Gastric bypass surgery is one of the most well-established and effective procedures for long-term weight loss. Often called the “gold standard” in bariatric surgery, it works by changing the way your stomach and small intestine digest the food you eat. Understanding the gastric bypass procedure is the first step to reclaiming your health and energy for dramatic before-and-after results.
This guide breaks down everything you need to know about gastric bypass surgery.
What Happens During a Gastric Bypass Procedure?
The Roux-en-Y (the most common gastric bypass) is typically performed laparoscopically (using keyhole incisions) and involves two main steps:
- Creating a Small Stomach Pouch: The surgeon separates the top part of your stomach from the rest, creating a small pouch about the size of an egg. This new, smaller stomach physically limits the amount of food you can eat at one time.
- Rerouting the Intestine: The small intestine is then connected directly to this new pouch. This causes the food you eat to “bypass” the rest of the stomach and the first part of the small intestine.
How These Changes Lead to Weight Loss
The surgical changes work together to promote weight loss in two powerful ways.
- Restriction: Because the new stomach pouch is so small, you feel full much more quickly after eating smaller portions. This provides natural, built-in portion control.
- Malabsorption: By bypassing a part of the small intestine, the body has less opportunity to absorb calories from your food. This, combined with hormonal changes that reduce appetite and improve how your body processes sugar, contributes to effective and sustainable weight loss and often improves related health conditions.
FAQs
What makes the Roux-En-Y Gastric Bypass the “gold standard”?
It has a long history of providing significant, long-term weight loss. It is highly effective at improving or resolving obesity-related health risks like type 2 diabetes and high blood pressure. The procedure has been extensively investigated and studied over five decades.
What kind of before-and-after results can I realistically expect?
While many patients lose a significant amount of excess body weight (30-40 kg, depending on the pre-operative weight), the most important results are often the improvements in overall health, mobility and quality of life. The goal is a lasting transformation to a healthier lifestyle.
Is surgery the only part of the process?
Absolutely not. The surgery is a powerful tool, but your success is built on the lifestyle changes you make with our support. Our comprehensive patient journey includes guidance from dietitians and our team to help you adapt to new eating habits.
Is the Gastric Bypass procedure reversible?
While it can technically be reversed in some cases, this is a complex procedure and is rarely done. Gastric bypass should be considered a permanent change designed for long-term health benefits.
Gastric bypass surgery represents an opportunity for a healthier, more active life. To find out if the Roux-en-Y procedure is the right choice for you, contact our team to arrange a consultation with Dr Puhalla.


