Weight Loss Procedures in Fort Myers

Advanced Surgical Care of Fort Myers offers outpatient weight loss procedures, including laparoscopic sleeve gastrectomy, laparoscopic gastric bypass, endoscopic sleeve gastroplasty (ESG) and endoscopic revision after previous weight loss surgery. Our bariatric surgeons are trained in both surgical and endoscopic weight loss, so your options can be matched to your health, goals and history.

Is a Weight Loss Procedure Right for Me?

Weight loss procedures may help adults living with obesity who have not reached their goals with diet, exercise and medication alone, especially when weight affects conditions such as type 2 diabetes, high blood pressure, sleep apnea, reflux or joint pain. The right option depends on your body mass index (BMI), medical history, any prior surgery and your preferences. Your surgeon will review all of your options, surgical and non-surgical, during your consultation.

Bariatric Surgery

Bariatric surgery changes the size or structure of the stomach and digestive tract to reduce how much you can eat and to change hunger and fullness signals. At Advanced Surgical Care of Fort Myers, our surgeons perform:

Laparoscopic sleeve gastrectomy: about three-quarters of the stomach is removed, leaving a narrow, banana-shaped “sleeve.” You feel full with smaller portions, and hunger hormones are reduced.
Laparoscopic gastric bypass: a small stomach pouch is created and connected directly to the small intestine, limiting portion size and changing how food is absorbed. Gastric bypass can be especially effective for type 2 diabetes and severe reflux.

Both operations are performed laparoscopically through several small incisions. Your surgeon will recommend the procedure, and the setting, that is safest and best suited to your health.

Endoscopic Sleeve Gastroplasty (ESG)

Endoscopic sleeve gastroplasty is a non-surgical option performed through the mouth with a flexible endoscope. Using an endoscopic suturing device, the surgeon places stitches inside the stomach to make it smaller, so you feel full sooner and eat less. There are no incisions, and most patients go home the same day.

No incisions or scars
Same-day procedure in most cases
Often an option for people who do not qualify for, or do not want, traditional surgery
Works best with ongoing nutrition and lifestyle support

Endoscopic Revision After Bariatric Surgery

Some people regain weight years after gastric bypass or sleeve gastrectomy, often because the stomach pouch or the connection to the intestine has stretched over time. Endoscopic revision, such as transoral outlet reduction (TORe) after gastric bypass, uses stitches placed through an endoscope to tighten these areas, without another abdominal operation. Endoscopic revision can be a lower-risk alternative to surgical revision for selected patients.

What to Expect

Before: Your journey starts with a consultation at your surgeon’s office, where your history, goals and options are reviewed. You may be asked to complete testing, nutrition counseling or a pre-procedure diet. Our nurses will call you before your procedure with instructions. See Before Surgery.

Day of your procedure: You will meet your anesthesia provider and nurse, have your procedure, and rest in our recovery area. An adult must drive you home. See Day of Surgery.

After: Most patients follow a staged diet, starting with liquids and gradually advancing over several weeks. Long-term success depends on follow-up visits, nutrition guidance and healthy habits. Your surgeon’s office will guide your aftercare. See After Surgery.

Weight Loss Surgeons at Our Center

Weight loss procedures at Advanced Surgical Care of Fort Myers are performed by Steve R. Siegal, MD, FACS and Peter M. Denk, MD, FACS.

Insurance, Self-Pay and Financing

Insurance coverage for weight loss procedures varies widely. Some plans cover bariatric surgery when specific criteria are met, while endoscopic procedures such as ESG are often self-pay. Check with your insurance company and your surgeon’s office. If you are paying yourself, you can request a Good Faith Estimate. CareCredit financing is accepted. For billing questions, see Billing Info or call 239-236-2215.

Common Questions

How much weight will I lose?

Results vary by procedure and by person and depend heavily on diet, activity and follow-up. Your surgeon will discuss realistic expectations for your situation.

Can I combine a procedure with weight loss medication?

In some cases, medications such as GLP-1s are used before or after a procedure. Ask your surgeon whether that approach fits your plan.

I had weight loss surgery before and regained weight. Can I be helped?

Often, yes. Options may include endoscopic revision, medication, nutrition support or surgical revision. Your surgeon will evaluate your previous surgery to recommend the best path.

How to Schedule

Procedures at Advanced Surgical Care of Fort Myers are scheduled through your surgeon’s office. Schedule a consultation with Steve R. Siegal, MD, FACS and Peter M. Denk, MD, FACS through their office; phone numbers are on each surgeon’s page. Already scheduled with us? Call 239-236-2215 with questions about your procedure, billing or directions.

Advanced Surgical Care of Fort Myers, 13195 Metro Pkwy, Unit 12-16, Fort Myers, FL 33966, just off I-75 at exit 131. Directions.

This page is general information, not medical advice. Your surgeon will recommend the treatment that is right for you.