St. Joseph Hospital of Orange
1100 West Stewart Dr, Orange, CA 92868714.633.9111
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Bariatric Surgery Program
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Eric H. Pham, MD
Jeffrey M. Johnsrud, MD
Sami Hamamji, MD
Heidi Daniel, R.N., M.S.N.
Geoffrey Phillips, MD
Natalie Buntzen, M.S., R.D.
Mary Nell Jeffries, P.T.
Siham (Sue) Arevalo
Shirley Hartshorn
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Surgical Candidacy

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Surgical Candidacy

The National Institutes of Health (NIH) has established a guideline for physicians in evaluating the necessity for bariatric surgery.

The NIH standards for bariatric surgery state that the candidate should express the following:

  • Be 100 or more pounds over your ideal body weight
  • Possess a body mass index (BMI; use the CDC's BMI calculator) greater than 40 or BMI greater than 35 when pre-existing co-morbidities such as diabetes, cardiovascular disease, sleep apnea or hypertension are present
  • Show weight-induced problems and restrictions in mobility, work and performance of family responsibilities

St. Joseph Hospital's Bariatric Surgery Program surgical prerequisites include the following:

  • The patient must be between the ages of 18 and 65 years
  • No history of drug or alcohol abuse within the past three years
  • Nonsmoker
  • The patient must undergo an internal medical evaluation and work-up to ensure the patient is in the best possible condition prior to surgery
  • The patient must undergo a psychiatric evaluation for stability and demonstrate a clear understanding of the procedure, responsibilities, reasonable outcomes and post-surgical expectations and guidelines
  • The patient must undergo a series of dietary education classes and complete all classes prior to surgery date
  • Patient must demonstrate a commitment and readiness for a lifestyle change by modifying behavior and eating habits to ensure successful long-term weight loss
  • He or she must be willing to fully participate in our multidisciplinary bariatric program