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Bariatric surgery

Bariatric surgery

Bariatric surgery or weight loss surgery – is a laparoscopic surgical treatment for obesity that aims to achieve the necessary weight loss and lasting results.

Bariatric surgery (reduction or transformation of the stomach) is indicated for patients diagnosed with obesity. This method is recognized as effective all over the world, allowing for a long-term outcome not only in the fight against overweight but also with the side diseases caused by it: diabetes mellitus, high blood pressure, sleep apnea, joint pain, shortness of breath, as well as psycho-emotional state. The quality of human life improves already in the first month after surgery.

Gastric reduction or transformation surgery aims to limit food and calorie intake, allowing you to lose up to 80% of overweight in 8-24 months.

Benefits of weight loss surgery:

  • lose up to 80% of overweight;
  • most obesity-related diseases decrease or disappear: type 2 diabetes, high blood pressure, sleep apnea, depression, back pain, joint pain;
  • improves the quality of life.

Indications for surgery:

  • Diagnosed with class III obesity – body mass index (BMI) > 40.0
  • BMI > 35 + at least one obesity-related comorbidity.

Overweight and health risks

The problem of overweight is becoming more and more urgent around the world. And it's no secret that being overweight can lead to many serious diseases, including reproductive health problems.

Studies show that approximately 60% of the population have a BMI (body mass index) that doesn't meet the norm. And about 20% suffer from obesity.

Obesity is the excessive accumulation of fat in the body and its deposition in the subcutaneous fat and other tissues and organs.

The development of obesity is caused by different factors:

  • imbalance of calories purchased and consumed;
  • metabolic and appetite disorders, which are often caused by endocrine disorders;
  • genetic predisposition.

Genetic predisposition for overweight is one of the most significant risks of developing obesity and its consequences:


  • Atherosclerosis
  • Arterial hypertension
  • Myocardial ischemia
  • Diabetes
  • Menstrual irregularities
  • Infertility
  • Musculoskeletal system diseases
  • Psychological and mental disorders

How to treat obesity?

It is very important to study the severity of obesity – the level of overweight. The most common method for determining overweight is the body mass index (BMI): the ratio of body weight to height is determined.

Assessment BMI (kg/m2)
Underweight < 18.5
Normal weight 18.5-24.9
Overweight >25
Obesity >30
Class I obesity 30.0-34.9
Class II obesity 35.0-39.9
Class III obesity >40.0

Specialists, when assessing the severity of a patient's obesity, also take into account side diseases and health risks that are often caused by being overweight: high blood pressure, type 2 diabetes, joint pain, sleep apnoea, infertility (difficulty conceiving a child).

Obesity is considered dangerous to health if BMI exceeds 35.

Overweight patients can be divided into two groups:

  1. body mass index (BMI) 30 - 35
  2. BMI > 35

For the first group, classical treatment methods are recommended, and for the second group, surgical manipulation is more often used, which can significantly contribute to the outcome (Bypass or Sleeve surgery).

Bariatric surgery is one of the treatments for obesity. This is a laparoscopic surgical method by which a reduction or transformation of the stomach is carried out. However, it should be noted that this method is indicated for patients with severe obesity whose body mass index exceeds 35.

There are several types of bariatric surgery:

These weight loss methods help thousands of people around the world achieve significant and lasting weight loss, improving their overall health and quality of life.

How to deal with overweight? Where to start?

The first step to start a quality life is a consultation with a surgeon whose main purpose is to provide all the necessary information so that the patient can make a confident and informed decision about the operation, as well as about the appropriate method.

At the iVF Riga clinic, consultations for the patients with overweight provides Dr. Vjačeslavs Popkovs, an experienced surgeon specializing in laparoscopic, including bariatric surgery. Dr. Popkov also provides remote consultations.

We provide the necessary pre-operative diagnostic examinations within one day, support by a nutritionist before and after the surgery, increasing the sense of safety and quality care for the patient.

Post-operative care and specialist team work are also an important component of a safe and effective outcome. During this period, an individual observation schedule is drawn up for the patient as well as a continuous possibility to communicate with the coordinator, and, if necessary, with the surgeon.

If you have any questions or need additional information, call +371 27331393 or write to


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