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Patient Expectations of Bariatric Outcomes, Baseline, and Long-term Evaluation
Lindsy van der Laan1,2, Ellen A M Kuipers3,4, Josien G Timmerman5
1Center for Obesity Northern-Netherlands (CON), Department of Metabolic Bariatric Surgery, Medical Center Leeuwarden, Leeuwarden, Netherlands. l.van.der.laan@umcg.nl.
Obesity Surgery
|July 4, 2025
Summary
Patients undergoing metabolic bariatric surgery (MBS) prioritize improved mobility and health, with accurate expectations for weight loss and disease remission. Information on complications did not deter their decision to proceed with MBS.
Area of Science:
- Bariatric Surgery
- Patient Expectations
- Obesity Management
Background:
- Investigates preoperative patient expectations for metabolic bariatric surgery (MBS).
- Focuses on anticipated challenges and effects across physical, social, and psychological domains.
- Highlights the importance of understanding patient perspectives in surgical decision-making.
Purpose of the Study:
- To explore patient motivations for undergoing MBS.
- To assess expectations regarding weight loss and remission of obesity-related diseases.
- To understand the impact of complication information on surgical decisions.
Main Methods:
- Prospective, cross-sectional multicenter survey of adult patients awaiting primary MBS.
- Questionnaire covered reasons for surgery, weight loss expectations, disease remission predictions, and importance/anxiety regarding complications.
- Assessed expected physical, social, and psychological changes post-surgery.
Main Results:
- 242 patients completed the survey; mobility and health were primary motivators for MBS.
- Patients expected significant weight loss (32% total, 81% excess) and high rates of disease remission.
- Awareness of complications did not cause anxiety or influence the decision to undergo MBS.
- Anticipated physical changes included improved mobility and pain reduction; social/psychological expectations focused on self-image and well-being.
Conclusions:
- Improved mobility and health are key drivers for metabolic bariatric surgery.
- Weight loss and disease remission expectations are generally aligned with realistic outcomes.
- Patients value information on surgical risks but remain committed to MBS.
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