If you meet the established guidelines, your next step is to seek a weight-loss surgery program that has been certified as a Center of Excellence by the American Society of Metabolic and Bariatric Surgeons (ASMBS) or other credentialing board. This ensures a high level of experience and expertise of the surgeons and other medical/surgical personnel, comprehensive lifestyle programs and a hospital setting that is well equipped to manage the weight-loss surgery patient.

Most programs have an information session—a one-hour program designed to inform you about the whole surgical pathway and what you can expect. If, after that session, you still want to continue (many people change their minds since it’s much more than they expected!), you’ll meet with the surgeon and begin both your medical and lifestyle preparation.

You’ll also be introduced to the variety of services in the weight-loss surgery program, including support groups. It’s a great idea to attend these groups before your surgery to get an idea of what life is like afterward. Many friendships are formed during these first months, and they are of great support in the months and years following the surgery.

Depending on your individual health, your surgeon will provide a list of medical clearances you will need. It’s important for your primary care doctor to be involved in your surgical preparation as well. The lifestyle team will also be able to answer questions and help prepare you for life before and after the surgery.