{"id":638,"date":"2022-01-11T23:04:25","date_gmt":"2022-01-11T23:04:25","guid":{"rendered":"https:\/\/devkpchl.wpengine.com\/options\/?page_id=9"},"modified":"2022-01-11T23:04:25","modified_gmt":"2022-01-11T23:04:25","slug":"before-surgery","status":"publish","type":"page","link":"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/before-surgery\/","title":{"rendered":"Before Surgery"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row full_width=&#8221;stretch_row&#8221; el_class=&#8221;block-hero&#8221; css=&#8221;.vc_custom_1642446560460{background-image: url(http:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/hero-before-surgery.webp?id=188) !important;}&#8221;][vc_column][\/vc_column][\/vc_row][vc_row el_class=&#8221;block-intro&#8221;][vc_column offset=&#8221;vc_col-md-10&#8243;]<h1 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">Before surgery<\/span><\/h1>[vc_column_text]Whether you are just exploring metabolic and bariatric surgery or preparing for surgery, Kaiser Permanente is here to support you. Learn more about important considerations and explore common questions before surgery. [\/vc_column_text][vc_column_text]<a class=\"button local-scroll\" href=\"#questions\">Common questions<\/a>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; local_scroll_id=&#8221;top-10&#8243;][vc_column offset=&#8221;vc_col-md-4&#8243;][vc_column_text]\n<h2><span class=\"blue\">The top 10 factors to consider<\/span> before having metabolic and bariatric surgery<\/h2>\n<p>One of the most important goals of the Options program is to prepare you for a safe and effective surgery if you decide surgery is right for you. Surgery can change your life in a lot of ways, and it\u2019s important to be aware of these up front. We asked Kaiser Permanente members who have had the surgery to share some of the most important decision-making factors when it comes to metabolic and bariatric surgery. Here are the top 10 considerations that came from those conversations.[\/vc_column_text][\/vc_column][vc_column offset=&#8221;vc_col-md-offset-1 vc_col-md-6&#8243;]<div class=\"vcex-post-type-carousel vcex-module wpex-carousel wpex-carousel-post-type wpex-clr owl-carousel arrwstyle-slim arrwpos-abs  wpb_animate_when_almost_visible wpb_fadeIn fadeIn vcex_6a208e66661b5\" data-wpex-carousel=\"{&quot;dots&quot;:&quot;true&quot;,&quot;slideBy&quot;:1,&quot;items&quot;:1,&quot;responsive&quot;:{&quot;0&quot;:{&quot;items&quot;:&quot;1&quot;},&quot;480&quot;:{&quot;items&quot;:1},&quot;768&quot;:{&quot;items&quot;:1},&quot;960&quot;:{&quot;items&quot;:1}},&quot;autoHeight&quot;:&quot;true&quot;}\"><div class=\"wpex-carousel-slide wpex-clr entry post-19 type-content_cards has-media content_card_background_color-30 content_card_categories-29\"><div class=\"wpex-carousel-entry-media entry-media wpex-relative\"><img width=\"133\" height=\"133\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/i-surgery-just-a-tool_blue.svg\" class=\"wpex-carousel-entry-img wpex-align-middle skip-lazy\" alt=\"\" data-no-lazy=\"1\" \/><\/div><div class=\"wpex-carousel-entry-details entry-details wpex-boxed wpex-first-mt-0 wpex-last-mb-0 wpex-clr\"><div class=\"wpex-carousel-entry-title entry-title wpex-mb-5\"><a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/content_cards\/1-surgery-is-just-a-tool\/\">1. Surgery is just a tool<\/a><\/div><div class=\"wpex-carousel-entry-excerpt entry-excerpt wpex-my-15 wpex-text-pretty wpex-last-mb-0 wpex-clr\"><p>Surgery is just a tool. Tools are only as effective as you allow them to be. On average, you will see the greatest effects within the first 18 months after surgery. After that, the ability to maintain weight loss will depend on long-term lifestyle changes (sleep, physical activity, healthy eating, and mental health). <\/p>\n<\/div><\/div><\/div><div class=\"wpex-carousel-slide wpex-clr entry post-21 type-content_cards has-media content_card_background_color-30 content_card_categories-29\"><div class=\"wpex-carousel-entry-media entry-media wpex-relative\"><img width=\"130\" height=\"130\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/i-pre-surgery-weight-loss_blue.svg\" class=\"wpex-carousel-entry-img wpex-align-middle skip-lazy\" alt=\"\" data-no-lazy=\"1\" \/><\/div><div class=\"wpex-carousel-entry-details entry-details wpex-boxed wpex-first-mt-0 wpex-last-mb-0 wpex-clr\"><div class=\"wpex-carousel-entry-title entry-title wpex-mb-5\"><a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/content_cards\/2-surgery-is-just-a-tool\/\">2. Pre-surgery weight loss<\/a><\/div><div class=\"wpex-carousel-entry-excerpt entry-excerpt wpex-my-15 wpex-text-pretty wpex-last-mb-0 wpex-clr\"><p>To improve the safety and effectiveness of your surgery, surgeons ask you to lose some weight before surgery.<\/p>\n<\/div><\/div><\/div><div class=\"wpex-carousel-slide wpex-clr entry post-76 type-content_cards has-media content_card_background_color-30 content_card_categories-29\"><div class=\"wpex-carousel-entry-media entry-media wpex-relative\"><img width=\"130\" height=\"130\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/i-eat-healthy_blue.svg\" class=\"wpex-carousel-entry-img wpex-align-middle skip-lazy\" alt=\"\" data-no-lazy=\"1\" \/><\/div><div class=\"wpex-carousel-entry-details entry-details wpex-boxed wpex-first-mt-0 wpex-last-mb-0 wpex-clr\"><div class=\"wpex-carousel-entry-title entry-title wpex-mb-5\"><a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/content_cards\/3-lifelong-changes-to-the-way-you-eat-and-drink\/\">3. Lifelong changes to the way you eat and drink<\/a><\/div><div class=\"wpex-carousel-entry-excerpt entry-excerpt wpex-my-15 wpex-text-pretty wpex-last-mb-0 wpex-clr\"><p> Surgery changes your digestive system, making it necessary to change the way you eat and drink. You will only be able to eat small amounts at a time. You must also separate what you eat and drink by 30 minutes. <\/p>\n<\/div><\/div><\/div><div class=\"wpex-carousel-slide wpex-clr entry post-77 type-content_cards has-media content_card_background_color-30 content_card_categories-29\"><div class=\"wpex-carousel-entry-media entry-media wpex-relative\"><img width=\"133\" height=\"133\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/i-vitamins_blue.svg\" class=\"wpex-carousel-entry-img wpex-align-middle skip-lazy\" alt=\"\" data-no-lazy=\"1\" \/><\/div><div class=\"wpex-carousel-entry-details entry-details wpex-boxed wpex-first-mt-0 wpex-last-mb-0 wpex-clr\"><div class=\"wpex-carousel-entry-title entry-title wpex-mb-5\"><a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/content_cards\/4-vitamin-and-mineral-supplements-for-the-rest-of-your-life\/\">4. Vitamin and mineral supplements for the rest of your life<\/a><\/div><div class=\"wpex-carousel-entry-excerpt entry-excerpt wpex-my-15 wpex-text-pretty wpex-last-mb-0 wpex-clr\"><p>Surgery changes your digestive system, and some vitamins and minerals will no longer be absorbed as well. To stay healthy, you will have to take vitamin and mineral supplements every day for the rest of your life. <\/p>\n<\/div><\/div><\/div><div class=\"wpex-carousel-slide wpex-clr entry post-78 type-content_cards has-media content_card_background_color-30 content_card_categories-29\"><div class=\"wpex-carousel-entry-media entry-media wpex-relative\"><img width=\"130\" height=\"130\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/i-relationships_blue.svg\" class=\"wpex-carousel-entry-img wpex-align-middle skip-lazy\" alt=\"\" data-no-lazy=\"1\" \/><\/div><div class=\"wpex-carousel-entry-details entry-details wpex-boxed wpex-first-mt-0 wpex-last-mb-0 wpex-clr\"><div class=\"wpex-carousel-entry-title entry-title wpex-mb-5\"><a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/content_cards\/5-relationship-changes-with-self-food-and-others\/\">5. Relationship changes with self, food, and others<\/a><\/div><div class=\"wpex-carousel-entry-excerpt entry-excerpt wpex-my-15 wpex-text-pretty wpex-last-mb-0 wpex-clr\"><p>Surgery can lead to major lifestyle adjustments (for example, how and what you eat and drink) and body changes (for example, extreme weight loss and loose skin). This can also impact how you think about yourself, your relationship with food, and your relationship with other people. Taking care of your whole self, including both your mental and physical health, is an important part of the pre- and post-surgery experience. <\/p>\n<\/div><\/div><\/div><div class=\"wpex-carousel-slide wpex-clr entry post-81 type-content_cards has-media content_card_background_color-30 content_card_categories-29\"><div class=\"wpex-carousel-entry-media entry-media wpex-relative\"><img width=\"133\" height=\"133\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/i-sleep_blue.svg\" class=\"wpex-carousel-entry-img wpex-align-middle skip-lazy\" alt=\"\" data-no-lazy=\"1\" \/><\/div><div class=\"wpex-carousel-entry-details entry-details wpex-boxed wpex-first-mt-0 wpex-last-mb-0 wpex-clr\"><div class=\"wpex-carousel-entry-title entry-title wpex-mb-5\"><a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/content_cards\/6-sleep\/\">6. Sleep<\/a><\/div><div class=\"wpex-carousel-entry-excerpt entry-excerpt wpex-my-15 wpex-text-pretty wpex-last-mb-0 wpex-clr\"><p>Sleep is key for overall health. Many people have sleep apnea before surgery. While it can improve with weight loss, it\u2019s important to continue treatment for sleep apnea after surgery. <\/p>\n<\/div><\/div><\/div><div class=\"wpex-carousel-slide wpex-clr entry post-82 type-content_cards has-media content_card_background_color-30 content_card_categories-29\"><div class=\"wpex-carousel-entry-media entry-media wpex-relative\"><img width=\"133\" height=\"133\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/i-fitness_blue.svg\" class=\"wpex-carousel-entry-img wpex-align-middle skip-lazy\" alt=\"\" data-no-lazy=\"1\" \/><\/div><div class=\"wpex-carousel-entry-details entry-details wpex-boxed wpex-first-mt-0 wpex-last-mb-0 wpex-clr\"><div class=\"wpex-carousel-entry-title entry-title wpex-mb-5\"><a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/content_cards\/7-fitness-before-and-after-surgery\/\">7. Fitness before and after surgery<\/a><\/div><div class=\"wpex-carousel-entry-excerpt entry-excerpt wpex-my-15 wpex-text-pretty wpex-last-mb-0 wpex-clr\"><p>Being able to walk for at least 15 minutes before surgery is aimed at making sure you\u2019re able to move after surgery to reduce complications like blood clots and lung infections. Gradually increasing your fitness toward a goal of 150 minutes of moderate-intensity exercise a week will help keep your weight off long term. Finding a fitness routine that works for you after surgery is key to long-term success.<\/p>\n<\/div><\/div><\/div><div class=\"wpex-carousel-slide wpex-clr entry post-83 type-content_cards has-media content_card_background_color-30 content_card_categories-29\"><div class=\"wpex-carousel-entry-media entry-media wpex-relative\"><img width=\"130\" height=\"130\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/i-tobacco_blue.svg\" class=\"wpex-carousel-entry-img wpex-align-middle skip-lazy\" alt=\"\" data-no-lazy=\"1\" \/><\/div><div class=\"wpex-carousel-entry-details entry-details wpex-boxed wpex-first-mt-0 wpex-last-mb-0 wpex-clr\"><div class=\"wpex-carousel-entry-title entry-title wpex-mb-5\"><a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/content_cards\/8-tobacco\/\">8. Tobacco<\/a><\/div><div class=\"wpex-carousel-entry-excerpt entry-excerpt wpex-my-15 wpex-text-pretty wpex-last-mb-0 wpex-clr\"><p>Smoking or chewing tobacco or using other nicotine products (vaping devices, e-cigarettes) harms every organ in the body and has been linked to ulcers, blood clots (the leading cause of death after metabolic and bariatric surgery), heart disease, stroke, lung disease, increased risk for hip fracture, cataracts, and certain cancers.<\/p>\n<p><strong>Need support quitting tobacco?<\/strong> Check out our Center for Healthy Living resources, including <a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/our-programs\/freedom-from-tobacco\/\">Freedom from Tobacco workshops<\/a> and <a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/our-programs\/wellness-coaching-by-phone\/\">Wellness Coaching by Phone<\/a>.<\/p>\n<\/div><\/div><\/div><div class=\"wpex-carousel-slide wpex-clr entry post-84 type-content_cards has-media content_card_background_color-30 content_card_categories-29\"><div class=\"wpex-carousel-entry-media entry-media wpex-relative\"><img width=\"130\" height=\"130\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/i-alcohol_blue.svg\" class=\"wpex-carousel-entry-img wpex-align-middle skip-lazy\" alt=\"\" data-no-lazy=\"1\" \/><\/div><div class=\"wpex-carousel-entry-details entry-details wpex-boxed wpex-first-mt-0 wpex-last-mb-0 wpex-clr\"><div class=\"wpex-carousel-entry-title entry-title wpex-mb-5\"><a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/content_cards\/9-alcohol\/\">9. Alcohol<\/a><\/div><div class=\"wpex-carousel-entry-excerpt entry-excerpt wpex-my-15 wpex-text-pretty wpex-last-mb-0 wpex-clr\"><p>Alcohol is not recommended after surgery. Surgery changes the way your body absorbs and processes alcohol. Alcohol contains calories that will work against your weight loss goal, and it may cause ulcers. Alcohol is also more addictive after surgery. One in five patients develop alcohol-use disorder within 7 years after surgery.<\/p>\n<p><strong>Need support to lower your drinking risk?<\/strong> Check out our Center for Healthy Living <a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/wellness-tools\/?_sft_resource_topics=alcohol-your-health\">resources on alcohol and your health<\/a>.<\/p>\n<\/div><\/div><\/div><div class=\"wpex-carousel-slide wpex-clr entry post-85 type-content_cards has-media content_card_background_color-30 content_card_categories-29\"><div class=\"wpex-carousel-entry-media entry-media wpex-relative\"><img width=\"133\" height=\"133\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/i-pregnancy_blue.svg\" class=\"wpex-carousel-entry-img wpex-align-middle skip-lazy\" alt=\"\" data-no-lazy=\"1\" \/><\/div><div class=\"wpex-carousel-entry-details entry-details wpex-boxed wpex-first-mt-0 wpex-last-mb-0 wpex-clr\"><div class=\"wpex-carousel-entry-title entry-title wpex-mb-5\"><a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/content_cards\/10-family-planning-pregnancy\/\">10. Family planning\/pregnancy<\/a><\/div><div class=\"wpex-carousel-entry-excerpt entry-excerpt wpex-my-15 wpex-text-pretty wpex-last-mb-0 wpex-clr\"><p>It\u2019s recommended to avoid getting pregnant for 18 to 24 months after surgery. This allows you to have maximum weight loss and reach a stable weight. Your nutrient intake will also be very limited for quite some time after surgery, which can affect a baby\u2019s development. Weight loss can improve fertility, and it may be easier to get pregnant after surgery.<\/p>\n<\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;block-faqs&#8221; local_scroll_id=&#8221;questions&#8221;][vc_column][vc_column_text]\n<h2>Common questions before surgery<\/h2>\n[\/vc_column_text]<div class=\"vcex-shortcode wpex-clr\"><script>\njQuery(document).ready(function () {\n    \/\/ FAQs Accordion \n    jQuery(\"#accordion-faq-before-surgery\").find(\".accordion-toggle\").click(function () {\n        var openAccordionHeight = jQuery(this).parent().prevAll(\".active\").children().eq(1).outerHeight() + 15;\n        jQuery(this).parent().toggleClass(\"active\").siblings().removeClass(\"active\");\n        jQuery(this).next().slideToggle(\"fast\");\n        jQuery(\"#accordion-faq-before-surgery .accordion-content\").not(jQuery(this).next()).slideUp(\"fast\");\n    });\n});\n\t<\/script>\n   <div id=\"accordion-faq-before-surgery\">\n     \n   <div class=\"accordion-wrap\">\n<div class=\"accordion-toggle\"><p>Why is it recommended to lose weight before surgery?<\/p><span><\/span><\/div>\n<div class=\"accordion-content\">\n<p>To improve the safety and effectiveness of metabolic and bariatric surgery, surgeons ask you to lose some weight before surgery. This does three things.<\/p>\n<ol>\n<li><strong>Decreases the size of your liver.<\/strong>\u00a0This makes it easier for the surgeon to operate.<\/li>\n<li><strong>Makes laparoscopic surgery safer.<\/strong>\u00a0It also makes it less likely to be converted to an open procedure. This is because the gas pumped into your abdomen not only holds up your skin so the surgeon can see but also pushes down on major blood vessels, which can reduce blood pressure. If this happens, the surgeon can\u2019t pump in more gas, which reduces visibility. The less visibility, the higher the risk of complications. Therefore, people with a higher BMI may be asked to lose more weight before surgery.<\/li>\n<li><strong>It can make it easier to lose weight after surgery. <\/strong>This varies for each person. In general, losing weight<br \/>\nleads to a lower resting metabolic rate (the rate at which you burn calories at rest) and your body will burn fewer calories. Therefore, it can actually be easier to lose weight before surgery and use the surgery as a tool to help you lose and maintain more weight loss long term.<strong><br \/>\n<\/strong><\/li>\n<\/ol>\n<p>Overall, research has shown that weight loss before surgery may reduce complications after surgery.<\/p>\n<p><strong>Source:<\/strong>\u00a0Anderin, C. (2017). Response to \u201cWeight Loss Before Bariatric Surgery and Postoperative Complications\u201d.\u00a0<i>Annals of surgery<\/i>,\u00a0265(4), e55.<\/p>\n\t<div class=\"clear\"><\/div>\n\t<\/div>\n\t\t<\/div>\n        <div class=\"accordion-wrap\">\n<div class=\"accordion-toggle\"><p>Is there a standard diet right before surgery?<\/p><span><\/span><\/div>\n<div class=\"accordion-content\">\n<p>This will depend on your surgeon. Follow your surgeon\u2019s guidance for what to eat in the days right before surgery.<\/p>\n\t<div class=\"clear\"><\/div>\n\t<\/div>\n\t\t<\/div>\n        <div class=\"accordion-wrap\">\n<div class=\"accordion-toggle\"><p>Why do I need to quit smoking before surgery?<\/p><span><\/span><\/div>\n<div class=\"accordion-content\">\n<p>Smoking or chewing tobacco or using other nicotine products (vaping devices, e-cigarettes) harms every organ in the body and has been linked to ulcers, blood clots (the leading cause of death after metabolic and bariatric surgery), heart disease, stroke, lung disease, increased risk for hip fracture, cataracts, and certain cancers. It can also increase the risk for wound infection and leaks after surgery.<\/p>\n\t<div class=\"clear\"><\/div>\n\t<\/div>\n\t\t<\/div>\n        <div class=\"accordion-wrap\">\n<div class=\"accordion-toggle\"><p>What are important considerations for women of child-bearing age when thinking about metabolic and bariatric surgery?<\/p><span><\/span><\/div>\n<div class=\"accordion-content\">\n<p>It\u2019s recommended to wait 18 to 24 months after surgery to get pregnant. This allows you to have maximum weight loss and reach a stable weight. You will also be able to build your nutrition back up to help make sure you have a safe pregnancy. Fertility improves with weight loss, and people often become more sexually active. Therefore, it\u2019s important that women of child-bearing age (still menstruating) choose a birth control method before surgery.<\/p>\n<p><a href=\"https:\/\/cl.kp.org\/content\/dam\/clinicallibrary\/scal\/mem_ed\/healthed\/other\/chl031e.pdf?public=true&amp;accessvia=scal_options\" target=\"_blank\" rel=\"noopener\">Learn more about\u00a0metabolic and bariatric surgery and family planning.<\/a><\/p>\n\t<div class=\"clear\"><\/div>\n\t<\/div>\n\t\t<\/div>\n        <div class=\"accordion-wrap\">\n<div class=\"accordion-toggle\"><p>What if I decide not to have surgery right now?<\/p><span><\/span><\/div>\n<div class=\"accordion-content\">\n<p>At Kaiser Permanente Southern California, your referral to metabolic and bariatric surgery is good for 1 year after completing the\u00a0<a href=\"\/options\/overview\/understanding-metabolic-and-bariatric-surgery\/\">Options<\/a>\u00a0pre-surgery workshops. After that, it is recommended that you retake the Options pre-surgery workshops to make sure you are prepared for a safe and effective surgery.<\/p>\n\t<div class=\"clear\"><\/div>\n\t<\/div>\n\t\t<\/div>\n        <div class=\"accordion-wrap\">\n<div class=\"accordion-toggle\"><p>How much does metabolic and bariatric surgery cost?<\/p><span><\/span><\/div>\n<div class=\"accordion-content\">\n<p>Options is a covered benefit for Kaiser Permanente Southern California members. However, there are costs associated with hospitalization that will vary based on individual coverage. Please contact Member Services to discuss your individual coverage at\u00a0<strong>1-800-464-4000\u00a0<\/strong>24\/7, except major holidays.<\/p>\n\t<div class=\"clear\"><\/div>\n\t<\/div>\n\t\t<\/div>\n        <div class=\"accordion-wrap\">\n<div class=\"accordion-toggle\"><p>Can I use short-term disability and\/or FMLA for time off work?<\/p><span><\/span><\/div>\n<div class=\"accordion-content\">\n<p>Yes, you can use short-term disability and\/or FMLA for time off work.<\/p>\n\t<div class=\"clear\"><\/div>\n\t<\/div>\n\t\t<\/div>\n        <div class=\"accordion-wrap\">\n<div class=\"accordion-toggle\"><p>Is the stomach removed during surgery?<\/p><span><\/span><\/div>\n<div class=\"accordion-content\">\n<p>This depends on which surgery you have.<\/p>\n<p>Gastric sleeve (sleeve gastrectomy) surgery makes the stomach smaller by permanently removing most of it. Once you\u2019re under anesthesia, the surgeon will place a small tube in your mouth and guide it down to your stomach. This tube is about the size and shape your stomach will be after surgery. The surgeon cuts the stomach around the tube\u2019s outline. The part that\u2019s left behind is closed with permanent staples. The tube is then carefully pulled back out. The portion of the stomach that was cut is then removed from the body.<\/p>\n<p>With gastric bypass surgery, the stomach is separated into two parts. Each part is stapled shut. This leaves a small stomach pouch about the size of an egg. Like gastric sleeve, this small pouch limits (restricts) how much food you can comfortably eat. Next, the small intestine is cut and reattached to the stomach pouch. This is the \u201cbypass.\u201d The other part of the intestine is reattached to your new digestive system so digestive juices can flow easily. Food now moves from the new stomach pouch directly to the lower part of the small intestine. In gastric bypass surgery, nothing is removed.<\/p>\n\t<div class=\"clear\"><\/div>\n\t<\/div>\n\t\t<\/div>\n        <\/div><\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; remove_bottom_col_margin=&#8221;true&#8221; el_class=&#8221;block-section bg-lte-grey-half-height&#8221; local_scroll_id=&#8221;health-wellness&#8221;][vc_column][vc_column_text]\n<div class=\"block-feature-right\">\n<div class=\"block-feature-image\"><a title=\"Explore our mental health and wellness before surgery resources\" href=\"\/options\/wellness-tools\/?_sft_resource_topics=mental-health-and-wellness\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-107\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-mental-health-wellness.webp\" alt=\"Two women in yoga class\" width=\"1920\" height=\"1280\" srcset=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-mental-health-wellness.webp 1920w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-mental-health-wellness-300x200.webp 300w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-mental-health-wellness-1024x683.webp 1024w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-mental-health-wellness-768x512.webp 768w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-mental-health-wellness-1536x1024.webp 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><\/a><\/div>\n<div class=\"block-feature-content\">\n<h2>Mental health and wellness before surgery<\/h2>\n<p><strong>There is no shame in getting support.<\/strong><\/p>\n<p>Your mental health is just as important as your physical health. If you had a broken leg, you would seek help to make sure it healed properly. Mental health is the same! Getting the right care is key to helping you heal.<\/p>\n<p><a class=\"button\" title=\"Explore our mental health and wellness before surgery resources\" href=\"\/options\/wellness-tools\/?_sft_resource_topics=mental-health-and-wellness\">Explore our resources<\/a><\/p>\n<\/div>\n<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; remove_bottom_col_margin=&#8221;true&#8221; el_class=&#8221;block-section bg-lte-grey&#8221; local_scroll_id=&#8221;health-wellness&#8221;][vc_column][vc_column_text]\n<div class=\"block-feature\">\n<div class=\"block-feature-image\"><a title=\"Explore our physical activity before surgery resources\" href=\"\/options\/wellness-tools\/?_sft_resource_topics=physical-activity-and-sleep\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-124\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-physical-activity-before.webp\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-physical-activity-before.webp 1920w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-physical-activity-before-300x200.webp 300w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-physical-activity-before-1024x683.webp 1024w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-physical-activity-before-768x512.webp 768w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-physical-activity-before-1536x1024.webp 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><\/a><\/div>\n<div class=\"block-feature-content\">\n<h2>Physical activity before surgery<\/h2>\n<p>Starting a regular physical activity routine that you enjoy before surgery can help you lose weight (which makes your surgery safer), increase rates of good surgery outcomes, and improve overall well-being.<\/p>\n<p><a class=\"button\" title=\"Explore our physical activity before surgery resources\" href=\"\/options\/wellness-tools\/?_sft_resource_topics=physical-activity-and-sleep\">Explore our resources<\/a><\/p>\n<\/div>\n<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; remove_bottom_col_margin=&#8221;true&#8221; el_class=&#8221;block-section bg-lte-grey&#8221; local_scroll_id=&#8221;health-wellness&#8221;][vc_column][vc_column_text]\n<div class=\"block-feature-right\">\n<div class=\"block-feature-image\"><a title=\"Explore our sleep before surgery resources\" href=\"\/options\/wellness-tools\/?_sft_resource_topics=physical-activity-and-sleep\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-125\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-sleep.webp\" alt=\"Woman sleeping in bed\" width=\"1920\" height=\"1281\" srcset=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-sleep.webp 1920w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-sleep-300x200.webp 300w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-sleep-1024x683.webp 1024w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-sleep-768x512.webp 768w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-sleep-1536x1024.webp 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><\/a><\/div>\n<div class=\"block-feature-content\">\n<h2>Sleep before surgery<\/h2>\n<p>Sleep has a major influence on your overall health, especially your weight. The amount of sleep you get can change the hormones in your body that drive you to eat more and\/or choose less-healthy options. Treating sleep problems before surgery is very important. Starting and sticking with healthy sleep habits after surgery is important for long-term weight loss and overall health.<\/p>\n<p><a class=\"button\" title=\"Explore our sleep before surgery resources\" href=\"\/options\/wellness-tools\/?_sft_resource_topics=physical-activity-and-sleep\">Explore our resources<\/a><\/p>\n<\/div>\n<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; content_placement=&#8221;middle&#8221; disable_element=&#8221;yes&#8221; remove_bottom_col_margin=&#8221;true&#8221; type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; top_padding=&#8221;40&#8243; overlay_strength=&#8221;0.3&#8243; css=&#8221;.vc_custom_1642119453037{background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221;][vc_column_text]\n<div class=\"block-callout overlay\">\n<div class=\"block-callout-image\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-29\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/callout-joy-in-movement.webp\" alt=\"Women smiling holding soccer ball\" width=\"1920\" height=\"720\" srcset=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/callout-joy-in-movement.webp 1920w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/callout-joy-in-movement-300x113.webp 300w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/callout-joy-in-movement-1024x384.webp 1024w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/callout-joy-in-movement-768x288.webp 768w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/callout-joy-in-movement-1536x576.webp 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><\/div>\n<div class=\"block-callout-content white\">\n<h2 class=\"h1\">Find <span class=\"lte-pink\">j<\/span><span class=\"lte-orange\">o<\/span><span class=\"lte-blue\">y<\/span><br \/>\nin movement<\/h2>\n<p>Regular physical activity, no matter what form it takes, can help you lose weight, make surgery safer, and improve overall well-being.<\/p>\n<p><a class=\"button\" href=\"#\">Get short and simple exercise videos<\/a><\/p>\n<\/div>\n<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; content_placement=&#8221;middle&#8221; remove_bottom_col_margin=&#8221;true&#8221; type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; top_padding=&#8221;40&#8243; overlay_strength=&#8221;0.3&#8243; css=&#8221;.vc_custom_1640118549989{background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221;][vc_column_text]\n<div class=\"block-callout content-right\">\n<div class=\"block-callout-image\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-79\" src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/callout-life-care-planning.webp\" alt=\"Senior couple smiling\" width=\"1920\" height=\"720\" srcset=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/callout-life-care-planning.webp 1920w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/callout-life-care-planning-300x113.webp 300w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/callout-life-care-planning-1024x384.webp 1024w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/callout-life-care-planning-768x288.webp 768w, https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/callout-life-care-planning-1536x576.webp 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><\/div>\n<div class=\"block-callout-content\">\n<h2>Life Care Planning<\/h2>\n<p>Because metabolic and bariatric surgery is a major procedure, it\u2019s important to think about choosing someone to represent your health care wishes in case there is a time in the future when you can\u2019t speak for yourself. At Kaiser Permanente, we have made this process simple and easy through our Life Care Planning program.<\/p>\n<p><a class=\"button external\" href=\"https:\/\/healthy.kaiserpermanente.org\/health-wellness\/life-care-plan\">Learn more about Life Care Planning<\/a><\/p>\n<\/div>\n<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; top_padding=&#8221;40&#8243; overlay_strength=&#8221;0.3&#8243; el_class=&#8221;block-section bg-lte-grey&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221;][vc_column_text]\n<h2>Looking for more support?<\/h2>\n[\/vc_column_text]<div class=\"vcex-shortcode wpex-clr\"><div class=\"resources-container four-items\">\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap website\">\n\t\t\t           <a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/health-wellness\/weight-management\/\" title=\"Go to the Other Weight Management Programs website\" target=\"_blank\" class=\"gtm-website\">\n\t\t\t\t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/02\/p-weight-managenment.webp\" alt=\"Apple and salad with waist measurement tape\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Website<\/p>\n                        <h3>\n          Other Weight Management Programs        <\/h3>\n        <p>Explore other weight management programs available at Kaiser Permanente.<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap website\">\n\t\t\t           <a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/our-programs\/wellness-coaching-by-phone\/\" title=\"Go to the Wellness Coaching by Phone website\" target=\"_blank\" class=\"gtm-website\">\n\t\t\t\t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/02\/p-wellness-coaching.webp\" alt=\"Man talking on phone\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Website<\/p>\n                        <h3>\n          Wellness Coaching by Phone        <\/h3>\n        <p>Work with your own personal wellness coach on the phone to set goals for healthy, lasting change.<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap handout\">\n\t\t\t           <a href=\"\thttps:\/\/cl.kp.org\/natl\/home\/refcontainerpage.dam.nohf.public.html?damrefpath=\/content\/dam\/clinicallibrary\/scal\/mem_ed\/healthed\/options\/chl035e_13.pdf&accessvia=scal_options\t\" title=\"Go to the Weekly Physical Activity Planning handout\" class=\"gtm-handout\">\n        \t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/02\/p-Healthy-Balance-1.webp\" alt=\"Two woman jogging with hand weights\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Handout<\/p>\n                        <h3>\n          Weekly Physical Activity Planning        <\/h3>\n        <p>Use this tool to help you plan your weekly physical activity routines.<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap audio_podcast\">\n\t\t\t           <a href=\"https:\/\/healthy.kaiserpermanente.org\/health-wellness\/mental-health\/tools-resources\" title=\"Go to the Audio Meditations podcast\" target=\"_blank\">\n        \t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/02\/p-meditations.webp\" alt=\"Woman meditating by tree in park\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Audio\/Podcast<\/p>\n                        <h3>\n          Audio Meditations        <\/h3>\n        <p>Explore a collection of audio meditations that can help you access your body&#8217;s natural tendency to repair and heal.<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap website\">\n\t\t\t           <a href=\"https:\/\/healthy.kaiserpermanente.org\/health-wellness\/mental-health\/tools-resources\/digital\" title=\"Go to the Mental Health and Emotional Wellness Apps website\" target=\"_blank\" class=\"gtm-website\">\n\t\t\t\t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/02\/p-Mental-health-and-emotional-wellness-apps.webp\" alt=\"Woman looking at phone at laundromat\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Website<\/p>\n                        <h3>\n          Mental Health and Emotional Wellness Apps        <\/h3>\n        <p>Explore a collection of mental health and emotional wellness apps (available to Kaiser Permanente members).<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap website\">\n\t\t\t           <a href=\"https:\/\/thrive.kaiserpermanente.org\/care-near-you\/southern-california\/mental-wellness\/\" title=\"Go to the Mental Health and Wellness at Kaiser Permanente website\" target=\"_blank\" class=\"gtm-website\">\n\t\t\t\t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/02\/p-Mental-Health-and-Wellness-at-KP.webp\" alt=\"Woman meditating by tree in park\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Website<\/p>\n                        <h3>\n          Mental Health and Wellness at Kaiser Permanente        <\/h3>\n        <p>Explore more resources offered by Kaiser Permanente to help support your mental health and wellness.<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap website\">\n\t\t\t           <a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/health-wellness\/alcohol-your-health\/\" title=\"Go to the Alcohol, Drug Use, and Your Health website\" target=\"_blank\" class=\"gtm-website\">\n\t\t\t\t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/02\/p-alcohol.webp\" alt=\"Man pouring bottle into glass\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Website<\/p>\n                        <h3>\n          Alcohol, Drug Use, and Your Health        <\/h3>\n        <p>Alcohol is not recommended after surgery. It\u2019s important to get help if you\u2019re struggling with any substance abuse before or after surgery.<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap handout\">\n\t\t\t           <a href=\"\thttps:\/\/cl.kp.org\/natl\/home\/refcontainerpage.dam.nohf.public.html?damrefpath=\/content\/dam\/clinicallibrary\/scal\/mem_ed\/healthed\/options\/chl035e_12.pdf&accessvia=scal_options\t\" title=\"Go to the Daily Lifestyle Log handout\" class=\"gtm-handout\">\n        \t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/02\/p-Healthy-Eating-for-Teens.webp\" alt=\"Father cooking with kids\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Handout<\/p>\n                        <h3>\n          Daily Lifestyle Log        <\/h3>\n        <p>This tracking log is designed to help you plan and monitor your healthy lifestyle changes.<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap video\">\n\t\t\t   \t\t\t\t\t\t<a href=\"\/options\/wellness-tools\/exercise-videos\/\" title=\"Go to Exercise Videos videos\">\n\t\t\t\t\t\t\t\t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/02\/p-healthy-balance.webp\" alt=\"Woman exercising\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Video<\/p>\n                        <h3>\n          Exercise Videos        <\/h3>\n        <p>Explore the gallery of short exercise videos designed with your needs in mind.<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap handout\">\n\t\t\t           <a href=\"\thttps:\/\/cl.kp.org\/content\/dam\/clinicallibrary\/scal\/mem_ed\/healthed\/options\/chl035e.pdf?public=true&amp;accessvia=scal_options\t\" title=\"Go to the Options Resource Guide handout\" class=\"gtm-handout\">\n        \t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/hero-home.jpg\" alt=\"Six members smiling\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Handout<\/p>\n                        <h3>\n          Options Resource Guide        <\/h3>\n        <p><span data-teams=\"true\">The Options Resource Guide is your guide to metabolic and bariatric surgery preparation and long-term support at Kaiser Permanente.<\/span><\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap website\">\n\t\t\t           <a href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/our-programs\/\" title=\"Go to the Center for Healthy Living Programs website\" target=\"_blank\" class=\"gtm-website\">\n\t\t\t\t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/02\/p-programs.webp\" alt=\"Group therapy session\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Website<\/p>\n                        <h3>\n          Center for Healthy Living Programs        <\/h3>\n        <p>If you thrive in a group along with others working on similar goals, the Center for Healthy Living offers Kaiser Permanente members a variety of workshops online or in person (check with your local area for availability) to support you.<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap website\">\n\t\t\t           <a href=\"https:\/\/healthy.kaiserpermanente.org\/health-wellness\/life-care-plan\" title=\"Go to the Life Care Planning website\" target=\"_blank\" class=\"gtm-website\">\n\t\t\t\t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/02\/p-lcp.webp\" alt=\"Senior couple embracing\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Website<\/p>\n                        <h3>\n          Life Care Planning        <\/h3>\n        <p>It\u2019s important to think about choosing someone to represent your health care wishes in case there is a time in the future when you can\u2019t speak for yourself.<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap handout\">\n\t\t\t           <a href=\"\thttps:\/\/cl.kp.org\/content\/dam\/clinicallibrary\/scal\/mem_ed\/healthed\/other\/chl031e.pdf?public=true&amp;accessvia=scal_options\t\" title=\"Go to the Pregnancy and Birth Control with Bariatric Surgery handout\" class=\"gtm-handout\">\n        \t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/02\/p-pregnancy.webp\" alt=\"Pregnant woman holding belly\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Handout<\/p>\n                        <h3>\n          Pregnancy and Birth Control with Bariatric Surgery        <\/h3>\n        <p>It&#8217;s important to use an effective form of birth control to avoid getting pregnant before metabolic and bariatric surgery and for at least 18 to 24 months after.<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap wallet_card\">\n\t\t\t           <a href=\"https:\/\/cl.kp.org\/content\/dam\/clinicallibrary\/scal\/mem_ed\/healthed\/options\/chl035e_11.pdf?public=true&amp;accessvia=scal_options\" title=\"Go to the Metabolic and Bariatric Surgery Wallet Card wallet card\" target=\"_blank\">\n        \t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/02\/p-wallet-card.webp\" alt=\"Desk with lunch and laptop\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Wallet Card<\/p>\n                        <h3>\n          Metabolic and Bariatric Surgery Wallet Card        <\/h3>\n        <p>For a quick reference to remind yourself and any health care professional you see about what you can and cannot have after bariatric surgery.<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap handout\">\n\t\t\t           <a href=\"\thttps:\/\/cl.kp.org\/content\/dam\/clinicallibrary\/scal\/mem_ed\/healthed\/options\/chl035e_9.pdf?public=true&amp;accessvia=scal_options\t\" title=\"Go to the Metabolic and Bariatric Surgery: Overview and Research Summary handout\" class=\"gtm-handout\">\n        \t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/p-what-to-expect-after-surgery.webp\" alt=\"Man lifting dumbbell weight\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Handout<\/p>\n                        <h3>\n          Metabolic and Bariatric Surgery: Overview and Research Summary        <\/h3>\n        <p>Overview of metabolic and bariatric surgery and research findings, including information on expected weight loss and health condition improvement.<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n    <div class=\"resource-item\" role=\"article\">\t\n\t\t\t\t\n\t\t\t\t\t<div class=\"resource-wrap audio_podcast\">\n\t\t\t           <a href=\"\/options\/member-stories\/\" title=\"Go to the Member Stories podcast\" target=\"_blank\">\n        \t\t<div class=\"resource-image\">\n\t\t\t\t\t\t<img src=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/callout-stories.webp\" alt=\"Man smiling\" loading=\"lazy\">\n\t\t\t<\/div>\n<div class=\"resource-content\">\n        <!--Meta for assets type -->\n                        <p class=\"meta\">Audio\/Podcast<\/p>\n                        <h3>\n          Member Stories        <\/h3>\n        <p>Hear about the experiences of Kaiser Permanente members who have had metabolic and bariatric surgery.<\/p>\n      <\/div>\n      <\/a> <\/div>\n  <\/div>\n  <\/div>\n<\/div><div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:20px;\"><\/div>[vc_column_text el_class=&#8221;link-more&#8221;]<a href=\"\/options\/wellness-tools\/\">View all resources \u203a<\/a>[\/vc_column_text][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row&#8221; el_class=&#8221;block-hero&#8221; css=&#8221;.vc_custom_1642446560460{background-image: url(http:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/hero-before-surgery.webp?id=188) !important;}&#8221;][vc_column][\/vc_column][\/vc_row][vc_row el_class=&#8221;block-intro&#8221;][vc_column offset=&#8221;vc_col-md-10&#8243;][vc_column_text]Whether you are just exploring metabolic and bariatric surgery or preparing for surgery, Kaiser Permanente is here to support you. Learn more about important considerations and explore common questions before surgery. [\/vc_column_text][vc_column_text]Common questions[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; local_scroll_id=&#8221;top-10&#8243;][vc_column offset=&#8221;vc_col-md-4&#8243;][vc_column_text] The top 10 factors to consider before having metabolic and bariatric surgery&hellip;<\/p>\n","protected":false},"author":6,"featured_media":535,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[],"tags":[],"class_list":["post-638","page","type-page","status-publish","has-post-thumbnail","hentry","entry","has-media"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Before Surgery - Options at Kaiser Permanente Southern California<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/before-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Before Surgery - Options at Kaiser Permanente Southern California\" \/>\n<meta property=\"og:description\" content=\"[vc_row full_width=&#8221;stretch_row&#8221; el_class=&#8221;block-hero&#8221; css=&#8221;.vc_custom_1642446560460{background-image: url(http:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/01\/hero-before-surgery.webp?id=188) !important;}&#8221;][vc_column][\/vc_column][\/vc_row][vc_row el_class=&#8221;block-intro&#8221;][vc_column offset=&#8221;vc_col-md-10&#8243;][vc_column_text]Whether you are just exploring metabolic and bariatric surgery or preparing for surgery, Kaiser Permanente is here to support you. Learn more about important considerations and explore common questions before surgery. [\/vc_column_text][vc_column_text]Common questions[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; local_scroll_id=&#8221;top-10&#8243;][vc_column offset=&#8221;vc_col-md-4&#8243;][vc_column_text] The top 10 factors to consider before having metabolic and bariatric surgery&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/before-surgery\/\" \/>\n<meta property=\"og:site_name\" content=\"Options at Kaiser Permanente Southern California\" \/>\n<meta property=\"og:image\" content=\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/wp-content\/uploads\/sites\/4\/2022\/03\/p-before-surgery.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1280\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/before-surgery\/\",\"url\":\"https:\/\/centerforhealthyliving-southern-california.kaiserpermanente.org\/options\/before-surgery\/\",\"name\":\"Before Surgery - 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