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Weight lost.
Health gained.

Achieve a healthier you.

Bariatric Surgery

Dignity Health’s Bariatric Surgery program at Sequoia Hospital offers a multidisciplinary, personalized, and collaborative approach to weight loss. For qualified candidates, risks associated with staying significantly overweight exceeds the risk of surgery. Surgical weight loss can save lives. Our team is here to help you find a life of improved health, activity, and longevity.

There is no program fee and the preoperative requirements can be completed virtually, with the exception of one in-person visit with the surgeon.


Adults healthy enough for major surgery who’ve been unable to lose weight through diet and exercise, and whose BMI is: 

  • BMI > 40
  • BMI between 35–39 with obesity-related comorbid conditions
  • Type II diabetes remission
  • Decreased blood pressure
  • Increased mobility
  • Reduced risk of cardiovascular disease, cancer, and stroke
  • Improved overall health
  • No program fee 
  • The staff associated with our Bariatric Surgery Program will be with you every step of the way on your weight loss journey, from our introductory education session and physician consultation to nutrition counseling, weight loss surgery, and post-surgery support. We are here to help you develop the tools to begin your new life—a life of improved health, activity, and longevity.

Meet bariatric surgeon, Dr. Macht  

Dr. Macht is part of a team of healthcare professionals striving to provide an improved quality of life for our patients.

General Surgery, Minimally Invasive & Bariatric Surgery

General Surgery

"I strive to provide patient-centered and compassionate care for a variety of surgical conditions. My goal is to help patients understand their condition and work with them to find the best treatment option for them, whether it involves an operation or not."

New York University School of Medicine

Boston University Medical Center

University of California, San Francisco

  • Inguinal Hernia
  • Ventral Hernia
  • Umbilical Hernia
  • Gallbladder Disease
  • Obesity
  • Gastroesophageal Reflux Disease
  • Hiatal Hernia
  • Paraesophageal Hernia
  • Esophageal Motility Disorders
  • Appendicitis

Patient Testimonial Videos 

The physical, emotional and health benefits of weight loss surgery can put life on a whole new path. It’s a big decision, but of those who commit, no one ever wishes they’d waited longer. Meet some of the people who changed their life with bariatric surgery.

Meet Henning
Meet Germarie

Weight Loss Surgery Procedures 

Dignity Health’s Bariatric Surgery program at Methodist Hospital of Sacramento offers patients two types of weight loss surgery:

Roux-en-Y Gastric Bypass 
The surgeon divides the stomach into two portions. The top portion is a small pouch approximately the size of a golf ball. Food enters this pouch and then travels rapidly to the small intestines. The remaining portion of the stomach is bypassed when the surgeon divides the intestines and reroutes the digestive pathway. This produces hormonal changes that allow for substantial weight loss and remission of type II diabetes. 

Sleeve Gastrectomy is performed using surgical staplers to remove nearly 80% of the stomach permanently. The new stomach cannot hold as much food. More importantly, the new stomach’s banana-like shape pushes food more rapidly into the intestines. Weight loss occurs due to hormonal changes that decrease hunger and increase satiety. 









Both procedures use a robotic, minimally invasive procedure that can result in smaller incisions, quicker recovery times, and diminished pain.

Important Facts About Obesity and Bariatric Surgery 

Patients who choose bariatric surgery to help them lose weight can achieve long-lasting weight loss. Here you’ll find important facts about obesity and bariatric surgery. Learn More

Learn More About Bariatric Surgery 

To be a candidate for bariatric surgery, you must have the following characteristics established by the National Institutes of Health and the American Society for Metabolic and Bariatric Surgery:

  • Be more than 100 pounds over your ideal weight
  • Have a Body Mass Index (BMI) of 40 or greater, or a BMI of 35–39.9 along with one or more diseases (for example, diabetes and/or hypertension which can improve significantly with weight loss)
  • Have not been able to lose weight from diet and exercise after a sustained period of time
  • Be prepared to make a lifelong commitment to dietary, exercise, and behavioral changes necessary for long-term success
  • Have no mental or behavioral disorders that may interfere with long-term weight loss goals

We understand that each procedure may have a different weight loss outcome. This is why your care team will sit down with you before surgery to discuss every potential outcome your body may experience post-surgery. On average, people lose 50–80 percent of their excess body weight in the first year depending on the:

  • Type of surgery performed
  • Level of commitment to the post-surgical diet and exercise regimen
  • Regularity of medical follow-up

As with any surgical procedure, there are risks associated with bariatric surgery. You and your surgeon will discuss specific risks related to your individual health condition and your selected surgical procedure.

Immediately after bariatric surgery, there will be some pain and discomfort. Our highly-skilled and sensitive care team will offer you the right medications to help you feel better. You will stay in the hospital for one night after surgery, and then return to normal activity within two to three weeks.

During the first one week of your recovery, we will recommend that you only ingest liquids. We will then guide you as you gradually progress to pureed foods, soft foods, and then to regular foods about one to two  months after surgery. You will need to chew your food slowly and fully. You may experience a very fast weight loss initially, so it is important to get all of the nutrition, vitamins, and hydration you need. Your doctor will also recommend supplements.

During weight loss, you may experience fatigue, chills, body aches, dry skin, mood changes, and temporary hair thinning. However, as your weight stabilizes, you may find out that these problems fade out.

Weight loss typically continues for about a year and then abates. You should use the first year to develop good eating and exercise habits that will keep you from regaining weight.

Many weight-related health problems improve or even disappear after bariatric weight loss surgery, including diabetes, high blood pressure, asthma, and obstructive sleep apnea.

Adjusting to life after bariatric surgery can be challenging physically, socially, and emotionally. The support from a family, friends, or a caregiver can make a world of difference. While people who undergo bariatric surgery usually do not need intensive help, having support on hand is key. 

Immediate post-surgery care — people typically take three weeks off from work. In the early weeks, you may have low energy. You may need assistance with house activities, shopping, and childcare until you can lift and drive, usually in about two weeks.

Dietary support — your diet will be restricted as you will progress gradually from liquid to low-volume meals. You should educate your support system on the guidelines and restrictions to help you succeed. Look up recipes to make healthy choices fun and interesting. Ensure that you take all vitamins and supplements according to your doctor’s prescriptions.

Physical activity support — regular exercise is necessary for maintaining a healthy metabolism throughout the weight loss process. Your friends and family can support your active schedule by getting involved. . Go for evening walks together. Go to an attraction that requires walking (such as the zoo), which will not only improve your physical health but also lift your spirits. Frequent walking is the best medicine after surgery

Take the Next Step 

Talk to your primary care provider and sign up for one of our free, virtual seminars to learn more.  

Click here for additional resources if you are coming from out of the Sacramento area. 

If you have already received a referral from your primary care provider, click here.