Bariatric Surgery Hospital Stay - All You Need to Know
Reviewed by:John M. Rabkin, MD, FACS
It’s normal to be nervous before your bariatric surgery hospital stay. But you will have chosen your team of doctors and hospital well and you have everything in place, so please try to relax.
Your time in the hospital will:
- Range from less than 1 day (outpatient) to 4 days, depending on the procedure you choose
- Include the 5 stages listed below, starting with Pre-Op and ending with Discharge
Read and click the sections below for everything you need to know.
Once you arrive at the hospital, your team of nurses will prepare you to go to the operating room. You will meet with the anesthesiologist and your surgeon before surgery. The nursing staff will talk with you and let you know what to expect and will check your vital signs.
There’s usually a wait of at least 2 hours before you’re taken into (or asked to walk to) the operating room. Try to get up and take a couple of short walks while you’re waiting.
02Stage 2: Procedure Performed
- 1 to 4 hours, depending on procedure
- Receive anesthesia
- Procedure is performed
After you walk or are rolled into the operating room on your moveable bed, you will be transferred over to the operating room table. Your team will put warm blankets on you to keep you warm.
The anesthesiologist will give you the anesthesia that will keep you fast asleep during surgery.
Your surgery can last from 1 to 4 hours depending on your procedure and your health condition:
- Duodenal switch surgery: Averages 4 hours
- Gastric bypass surgery: Averages 4 hours
- Gastric sleeve surgery: Averages 2 hours
- Mini gastric bypass: Averages 1.5 hours
- vBloc Therapy: Averages 1 hour
- Gastric banding surgery (LAP-BAND®): Averages less than 1 hour
- Gastric Balloon: Average less than 1 hour
- AspireAssist: Averages less than 30 minutes
Your surgical team will update your family members or friends who are waiting.
03Stage 3: Immediate Post-Op
- First 2 to 3 hours after the procedure
- You will still be asleep
- Team will manage pain & monitor vital signs
During your initial 2 to 3 hours of recovery, you will receive one-on-one attention to manage your pain and monitor your vital signs. You will likely not remember this part much, if at all.
04Stage 4: Recovery
- 1 to 3 days, depending on procedure
- Pain managed with medication
- Start moving (in bed and walking) as soon as posssible
The average hospital stay is 1 to 3 nights which varies depending on type of surgery and your overall condition.
- Duodenal switch surgery: 2 to 3 days
- Gastric bypass surgery: 2 to 3 days
- Gastric sleeve surgery: 2 to 3 days
- Mini gastric bypass: 2 to 3 days
- Gastric banding surgery (LAP-BAND®): 1 day or less
- Gastric Balloon: Same-day (outpatient)
- vBloc Therapy: Same-day (outpatient)
- AspireAssist: Same-day (outpatient)
You can expect to have some pain at your incision site(s), and your muscles may be sore from lying on the operating table. Not to worry… your surgeon will prescribe pain medications through your IV. They may even provide the ability to “self-administer” the pain medication as needed by pushing a button connected to your IV.
To minimize pain, it’s best to stay ahead of it. In other words, don’t wait until the pain begins before asking for medication – ask for it ahead of time.
You can also expect to have antibiotics, IV fluids, plastic tubes that will deliver oxygen through your nose, a urinary catheter to drain your urine and an abdominal binder to help your incisions heal. Your nurses may also have you wear compressive devices around your legs to help prevent blood clots.
Your surgeon will probably order nothing to eat or drink for the first 24 hours.
You will have get up and walk after surgery, usually within the first 8 to 10 hours and then several times per day thereafter. This very important step helps to prevent blood clots, wakes your body up from anesthesia, gets your intestines to start working again and improves breathing.
Your nurses will also help you through other exercises to reduce the risk of complications such as breathing, coughing and leg exercises.
Your doctors will check in on you every day to make sure you are healing properly. As soon as you’re able to start sipping water, your IV will be removed.
The day after surgery, many surgeons will order a “leak test” for you to make sure your digestive system is functioning well. Once you pass this test, you can begin drinking clear fluids.
All in all, your team will make sure you’re well-prepared ahead of time and that you know exactly what to expect. But if you have any questions or concerns, let your nurses know. They’ll be able to provide the medication necessary, will help put your mind at ease and will know when to call the surgeon if any issues come up.
Congratulations… you did it! You’re on the road to recovery and your new life.
Any pain will slowly diminish and you’ll start feeling a little better each day.
Don’t forget to pick up your pain medications on the way home if you don’t already have them.
If your ride home is a long one, stop at least once every 2 hours to get out and stretch.