PREPARING FOR SURGERY

Preparation for surgery includes several important steps:

1. Medical consultation. During your initial consultation, you and Dr. Afram will determine whether you are a candidate for obesity surgery. You will be provided a detailed explanation of the surgical procedure and the expected recuperation. You will discuss how your eating habits will change for the better after surgery, and you will have an opportunity to have all your questions answered.
   
   
2. Medical clearance. Before surgery you will undergo a comprehensive medical evaluation to ensure your fitness for surgery. This medical evaluation is scheduled for you by the Center for Obesity Surgery, and includes an assessment of general fitness, blood tests, an EKG, a chest x-ray, a pulmonary function test, an upper gastrointestinal x-ray, a gall bladder ultrasound, and other tests as needed. In addition, you will receive a pre-operative evaluation with an anesthesiologist. Licensed medical professionals affiliated with either the Center for Obesity Surgery or George WashingtonUniversity Hospital perform all components of the medical evaluation.
   
   
3. Psychological screening. This screening involves taking a personality inventory and participating in a one-on-one interview with the program's licensed psychologist. The purpose of the psychological screening is to ensure that there is no severe psychological issue that would compromise your chances for success on the program, and to ensure you'll have adequate personalized support as you begin your post-operative life.
   
   
4. Nutritional consultation. During a one-on-one appointment with the program nutritionist you will receive information on what and how you'll be eating after surgery. You will discuss eating immediately following surgery, making the transition to solid food, developing a long-term strategy for success, and handling situations like eating out after surgery. The nutritionist will also discuss vitamins and other nutritional supplements with you. Additionally, you will receive a copy of the Center for Obesity Surgery's nutrition manual.
   
   
5. Support group. All pre-operative patients are required to attend at least one session of our patient support group. At this support group you will have the opportunity to meet post-operative patients and have your questions answered by the real experts! Of course, family, friends, and significant others may participate in the support group. As an adjunct to the support group patients are invited to join the online support group at AframOSSG@eGroups.com This group of pre and post op patients continues the relationships and support offered in our groups through an online list serve community.
   
   Note: Dr. Afram performs all of his surgeries at the George Washington University Hospital.