Metabolic and Bariatric Surgery

The operation I perform is a laparoscopic sleeve gastrectomy. Laparoscopic means it is done through small openings in the abdomen using a camera and long instruments, rather than one large opening.

During the operation I remove the outer curve of the stomach and shape what remains into a narrow tube, or sleeve. The stomach holds less. More importantly, removing that part of the stomach changes the hormone signals it sends. Hunger changes. How your body handles blood sugar changes. That hormonal shift is why we call it metabolic surgery and not just stomach surgery.

Part of the stomach is removed permanently. That is a real decision and you should make it with full information, not under pressure.

I want to say one thing plainly. Surgeons do not want to operate for the sake of operating. My job is to find the cause and match the treatment to it. Sometimes that is an operation. Often it is not. If surgery is not the right answer for you, I will say so.

People whose metabolic health is not responding to medication and structured change, and whose evaluation points to surgery as the treatment that fits.

People with conditions driven by metabolic disease, where treating the underlying physiology changes the whole picture rather than one measurement.

People who want a partner for the long run. Surgery is one step in ongoing care, not the end of it.

Candidacy is a medical question, decided after a full evaluation. [CLINICAL REVIEW: what criteria does Dr. Good use to determine candidacy, and how much of that should appear publicly?]

Before. A full evaluation comes first. History, symptoms, prior treatment, and testing where it is needed. We talk through every option, including the ones that are not surgery, and what each one asks of you.

The day of. The operation is done under anesthesia through small incisions in the abdomen. You will not remember it.

After. You move through a staged diet and return for scheduled follow-up. We track how you feel, how you are eating, and how your metabolic health is responding. That care continues. [CLINICAL REVIEW: confirm hospital stay expectations and the post-operative follow-up schedule Dr. Good uses.]