Debunking Common Myths Of Bariatric Surgery

Debunking Common Myths Of Bariatric Surgery

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Bariatric surgery, or weight loss surgery, is a long-term treatment for weight loss and its comorbidities. In this article, we’ll try to bust some common myths about bariatric surgery.

Myth #1In Weight loss surgery fat is removed from the body during the procedure

Fact – Weight Loss surgery is an internal abdominal surgery that is performed by using a laparoscope. It involves reducing the stomach’s capacity and the absorptive length of small intestine, resulting in a caloric deficit and weight loss.
This weight loss is gradual and occurs over the course of a year, as a result of fat burning by hormonal and metabolic adjustments in the body. In weight loss surgery procedure there is no immediate weight loss or fat removal. However, On the other hand weight loss surgery helps in maintaining the weight for long time and It prevents weight regain and also helps in reversing of many metabolic conditions like hypertension, diabetes, and metabolic syndrome.

Myth #2Weight loss surgery is painful

Fact – Weight loss surgery is a laparoscopic procedure that is done under general anaesthesia. During the procedure patient is unconscious and totally unaware. There is mild pain after surgery that is tolerable and controlled with pain relievers, and it goes away in 1-2 days. Within a week of the treatment, patients are usually able to resume their normal routine and are totally pain free at that time.

Myth #3Weight loss surgery is risky

Fact – Weight loss surgery or bariatric surgery is an elective surgery and the risk associated with bariatric surgery is the same as for any other elective surgery like a cholecystectomy or a Caesarean section. The surgery is done by the minimally invasive route and makes use of various high-tech devices like staplers which make the surgery quick and painless. This also decreases the chances for human error and increases the safety of the procedure. This also reduces the risk for human error and increases the safety of the procedure.

Myth #4Weight loss surgery may result in weakness or extra weight loss

Fact – Weight loss surgery is a long-term weight management procedure. It causes a caloric deficit in the body which activates the hormones that helps the body burn fat. Within 12-18 months, typically 60-90 percent of the excess weight is lost gradually and consistently.

Due to the reduced ability for taking food, there may be a risk for protein and vitamin deficiency which can be avoided by taking adequate supplements for 6-12 months after the surgery. There is a very small chance of gaining weight after weight loss surgery, and this is particularly common in malabsorption surgeries like gastric bypass and in persons who don’t take the needed vitamins.

Myth #5Weight loss surgery may impair family life or fertility

Fact – Many metabolic problems associated with obesity, such as PCOD and infertility, can be corrected by weight loss surgery. It helps in the regularisation of menstrual cycles and the resolution of PCOD in women, as well as increasing the chances of a normal conception. For Males,  Weight loss surgery improves sperm count and natural libido due to increased testosterone levels. As a result, weight loss surgery may be regarded as a fertility enhancer procedure rather than the contrary.

Relation Between Obesity and Depression

Relation Between Obesity and Depression

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Obesity is a complicated condition characterized as excessive fat deposition in the body that puts a person’s health at risk. One of them is depression. Obese persons, compared to healthy ones, have a higher risk of depression, according to studies.

Obesity commonly begins in childhood, with the main player being a lack of exercise, an irregular dietary pattern, and poor food choices. Obesity is developed by a high diet of fast foods, fried foods, and other high-energy foods. Obese adolescent girls are more likely to develop depression than obese adolescent boys, according to studies.

Some of the handpicked reasons which may trigger depression in the obese can be their struggle to complete the daily activities, low self-esteem or self-image, their unsuccessful attempts to reduce their body weight and the raising health problems that would pose a challenge in the future.

According to recent studies, those with a higher BMI have a thinning of the cortex in the brain, which leads to Alzheimer’s disease. To avoid this, it is recommended that you need to maintain a normal BMI from childhood, and if you are already fat, than losing weight should be a top goal.


Obesity and depression, two important health issues that today’s adolescents are facing, both increase the risk of developing cardiovascular disease at a young age if not addressed. Intensive research on the link between the two has concluded the following reason why depression is more common in the obese.

Peer victimisation is more common in obese people than in non-obese people, according to research, and it is a predictor of depression. Obese teenagers are at a higher risk of developing it.

Body dissatisfaction is another major predictor of depression which plays a significant role in escalating depression among the college students especially among females.

Low self-esteem as a result of being unable to accomplish daily activities, teasing by others, social isolation, and constant dissatisfaction with their own appearance all contribute to depression among obese teens.

People who underwent weight loss surgery for obesity were shown to be successful in losing weight and overcoming depression, according to a study.

The message to all fat people is to see a doctor as soon as possible about their health problems and to follow the doctor’s recommendations to get back to normal.

If you’re healthy, avoid overeating, eating too much fast food, etc., stick to a dietary plan, and exercise your body to digest the food you eat. Stay healthy by eating well.

Does Lack of Sleep Cause Obesity?

Does Lack of Sleep Cause Obesity?

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Sleep deprivation could increase the chances of getting obese in a variety of ways. Obesity occurs when energy intake exceeds energy depletion. Diet and physical activity are essential factors, in this, but in addition inadequate sleep may also be an equally important factor.  Many people, however, do not get enough sleep.

People who don’t get enough sleep may be too fatigued to exercise or consume more calories than those who do, clearly because of fact that they are awake longer and have more opportunities to eat. It’s not that sleeping makes you lose weight, if you don’t get enough or good quality sleep, your metabolism will suffer.

It’s usual to not get enough sleep, and some people even brag about it, but staying up late and waking up early has a cost

When you get less sleep, you’re more likely to eat more calories at night, your appetite rises, and you’re less likely to resist foods and portion control, all of which can lead to weight gain.

Obesity and sleep loss are exacerbated by poor eating choices paired with a lack of physical activity.

Sleep deprivation has a significant impact on how the body reacts to food.

On the other hand, starting appropriate sleep habits can help your body maintain a healthy weight.

Here are some tips to keep in mind to get a good night sleep:

  1. Late in the evening, stay away from caffeine.
  2. Exercise will also help improve sleep quality.
  3. Turn off all electronics, no screen time before bed
  4. Make sure your bedroom is dim and quite
  5. Maintain a bedtime routine; try to go to bed at the same time daily, your body gets used to a schedule
  6. Try to avoid big meals before bedtime, can increase the risk of heartburn, which will certainly keep you up all night.
Bariatric Surgery Improves Heart Health

Bariatric Surgery Improves Heart Health


Obesity, as well as related disorders including type 2 diabetes, hyperlipidemia, and hypertension, raise the risk of heart disease. Obesity leads to atherosclerosis (plaque buildup in blood vessel walls, resulting in vessel narrowing and decreased blood supply), sleep apnea, and thromboembolic disease (blood clotting tendency). This, in turn, contributes to the development of heart disease.

Heart disease, heart attack, arrhythmias, and heart failure are all considerably reduced after bariatric surgery.

Surgery leads to long-term control of the weight, blood sugar, serum fat levels, and blood pressure, as well as a reduction in inflammatory markers like CRP, resulting in a healthy heart.



An Important Component of Vegetarian Diet After Bariatric Surgery

An Important Component of Vegetarian Diet After Bariatric Surgery


To maintain a healthy weight for lifetime after bariatric surgery, it is important to make good food choices and eating a balanced diet. For this, your bariatric surgeon can help you to create post bariatric surgery diet plan. Sufficient protein intake is required after bariatric surgery. In India majority of people are vegetarian, and hence including pulses and legumes in diet is essential to fulfilling daily protein needs.

Pulses contain many essential nutritional values apart from proteins.Amount of calories per 100g of pulses is almost similar to that of cereals but they give about 20 to 25% more protein as compared to cereals. Pulses also contain calcium, zinc, magnesium, potassium,iron and phosphorus.

Pulses are edible fruits or seeds of pod-bearing plants. There are various types of pulses are available that can be used in various ways and are an important part of every Indian kitchen, like  Legumes (rajma, chholey, chana, lobia), husked-whole pulses (moong sabut, masoor sabut and urad sabut dal) and dehusked pulses (moong dhuli, masoor dhuli and arhar dal).

The per 100 gcalorie content of legumes ranges between 315 to 372 Kcal. Legumes are rich in proteins and protein content ranges from 17 to 25 gram/ 100gram. They are excellent source of B-complex vitamins.Rajmah and Soyabean contain high level ofantioxidant.

Pulses also helps to maintain blood sugar level due to their low glycemic index and provide more satiety than cereals due to the high protein content.

Nutrition value gets improved during sprouting process. Also during sprouting Vitamin C is synthesized in Pulses, as much as that sprouts can be substituted for fruits.

Germination process enhances concentration of n-3 and n-6 fatty acids, specially linoleic and linolenic acid and also PUFAs (poly unsaturated fatty acids) like EHA and DHA.

There are some pulses and legumes that actually helps in lowering high cholesterol levelslike Cowpeas (lobia), black gram (urad sabut dal) and Bengal gram (kala chana).

Fermentation of pulses improves amino acid levels. Batters made from Fermentation of pulse, like idli and dhokla, improves nutritional value by increasing vitamin C and B-vitamins. Also, phytates present in legumes play vital role in reducing risk ofcolon and breast cancer.

One medium katori cooked pulses and legumes provides 4 to 6 g protein. Therefore 2 serves should be included daily in the diet. Due to all these health benefits, after bariatric surgery vegetarian patients must include pulses and legumes to their daily diet to meet daily protein requirements.

You can include variations like cooked pulses, sprouts, pan cakes, cheelas, dhokla, kadhi and sambhar to make your food interesting. But avoid over use of oils and fats while cooking pulse based preparations to keep calorie intake under control.

“Don’t Dig Your Grave with Your Own Knife and Fork”

DOSS India is amongst the recognized center for Obesity, Morbid Obesity, Hernia surgery and Gall stone surgery by means of laparoscopy located in Pune (Maharashtra- India).

Types of Hernia

What is Hernia? and It’s Types


Hernia is a defect in abdominal wall. When there are weak spots in abdominal muscles or in a connecting tissue called fascia, an organ such as intestine or fatty tissue may push through the defect and a hernia occurs. Surgery is the only scientific treatment available for Hernia. Avoiding or postponing surgery only makes things worse for the patient.

Most common type of Hernia is inguinal (inner groin) which makes up for 96% of all groin hernias and this occurs mostly in men due to their natural weakness in groin area.

Other common types of Hernia are incisional (resulting from an incision of prior surgery or c-section delivery), femoral (outer groin), umbilical (belly button) or hiatal (upper stomach).

Be it any kind of Hernia, concept of repair remains the same. The overhanging abdominal organ or content is first pushed back surgically into the abdomen where it belongs, placing a surgical mesh in most cases to reinforce the area so that Hernia does not recur again and then finally suturing the area for closing the defect in abdominal wall.

What are the types of Hernia?

  1. Naval hernia (Umbilical / Para umbilical Hernia)
  2. Post-surgery hernia (Incisional hernia)
  3. Upper abdomen hernia (Epigastic hernia)
  4. Spigelian hernia
  5. Hiatal Hernia
  6. Groin Hernia

What are the complications of Hernia?

  • Irreducibility
  • Obstruction
  • Strangulation

What are the different surgeries available for hernia?

  • Laparoscopic Hernia
  • Robotic Hernia Surgery
  • 3D Mesh

DOSS is founded by Dr. Satish Pattanshetti and Dr. Neeraj Rayate – leading minimally invasive, obesity, and metabolic surgeons of India, who have combined experience of 25 years with average 1000 patients operated per year.

DOSS is a team of top-notch surgeons and multi disciplinary clinicians complementing one another to ensure the best clinical outcomes for each one of our patients and to raise treatment excellence for Obesity and Morbid Obesity.


Your Workplace Can Play an Important Role in Controlling Obesity


The common misunderstanding, that should be cleared, is that being obese is the same as being overweight. Being overweight means having a body mass index (BMI) of more than 22.5 whereas obesity is when the BMI is 27.5 and above.

Obesity occurs when the energy consumption from the consumption of food is greater than the energy spend through the body’s metabolism and physical activity over a stretched period, resulting in the stocking up of excess body fat.

One out of five people suffer from obesity in India. Obesity is a leading cause of preventable death worldwide. It’s a deadly chronic disease often mistaken by general public as mildly embarrassing physical condition that needs no treatment.

Obesity is responsible for multiple health conditions, psychological and social problems. Now a days, lifestyle of people is driven by work culture to a great extent. The young generation inclines to spend more time at workplace than at home or outdoors.

This has resulted in many lifestyle and behavioral changes like:

  • Desk Job
  • Inadequate Sleep
  • Sedentary Lifestyle
  • Lack of Exercise
  • Consumption of Alcohol
  • And, fatty diet adding to the risk factors associated with obesity.

Physical activity and healthy diet are two main factors which impact our body weight. But, in our fast paced life, we hardly get time to undertake such healthy measures. Sitting in front of the computer for extended hours and eating junk food has become the way of life.

Important Role in Controlling Obesity The

The corporate plays an important role in instrumenting this serious problem and promoting a lifestyle-oriented work culture. Corporate should take the initiative of guiding employees towards a balanced and healthy life.

Weight management exercises, health screening, access to gyms and yoga sessions are some of the initiatives workplaces should take to save their employees from the risk of developing obesity.

Another important role that corporate can play is to arrange health program sessions where every employee will get essential information on healthy eating behavior and health tips from experts.

This will not only help them cut on expenditure towards doctors and medications but will also benefit the workplace by lowering the rate of absenteeism emerging due to illness.

“Become The Best Version Of You with Doss”

DOSS India is amongst the recognized center for Obesity, Morbid Obesity , Hernia surgery and Gall stone surgery by means of laparoscopy located in Pune (Maharashtra- India).


About Us


Diabetic and Obesity Surgical Solutions

Dr. Neeraj Rayate and Dr. Satish Pattanshetti – Bariatric Surgeon in Pune have derived inspiration from their own aspiration to help people, secure healthier tomorrow & touching lives. With the strong belief in the thoughts and passion,  for laparoscopic bariatric surgery the duo is determined and committed to the cause of helping obese patients for weight loss and reclaim life in its desired form, giving a second chance of living life – the ideal way it meant to be.

DOSS India is amongst the recognized center for Obesity, Morbid Obesity , Hernia surgery and Gall stone surgery by means of laparoscopy located in Pune (Maharashtra- India). It primarily aimed at providing services to reduce obesity by means of weight loss, restore ideal body weight, and cure obesity-related disorders such as Type II diabetes, joint pain, high blood pressure, PCOD and many more.

It is the only IEF(International Excellence Federation) certified facility in Pune headed by a Team of enthusiastic and energetic duo – Dr Neeraj Rayate and Dr. Satish Pattanshetti., it is all set to raise standards of excellence in Obesity and Morbid Obesity treatments & cure. IEF is an International Organization that supports Bariatric surgeons across the globe for updated inputs on latest Technology, Research, Developments, Techniques and Procedures. It has a Specific Code of Conduct for Standard Clinical pathways from Pre to post Operative procedures and Handling complication & revision procedures.

Other Services:-

At DOSS apart from Bariatric and Metabolic surgeries, Its health care verticals span from diagnostics, primary care, day care and many more to offer a wide range of Laparoscopic surgical & clinical services – to diagnose, treat and cure cases of appendicitis, removing the gallbladder to treat gallstones, repairing hernias by open hernia surgery, 3 D mesh system or by laparoscopic hernia surgery using 3D mesh for hernia.

Team DOSS is expert in obesity in women, and does lot of work in fat reduction, abdominal obesity reduction and weight loss.

Laparoscopic surgery is a very common medium of surgery and is generally regarded as safe.

The advantages of minimally invasive surgery are:

  • Less post-operative pain,
  • Reduced risk of Infection,
  • Very tiny incisions,
  • Minimal blood loss,
  •  Shorter hospital stays,
  • Quick Recovery for resuming normal activities.
  • A leading Center of Excellence in Bariatric and Laparoscopic GI Surgeries based in Pune, India
  • Only IEF(International Excellence Federation) certified facility in Pune and Western Maharashtra. IEF is an International Organization based at Taiwan that supports Bariatric surgeons across the globe via updated inputs on latest Technology, Research, Developments, Techniques and Procedures. IEF follows a Specific Code of Conduct for Standard Clinical pathways from Pre to post Operative procedures and Handling complicated revision procedures.
  • Expert Center for treating morbid obesity and permanently cure/ reverse obesity-related diseases such as type II diabetes, joint pain, high blood pressure, sleep disorders, infertility induced by obesity, etc. with a large number of patients treated across Pune and Maharashtra.
  • Our unique EMI facility for financing Bariatric surgery in Pune, On-time consultation assurance and Free of cost post surgery support- to help maintain weight loss for decades to come- are hallmark features of our center.
  • Eminent Laparoscopic GI Surgery Center offering comprehensive diagnosis, minimally invasive treatment and cure for appendicitis, gallstones, hernia (with option of 3D mesh), colorectal diseases etc. In Laparoscopic surgery, miniature incisions are made and thus there is minimal blood loss, reduced risk of infection, minimal post-operative discomfort, shorter hospital stay and speedy recovery compared to open surgeries.
  • DOSS is available at multiple locations at Pune for patient convenience, our practice locations include the prestigious Ruby Hall Clinic Main Campus on Station Road, Ruby Hall Clinics at Hinjewadi and Wanowarie, MJM Hospital Shivajinagar and 7 Orange Hospital Chinchwad.
DOSS is founded by Dr. Satish Pattanshetti and Dr. Neeraj Rayate- leading minimally invasive, obesity and metabolic surgeons of India, who have operated on a large number of patients across Maharashtra. DOSS is a team of top-notch surgeons and multi disciplinary clinicians complementing one another to ensure the best clinical outcomes to each one of our patients and to raise treatment excellence for Obesity and Morbid Obesity.

Dr. Satish Pattanshetti – Bariatric Surgeon in Pune

(Laparoscopic Bariatric & Metabolic Surgeon) M.B.B.S (Seth G.S. Medical College & K.E.M. Hospital, Mumbai) M.S (B.J. Medical College, Pune) Fellow in Minimal Access Surgery from A M A S I Fellow in Bariatric and Metabolic Surgery from E-Da Hospital, Taiwan Dr Pattanshetti is the Founder of DOSS and a leading Bariatric and GI Minimally invasive surgeon. He is also an expert in single incision laparoscopic obesity surgery who has so far operated on more than 1000 patients. Dr Pattanshetti’s academic landmarks include:
  • Publishing his Bariatric experience in internationally reputed journal “Obesity Surgery”,
  • Presenting scientific paper and poster at San-Diego US at ASMBS world congress on resolving Type 2 diabetes in low BMI patients with Bariatric Surgery and 2 year results of his patients respectively.
  • Co-authoring a chapter on scarless Bariatric Surgery with world renowned Bariatric Surgeon Dr C K Huang who is also the Bariatric mentor of Dr Pattanshetti.
Dr Pattanshetti is a distinguished faculty at
  • MUHS (Maharashtra University of Health Sciences) for Basic Course in Laparoscopic Skills for PG students and Practitioners.
  • Johnson & Johnson Institute for MIPH and Laparoscopic Surgery skills
  • Various international, national and state congresses and workshops from time to time in Bariatric, Metabolic and Laparoscopic Surgery training.

Dr. Neeraj V Rayate – Bariatric Surgeon in Pune

(Laparoscopic & Robotic Surgeon) M.B.B.S. (Dr. V. M. Medical College, Solapur) M.S. (Government Medical College & Civil Hospital, Sangli) DNB Surgery (Sir Gangaram Hospital, Delhi) Fellowship in GI and Onco Surgery (Athens Medical Center, Greece) Fellowship in Gynae Endoscopy (Giessen School of Endoscopic Surgery, Germany) Training in Robotic Surgery (Galaxy Care Hospital, Pune) Dr Rayate is Co-Founder of DOSS and Head of Laparoscopic, Robotic and Bariatric Surgery Unit at Ruby Hall Clinic, Pune. Dr Rayate is an author of several books, publications and paper presentations on laparoscopy and robotic surgery. Dr Rayate’s academic achievements include:
  • Video presentation at European Association of Endoscopic Surgery Meeting at Berlin, Germany
  • Best Video Presentation Award at ELSA (Endoscopic Laparoscopic Surgeons of Asia)
  • Co-author of several books and chapters in robotic surgery, laparoscopy and novel surgical techniques
  • 1st and 2nd prize winner of several scientific paper presentations at national and state surgical conferences in recognition of his novel treatments, findings and experiences.
Dr Rayate has been an invited faculty at:
  • Indo- German course in Laparoscopic Surgery, Germany
  • Johnson & Johnson Institute for MIPH and Laparoscopic Surgery skills
  • More than 25 conferences and workshops across India in Bariatric, Metabolic and Laparoscopic Surgery.

The DOSS Multi-disciplinary Team consists of:
  • A specialist weight loss surgery clinical nurse
  • A dietitian experienced in providing dietary advice to weight loss surgery patients
  • Anaesthetists with experience of handling overweight patients with co-morbidities (eg sleep apnea).
  • A clinical psychologist and counselor to help patients address pre and post surgery journey smoothly

We Cut Surgery Time by Half:

Surgeons at DOSS are known for their expertise in complicated obesity, revision and laparoscopic surgeries. Every patient has a personal consultation with the independent surgeon.

During surgery, team of Dr Pattanshetti and Dr Rayate, two advanced laparoscopic surgeons, work together for each surgery. Thus, reducing the time taken for each surgery by half and creating a superior outcome than in a single surgeon centre.

Our Personalized Care

Patients go through an individual assessment with all DOSS Team members so that the DOSS team can understand each patient’s specific needs and prepare him or her well for the transformed life as a result of surgery. Such specialized attention helps patients achieve their desired goal of sustained weight loss and improved quality of life in the long run.

Comprehensive Offerings:

Besides Bariatric surgery, DOSS offers healthcare services in diagnostics, primary care, day care and a wide range of Laparoscopic surgical clinical services.

Consult one of our surgeons to understand the specifics of the procedures and determine the procedure most appropriate for you.

Location as per your choice

Schedule the surgery at a location convenient to you to eliminate the discomfort of long travel post-surgery. Visit our partners’ page to determine the hospitals as per your convenience and budget.

Robust Support Program from the first appointment to after-care:

At DOSS your dietitian will structure a diet plan, based on your pre-surgery dietary pattern. After surgery, your dietitian will guide you to help you manage your diet.

Your package includes appointments with your surgeon and specialist weight loss coordinator and a dedicated telephone number to access support after surgery for life time.


Provide quality and compassionate patient-centered care that focuses on the physical remedy as well as peace of mind and heart.

Develop a comprehensive, multidisciplinary program, tailor-made to suit individual needs, to address the issues related to digestive diseases, and obesity disorders,

Educate and support patients to enable them to successfully incorporate lifestyle changes towards an improved state of health


To be the center of choice for patients suffering from diabetes and other endocrine and metabolic diseases, digestive diseases, nutritional disorders and obesity, through preeminent patient care, clinical outcomes, affordable excellence, education and support.


We Do the Kind Thing

Every DOSS member endeavors to impact the lives of the patients and families in our care. We treat those we serve and each other with kindness and compassion and strive to better understand the needs of a diverse community and respond accordingly.

We Do the Safe Thing

At DOSS we recognize that patients and families have placed their lives and health in our hands. Our first priority – and the rule of medicine – is to protect them from harm. We strive hard to maintain the highest safety standards a to deliver high-quality care in a safe and secure workplace.

We do the Best Thing

In DOSS, only the best will do. Our team combines skill, experience, advanced technology and best practices to provide the highest-quality care for our patients and their families. We devote ourselves to continuous improvement, excellence, professionalism and innovation in our work.

We Do the Right Thing

Our actions tell the world what DOSS stands for. We act ethically and responsibly and hold ourselves accountable for our behavior. We are committed towards bringing respect, openness and honesty in our encounters with patients, families and among our coworkers and support the well-being of the communities we serve.