health services; provide ongoing psychological treatment before, concurrent, of after surgery. This may include individual psychotherapy or a referral to a specific pre-operative or psot surgery group.
  • Unacceptable candidate for surgery at this time and needs behavioral health follow-up.
Contact Us for Help

Pre & Post Surgery Groups

You have the surgical tool to control your hunger, now add the behavioral tools so you can get the maximum effect from your procedure.

We offer groups for patients preparing for surgery to assist with facilitating a successful surgical outcome. Bariatric Surgery is a life-changing decision. Once the surgery is actually completed, the patient is faced with major behavioral changes in order to achieve weight loss goals. Our groups are designed to assist you in navigating through this process.

Pre-Operative Weight Loss Surgery Group

Our main objective with pre-operation classes is to better prepare bariatric candidates who are faced with specific challenges before surgery and need facilitation on how to best prepare for their surgery. The group consists of a 3 week multi-dimensional class covering topics such as:

  • Understanding behavior change
  • Coping skills before surgery
  • Monitoring behavior change
  • Stress Management
  • Family relationships and eating habits
  • Identifying beliefs that lead to impulsive eating

Post-Operative Weight Loss Surgery Group

Our main objective of the post-operation classes is to offer education, counseling, coaching, and consultation to candidates who seek structure and knowledge after bariatric surgery.

The group consists of a 4 week class focusing on:

  • Challenges and new experiences after surgery
  • Your relationship with food such as beliefs that may interfere with success
  • How to cope with unexpected triggers
  • Creating food & exercise routines


To set an appointment for an initial evaluation or sign-up for a pre or post surgery group call 210-447-6363. We will be happy to discuss your needs and answer questions you have about our counseling services and programs.