Frequently asked questions
What patients ask us most.
These are the questions that come up most often in consultation. For questions about a specific operation, see that treatment page — each one ends with its own set of answers.
Appointments and consultations
How do I arrange an appointment?
Call or send a WhatsApp message. You do not need a referral.
What should I bring to the consultation?
Any CT, MRI, ultrasound or endoscopy films and reports you already have, recent blood tests, and a list of your medicines. If you have had surgery before, the operation note matters especially — knowing what was actually done changes the next decision.
I want a second opinion. Can I be seen?
Of course. We regularly see patients who arrive with a diagnosis and a proposed plan from elsewhere. Seeking a second opinion is your right and, as long as it does not delay treatment, it works in your favour.
Do I definitely need an operation?
Often not. Not every hernia, gallstone or haemorrhoid needs surgery; many are managed with monitoring and medical treatment. If an operation isn't needed, we will say so plainly.
Laparoscopic (keyhole) surgery
What does laparoscopic surgery mean?
Instead of opening the abdominal wall with one long incision, the surgeon works through ports a few millimetres across, using a camera and fine instruments, and sees the inside of the abdomen on a magnified image.
For patients this usually means less pain afterwards, a shorter hospital stay, smaller scars and an earlier return to ordinary life.
Can every operation be done this way?
No. The position and size of a tumour, adhesions from previous surgery, severe obesity and a patient's general condition can all change the decision.
It is also normal to begin laparoscopically and convert to open surgery if the situation calls for it. That is not a complication or a failure — it is choosing what is safe at that moment.
Bariatric and metabolic surgery
What is bariatric surgery and who is it for?
The first thing to say is that obesity is a disease. It lays the ground for diabetes and hypertension, for heart disease, and for several cancers. Treating it as a purely cosmetic concern is a mistake.
So is treating middle-aged weight gain as simply what happens with age — and so is telling a patient "just eat less, it's that simple". There is a psychological component, but it is far less dominant than people assume; eating habits, lifestyle, genetic predisposition and how fat is distributed in the body all play a part. The right approach is to assess the whole person before deciding on treatment.
Body mass index guides the surgical decision: weight divided by the square of height. Surgery is generally considered for patients with a BMI of 40 or above, and for those above 35 who have not been able to lose weight under supervised medical nutrition, exercise and drug treatment.
Is the operation enough on its own?
No. Surgery is the tool that makes weight loss possible; what determines the lasting result is what happens afterwards — diet, regular exercise and follow-up. Bariatric surgery is better understood as a long course of treatment than as a single operation.
Which procedure is right for me?
Sleeve gastrectomy, gastric bypass, the gastric balloon and gastric botox suit different patients for different reasons. Your BMI, any accompanying conditions (particularly type 2 diabetes and reflux), your eating patterns and what you have already tried all shape the decision — and it can only be made after examination and investigation.
Cancer surgery
Can cancer be operated on laparoscopically?
For many digestive-system cancers, yes. What matters is that the keyhole approach concedes nothing on oncological principle: removing the tumour with adequate margins and clearing the surrounding lymph nodes must be done the same way regardless of technique.
Who decides whether to operate?
In cancer care the plan is not one doctor's decision. It is made together with medical and radiation oncology, and for some patients chemotherapy or radiotherapy before surgery is the better sequence. Surgery is only one part of most cancer treatment.
What does follow-up involve?
Oncological follow-up matters as much as the operation itself, and it runs for years — periodic examination, blood tests and imaging. The schedule is set according to the type and stage of the disease.
Questions about a specific operation
Every treatment page ends with detailed questions and answers about that particular operation.
Browse treatmentsIf your question isn't here, ask us.
Call or message on WhatsApp. Questions specific to your own situation can only be answered properly after an examination.