Surgical Weight Loss Program

The Queen's Comprehensive Weight Management Program (CWMP) offers a Surgical Weight Loss Program designed primarily to help individuals who are at least 100 pounds overweight. Our skilled team is committed to working with you to determine the best surgical procedure for your particular weight loss needs.

Bariatric surgery makes changes to your digestive system to help you lose weight by limiting how much you can eat and, for the Roux-en-Y gastric bypass surgery, reducing the absorption of nutrients or calories. Surgical weight loss is an option when diet and exercise have not worked or when you have serious weight-related health problems.

In addition to weight loss, bariatric surgery may help improve many conditions, such as degenerative joint disease, Type 2 diabetes, high cholesterol, high blood pressure, Polycystic Ovary Syndrome, nonalcoholic fatty liver disease, sleep apnea and urinary incontinence.

Individuals who enroll in the surgical arm of our program will benefit from:

  • Assessment by the Bariatrician, Psychologist and Registered Dietitian
  • Treatment for any medical conditions that can be improved before surgery
  • Support with education and behavior changes necessary to be successful after surgery
  • Consultation with the surgeon to assist with determining the most effective surgical intervention based on your individualized needs
  • Long-term follow-up visits to support successful weight loss
  • Access to a monthly support group for contact with peers

Register to Attend a Free Weight Loss Virtual Seminar

Improve Your Health. Change Your Life.

Before scheduling an appointment, register to attend a free virtual seminar. The session provides an overview of surgical and non-surgical weight loss options offered at CWMP and includes a segment with patients who share their personal experiences.

Free seminars are held monthly in Honolulu, West Oahu, Waimanalo, Kona, Hilo and in Molokai via teleconference. You do not require a referral from your physician to attend.

Interested individuals can call 808-691-7546 or register online.

Watch Free Virtual Information Session

We offer the following bariatric surgery procedures:

Laparoscopic Roux-en-Y Gastric Bypass (LRYGB)

Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) is a restrictive, malabsorption procedure that creates a small pouch (30 cc) from the stomach and bypasses part of the small intestine. The surgery restricts the amount of food the patient can eat per meal and decreases the amount of calories the intestine can absorb. After a LRYGB, the patient can expect to lose 50-80% of preoperative excess body weight (EBW) or about 30-35% of the patient’s total weight. LRYGB is considered the "Gold Standard" for bariatric surgery in the United States and is the surgical procedure to which other procedures are compared. Due to the metabolic effect, this procedure is now referred to as the "surgical cure" for Type 2 diabetes.

Laparoscopic Sleeve Gastrectomy

A Laparoscopic Sleeve Gastrectomy is a procedure that involves removing part of the stomach to create a 3-4 ounce sleeve section. This restricts the amount of food a patient can eat. It can be used as a stand-alone procedure for some patients or as a first step for patients who, due to excessive obesity, are at too high a risk for other procedures. Over time, some of these individuals may require a second surgery to maintain weight loss, and some may not. After a sleeve gastrectomy, the patient can expect to lose 50-70% of EBW.

Laparoscopic Adjustable Gastric Band

The Laparoscopic Adjustable Gastric Band involves placing an adjustable band around the upper portion of the stomach. It is purely restrictive and limits how much a patient can eat at one time. Like the LRYGB, it is intended as a treatment for obesity. Weight loss after placement of an adjustable gastric band is reported at about 40-50% of EBW. The use of this procedure is decreasing due to poor long-term outcomes and a high rate of complications and re-operation. Compared to open procedures, hospitalization for laparoscopic surgery is usually 1-2 days and overall recovery tends to be shorter.

Our team at the Queen's Comprehensive Weight Management Program is happy to discuss your weight loss goals and which procedure is best for you.


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