Is it true that after bariatric surgery some patients can gain weight again?
- Dr Isaac Walker de Abreu
- Apr 19
- 1 min read

Obesity is a chronic disease and requires lifelong management. Surgery is a powerful tool, but long-term success depends on several factors, including habits, medical follow-up, and lifestyle changes.
What influences success after surgery?
Adherence to the treatment plan
Diet and Exercise: Surgery helps to reduce weight, but maintaining healthy habits is essential. A balanced diet and regular physical activity are the pillars to prevent weight gain again.
Medical Monitoring: Regular consultations with nutritionists, psychologists and other health professionals are important to monitor progress and make adjustments to the plan if necessary.
Changes in behavior
Psychological Aspects: Dealing with emotional issues related to eating is crucial. Psychological support can help prevent behaviors that lead to weight gain again.
Nutritional Education: Learning about food choices and how to control eating behaviors helps maintain the results of surgery.
The type of bariatric surgery
Procedures such as gastric bypass or sleeve gastrectomy have different characteristics. Each can uniquely influence weight loss and maintenance patterns.
Individual factors
Genetics and Metabolism: Each person has a genetic and metabolic predisposition that can influence the results.
Is there a risk of weight gain again?
Yes, it is possible, but that does not mean it is inevitable. Weight gain can occur due to factors such as:
Not following the recommended eating plan.
Overeating, even with surgical limitations.
Emotional or psychological difficulties that influence eating behavior.
With proper follow-up and consistent lifestyle changes, it is possible to maintain weight loss long-term and enjoy the benefits of surgery.
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