The check-up before the operation may seem a bit long, however, it helps the patient to gradually understand the procedure and to different doctors who will follow him to know him better.

Visits :
- A visit with a surgeon to confirm the diagnosis and to explain the different surgical methods, their advantages and risks.
- A visit to a nutritionist in order to study old eating habits and find new ones.
- A visit to a psychiatrist to clear up pre-existing problems.

Blood test :
- To find out any metabolic problem : The onset of diabetes, Increased levels off cholesterol or fatty substances, uric acid, underactive thyroid (which may cause obesity and is tested by checking TS.H. hormone. We also check the level of cortisol to see if there are potential problems with your adrenal glands.

Other investigations :
- An X-ray or endoscopy of your stomach to detect hiatus hernia. This helps the surgeon to modify the operating technique.
- The surgeon and anaesthetist may ask for other tests prior to the operation e.g. ECG, ultra sound scan of gall-bladder, lung function tests.
- Please note that you will need to meet with an anaesthetist 48 hours before surgery. This is a legal requirement and cannot be changed.