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Weight Loss and Bariatric Services

Methodist Healthcare's weight loss surgeons in San Antonio are committed to extending lives, improving quality of life and maximizing independence through a variety of weight loss surgeries and lifestyle coaching. 

Methodist Specialty and Transplant Hospital

Weight Loss Center

The Methodist Weight Loss Center at Methodist Specialty and Transplant Hospital offers a comprehensive multidisciplinary program involving a physiological, psychological, psychosocial and nutritional approach, designed to target underlying causes of obesity for our patients as they embark on their weight loss journey. We are staffed by qualified nurses and support staff with expertise in caring of the surgical weight loss patient. Methodist Specialty and Transplant Hospital has been designated an American Society for Metabolic Surgery Bariatric Surgery Center of Excellence.

Metropolitan Methodist Hospital

Weight Loss Center

Metropolitan Methodist Hospital in San Antonio is home to the Methodist Weight Loss Center, a nine-bed bariatric surgery unit specifically designed for patients who undergo weight loss surgery. The unit features private rooms, internet access and waiting room with TV and coffee for families and friends. The unit is designed and furnished with beds and chairs that will comfortably accommodate larger patients. Our nurses work closely with our surgeons and promote relationship-based care with patients and their loved ones. Metropolitan Hospital is committed to extending lives, improving quality of life and maximizing independence through a variety of interventions with weight loss. We welcome you to our hospital and hope you have a wonderful experience in our bariatric unit. Metropolitan Methodist Hospital has been designated an American Society for Metabolic Surgery Bariatric Surgery Center of Excellence®.


Weight Loss Surgeries

Gastric bypass surgery helps patients achieve rapid and reliable weight loss. In the first few months after surgery, the surgical trauma that is naturally created on the stomach ‘stuns’ the nerves of hunger, so that patients tend to experience a profound freedom from hunger over a sustained time period. During the first three months after surgery, most patients lose weight rapidly. Depending on the starting point, patients can lose anywhere from 40 to 100 pounds in the first three months.

As healing of the stomach pouch progresses, hunger and calorie intake naturally return so that weight loss slows. Weight loss is usually steady during the first six months, but patients may experience plateaus where the weight is stable for a week or so before continuing to drop during the next few months.

For most gastric bypass patients, the lowest weight level is reached 10 to 16 months after surgery. There is a strong tendency to regain 10 to 15 pounds during the second year after surgery, and the weight that a patient has at the two year point after gastric bypass is usually one they will maintain for the rest of their life.

The total weight loss depends on the other factors listed above, and it varies from a minimum of about 70 pounds lost, up to 250+ pounds lost.

The gastric sleeve causes profound suppression of hunger in a way that appears similar to the gastric bypass. It seems that the long tubular stomach recovers a bit more quickly than after gastric bypass, so average weight loss is not as dramatic as for gastric bypass patients. On the other hand, the reservoir section of the stomach that is removed seems to be the source of some hunger-related hormones such as ghrelin, so the removal of that part of the stomach may help create sustained suppression of hunger.

Total weight loss will be somewhat less than for gastric bypass, but in the same range. There is not yet any data on the weight maintenance at 5 years or more after gastric sleeve.

The band helps create weight loss that is slower and more prolonged, sometimes continuing for three years after surgery.

In the first few weeks after band surgery, most patients experience a freedom from hunger caused by the minor trauma to the nerves of the stomach. Since the trauma to the tissues is less than with the gastric bypass, and since the band is placed with fluid (wide open) on the day of surgery, hunger usually returns with the first few weeks.

During the first month, a band patient may lose from five to 30 pounds. Weight loss will slow down as hunger and intake return, but if the patient works with the surgical team to adjust the band, then the hunger will be controlled.

When a patient’s band is working well and the patient is following the team’s diet and exercise recommendations, the patient usually loses one to two pounds per week. It is usually possible to sustain some steady/slow weight loss for at least a year.

The total weight loss after band surgery may bring the patient all the way down to their best weight in some cases. In our experience, about 30 percent of band patients will lose less than 40 pounds but will have achieved better health with that modest weight loss.