Your Patient Journey

Your journey begins with a detailed one-on-one consultation with Dr. Randeep Wadhawan. He will review your medical history, current medications, BMI, and any obesity-related conditions. Together, you will discuss your goals, concerns, and suitability for surgery.

• Complete medical and surgical history review
• BMI assessment and body composition analysis
• Discussion of procedure options and expected outcomes
• Questions and answers session — no question is too small
• Information about costs, insurance, and next steps

A comprehensive pre-operative assessment is conducted to ensure you are fit for surgery and to identify any conditions that need optimisation before the procedure.

• Blood tests: full count, metabolic panel, HbA1c, lipids, vitamins
• Imaging: abdominal ultrasound, chest X-ray
• Cardiac evaluation: ECG and echocardiogram if indicated
• Pulmonary function tests for obese patients
• Dietitian consultation and baseline nutritional assessment
• Psychological screening where appropriate

In the weeks before surgery, you will follow a structured preparation programme to optimise your health, reduce liver size, and prepare your body for the procedure.

• Pre-operative liver shrinkage diet (2–4 weeks)
• Medication review — some medications adjusted or stopped
• CPAP therapy initiation for sleep apnea patients
• Vitamin and mineral supplementation begins
• Pre-operative physiotherapy and breathing exercises
• Anaesthesia pre-assessment appointment

On the day of surgery, you will be admitted to Max Hospital, Dwarka where our dedicated surgical team will care for you throughout. The procedure is performed under general anaesthesia in our state-of-the-art robotic operating theatre.

• Admission 2–3 hours before surgery
• Meeting with anaesthetist and surgical team
• Procedure time: 60–120 minutes depending on surgery type
• Recovery in post-anaesthesia care unit (PACU)
• Mobilisation begins same evening — walking is encouraged
• Clear liquids allowed same day for most procedures

Most patients are discharged within 1–3 days. Our enhanced recovery protocol minimises hospital stay while ensuring all safety criteria are met before discharge.

• Regular pain and vital sign monitoring
• Diet progression: clear liquids on day 1, full liquids on day 2
• Daily physiotherapy: walking and breathing exercises
• Wound care and drain management (if applicable)
• Discharge criteria met: eating liquids, mobilising, pain controlled
• Discharge pack: medications, diet sheets, emergency contacts

Your relationship with our team does not end at discharge. Long-term follow-up is critical for sustaining results, monitoring nutritional status, and providing support throughout your weight-loss journey.

• Week 1: telephone check-in
• Week 2: in-person wound review
• Month 1, 3, 6, 12: clinic appointments
• Annual follow-up lifelong
• Dietitian reviews: personalised dietary progression
• Vitamin and mineral monitoring with blood tests
• Support group access and online resources