Find the Right Path
Is Surgical Weight Loss Right for You?
Surgical Weight Loss may be the right choice if you:
Have weight loss goals of 50 pounds or more
Have a BMI greater than 30
Want to avoid long-term medications for weight management
Struggle with weight-related health conditions such as diabetes, high blood pressure, or sleep apnea
Weight loss surgery works by reducing portion sizes, reducing appetite, and improving metabolic efficiency—helping you lose more weight and keep it off long-term.
Weight loss surgery produces more significant, and long-lasting weight loss.
Most patients who undergo a weight loss procedure can expect to lose 25-40% of their starting total body weight, instead of the 5-20% seen with weight loss medications.
Nearly 80% of patients who have gastric bypass surgery maintain at least 70% or more of their weight loss long-term.
Weight loss surgeries are more effective than medications in treating weight-related diseases such as type 2 diabetes.
More cost-effective options for patients hoping to avoid pricey weight loss medications, and for those facing significant financial burden of long-term health conditions.
why consider surgery?
Weight loss surgery will prolong a person’s life by 5-14 years on average, due to dramatic improvement in their overall health and lifestyle.
Some patients may benefit more from a certain procedure based on their other health conditions and current lifestyle.
surgical options
modern weight loss procedures
What is it?
Sleeve gastrectomy involves removal of 80% of the stomach, reshaping the stomach from a football-sized balloon into a short segment of garden hose.
What Does It do?
How long does it take?
Expected results.
Sleeve gastrectomy decreases appetite and subsequent portion sizes, so a person feels less hungry and more satisfied by less food after surgery.
Takes around 35 minutes to perform.
Patients who undergo sleeve gastrectomy can expect to lose around 70% of their excess weight by 9-12 months after surgery.
Patients typically are home within 24 hrs of surgery.
*The most popular procedure for weight loss in the United States today.
What is it?
Involves the creation of a new stomach “pouch” at the top of the stomach around the size of half an egg, that is then directly connected by the surgeon to the small intestine.
What Does It do?
How long does it take?
Expected results.
This allows ingested food to “bypass” the majority of the stomach and first portion of the small intestine.
Takes 1-2 hours to perform.
Patients who undergo gastric bypass can expect to lose around 80% of their excess weight by 9-12 months, and will have more improvement in acid reflux and type 2 diabetes than with sleeve gastrectomy.
Patients typically are home within 24 hrs of surgery.
*A classic weight loss procedure with a great long-term performance profile.
Gastric bypass is an excellent choice for patients who struggle with severe acid reflux.
What is it?
Duodenal Switch combines a sleeve gastrectomy with a more distal intestinal bypass, leading to extremely durable weight loss and sustained control over metabolic diseases such as type 2 diabetes and high cholesterol.
What Does It do?
How long does it take?
Expected results.
Duodenal switch can be performed after or in combination with sleeve gastrectomy. The switch is best suited for patients with initial weight loss goals greater than 150 pounds, or for patients who seek additional weight loss after sleeve gastrectomy.
Takes 1-2 hours to perform.
Patients who undergo Duodenal switch as their primary procedure can expect to lose 80-90% of their excess weight by 2 years after surgery. For patients who undergo a Duodenal switch following a sleeve gastrectomy, additional weight loss is typically 30-45 pounds.
Patients typically are home within 1-2 days of surgery.
*Achieve Weight Loss is the ONLY program in southeast Idaho to offer this specialized procedure.
Some patients may benefit more from a certain procedure based on their current health conditions and lifestyle.
Surgical Options
modern weight loss procedures
Safety & Recovery
If you would consider having gallbladder removal or a knee replacement, you should feel comfortable considering a weight loss procedure. For patients with type 2 diabetes, weight loss surgery is in fact MORE SAFE than minimally-invasive gallbladder removal.
Our enhanced surgical recovery pathway allows patients to get back on their feet quickly—
Modern weight loss surgery is extremely safe
Within a few hours of surgery patients are walking around and sipping liquids.
No heavy pain medications are needed.
Most patients are able to return to work within a week.
Surgeries are performed robotically with minimal pain and downtime.
Small incisions generally less than 1 cm in size.
In the operating room, Dr. Alexa Roth is known for precision and patient-first care. Beyond surgery, she is committed to long-term support—helping patients succeed with the right preparation, procedure selection, and follow-up care.
Advanced Surgery
The Da Vinci surgical robot is an advanced surgical tool that allows improved visualization, control, and surgical dexterity compared to traditional laparoscopy.
The robot exclusively operates at the direction of a surgeon, who sits at a specialized consol to the side of the patient. The surgeon controls every aspect of the robot’s movements, the robot does not operate independently.
benefits of Robotic surgery
Faster Recovery
Smaller Incisions
Less Pain
Safer Overall
Better Experience
Are you a candidate?
Most insurance providers cover weight loss surgery for patients with:
BMI 35–40 and weight-related health conditions
BMI 40+ regardless of other health conditions
Some patients with BMI 30–35 may also qualify
Don’t have coverage?
We offer discounted cash-pay pricing—contact us directly at (208) 239-2760 to learn more.
Frequently Asked Questions
surgical weight loss treatments
Answers to common questions about surgical weight loss.
- BMI 30-35 with weight-related health conditions and inability to lose weight through alternative methods
- BMI 35-40 with weight-related health conditions
- BMI 40 or higher
Gastric sleeve involves the removal of around 80% of the stomach, leaving a small tubular stomach in place. This reduces appetite and controls portions.
Duodenal switch is a modification to the gastric sleeve that can help with additional weight loss and control over metabolic diseases such as type 2 diabetes. In a duodenal switch, the small bowel is divided just past the stomach and reconnected to a portion of bowel that’s more downstream, bypassing a significant portion of the small intestine and limited food absorption.
Gastric bypass involves the creation of a small stomach pouch, which is separated from the rest of the stomach reconnected to the small intestine. This creates a bypass of the majority of the stomach and first portion of the small bowel, reducing appetite and controlling portions. The remaining stomach stays in place, however does not participate in the digestion of food.
Your health.
Your confidence.
Your freedom.
It’s all possible with the right surgical plan—learn which procedure is the best fit for you.
