Dr. Michael Sutker, MD, Doctor

Dr. Michael Sutker, MD


7777 Forest Ln Suite A 331 Dallas TX, 75230



Dr. Sutker is a Plano, Texas native who graduated from the University of Texas at Austin and earned his medical doctorate at the University of Texas Southwestern Medical School in Dallas. He went on to also complete his general surgical internship and residency at UT Southwestern. He received additional fellowship training in minimal invasive and bariatric surgery at University of California San Francisco. Dr. Sutker has been in practice at Medical City Dallas since 2014. He is board–certified in general surgery. Dr. Sutker manages a wide range of surgical disease. He specializes in treating conditions with minimally invasive techinques utilizing both standard laparoscopy and robotic-assisted laparoscopy. Dr. Sutker has specialty training in the surgical treatment of obesity, acid reflux, esophageal motility disorders, and paraesophageal hernias. He is skilled in the repair of abdominal wall defects, including inguinal, umbilical, ventral, and incisional hernias. Dr. Sutker also enjoys managing emergency surgical situations including gallbladder disease, appendicitis, and diverticulitis.

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Education and Training

MD at the University of Texas Southwestern Medical Center

Board Certification

American Board of Surgery

Provider Details

Dr. Michael Sutker, MD
Dr. Michael Sutker, MD's Expert Contributions
  • Tips For Weight Loss - By Dr. Michael Sutker

    Tip 1 - Do Not Eat After 8 PMMy Recommendation - Many patients consume unnecessary calories late in the day prior to bed. Some patients suffer from Night Eating Disorder. Cutting out these calories can help with weight loss.Tip 2 - Avoid Beverages With CaloriesMy Recommendation - Beverages with...

  • What Makes Dr. Sutker Stand Out?

    Dr. Michael Sutker is the Medical Director of Robotic Surgery and the Chair of the Advanced Clinical Advisory Board at Medical City Dallas Hospital, where he’s been practicing since 2014. There, he is also a member of the General Surgery Performance Improvement and Intensive Care Unit...

  • Meet Michael Sutker, MD: Dallas's General & Bariatric Surgeon

    Dr. Michael Sutker is the Medical Director of Robotic Surgery and the Chair of the Advanced Clinical Advisory Board at Medical City Dallas Hospital, where he’s been practicing since 2014. There, he is also a member of the General Surgery Performance Improvement and Intensive Care Unit...

  • Minimally Invasive Hernia Repair

    Hernias are extremely common, especially in the abdominal area, and could also be present and undetected at birth. They occur when tissue pushes through a muscle’s weak spot.For qualifying patients, minimally invasive hernia repair is a great alternative to more invasive, open hernia repair. The...

  • Understanding Bariatric Surgery: FAQs

    The decision to undergo bariatric surgery is not an easy one.Thinking about undergoing bariatric surgery or know someone who is? Here are some FAQs that might help.When is someone eligible for bariatric surgery?Since there are no two overweight people that are exactly the same, there is no general...

  • How painful is colon resection surgery?

    I generally tell patients that they will need prescription pain medication for about 5-10 days and be uncomfortable for 4-6 weeks. If surgery can be done with a minimally invasive technique, the pain is typically less. READ MORE

  • Is it painful to have a cyst removed?

    Generally no. Maybe 3-5 days of prescription pain medication and soreness for 10-14 days. READ MORE

  • How long is a cyst removal surgery?

    That procedure should last about 30 minutes depending on how large the cyst is and exactly where it is located. READ MORE

  • Do lipomas grow back after surgical removal?

    The general answer is no, but there is always a risk of recurrence (growing back) after removal. I typically quote my patients with <5% risk of it coming back. I think the risk is higher with larger ones (>5 cm) and in patients with multiple ones. For lipomas larger than 1-2 cm, I like to do this in the operating room to ensure I get the entire mass out to decrease the chance of recurrence. I find that sometimes is hard to do in an office setting with only local anesthesia. READ MORE

  • What kind of doctor should I see for back pain?

    Back pain can be a tricky diagnosis and may require a multi-disciplinary approach. I typically recommend starting with your primary care physician, who can help decide initially treatment including medications and physical therapy as well as work with imaging. Should surgery be required, there are orthopedic surgeons and neurosurgeons who both specialize in spinal surgery. Injections may be another part of treatment and can be performed by a physiatrist (physical medicine and rehabilitation specialist) or an anesthesiologist who specializes in pain management. READ MORE

  • Does a colonoscopy have to be done while you're awake?

    A typical colonoscopy is performed with "twilight" anesthesia. You will be given medication in your veins to make you sleepy and forgetful. Very rarely do patients have to be put completely under general anesthesia with a breathing tube for a standard colonoscopy. Patient very rarely remember the procedure at all. Most patients will even wake up in the recovery room asking if why the procedure hasn't started because they don't remember having it done. READ MORE

  • What is the best surgery for GERD?

    There are 3 main operations for reflux (GERD): 1. Standard fundoplication. The stomach is wrapped around itself to re-create a one-way valve at the top of the stomach. 2. Linx magnetic sphincter augmentation. A magnetic device is placed to re-create the one-way valve at the top of the stomach. 3. Gastric bypass. Great for patients who suffer from both reflux and obesity. There are pros and cons to each procedure and will vary based on your anatomy, previous surgery, and your surgeon's preference and skill. READ MORE

  • How long are you in the hospital after Nissen fundoplication?

    Typically just one night in the hospital. READ MORE

  • What can I expect after fundoplication surgery?

    I recommend that my patients stay on a full liquid diet for 2 weeks and then a soft diet for 2 weeks. It may take 4-6 weeks before you are eating normal solid food. Gas-bloat is a normal and common side effect. As a natural reaction to reflux, people swallow air subconsciously. Because there is now a one way valve in the stomach, that air has to go down instead of coming up. Many patients then feel bloated because they can no longer belch. It can also lead to increased flatulence. Lastly, patients have difficult vomiting when nauseous and may retch. READ MORE

  • How can you prevent a hernia from getting worse?

    Hernias will not go away and tend to get worse as time goes on. Things that worsen hernias are those things that increase pressure in the abdomen: obesity, coughing from smoking, straining from constipation, men with prostate problems who strain to urinate, and repetitive heavy lifting. So keys to decrease pressure are: 1. Lose weight 2. Stop smoking 3. Add fiber, increase your fluids, or try stool softeners to have one soft daily bowel movement and avoid constipation 4. Men should have their prostate issues addressed. 5. Avoid repetitive heavy lifting. (No power lifting!) READ MORE

  • Do you lose weight after hernia surgery?

    Typically no. There is not a weight loss component to the surgery. It is not uncommon to see weight gain around the surgery itself due to the fluids given, but usually that goes away. It is then not uncommon to see a transient weight loss in the 4-6 weeks after surgery while patients recover and are not eating as much as usual. READ MORE

  • What can I eat after laparoscopic surgery?

    It depends on what you are having the procedure for. Unless your physician has specific restrictions for your surgery, I typically recommend soft bland foods for several days until start to feel better. It may take 4-6 weeks until your appetite returns to normal. READ MORE

  • How should I sleep after a laparoscopy?

    You should be able to sleep however you feel comfortable. If a particular position hurts, don't sleep that way. READ MORE

  • How long will my stomach be swollen after laparoscopy?

    The feeling of bloating and swelling usually last about 24-48 hours and then subsides. It also is dependent on the type of procedure you are having done. READ MORE

  • Can you surgically remove belly fat?

    Liposuction is a surgical procedure offered by plastic surgeons for removal of body fat. Panniculectomy and abdominoplasty are other procedures that be used to remove fat from the lower abdomen. Coolsculpting (cryolipolysis) and other non-invasive means are available as well to help remove body fat. READ MORE

  • When should you consider weight loss surgery?

    The requirements for weight loss surgery are 1. BMI >40 2. BMI 35-40 with evidence of metabolic disease (high blood pressure, high cholesterol, heart disease, sleep apnea, diabetes). You can Google "BMI Calculator" and type in your height and weight to figure out your BMI. READ MORE

  • What is the best surgery to lose weight?

    The simple answer is any surgery is the best surgery. Studies between medical (non-surgical) weight loss and surgical weight loss show that surgery has better results every time. The most common options are the sleeve gastrectomy and the gastric bypass. There are pros and cons to each operation, and I try to tailor based on a patient's personal preference, previous surgeries, and medical problems. READ MORE

  • I'm having trouble using the bathroom after surgery?

    It's not uncommon to have constipation after surgery, especially if you are taking narcotics. Even if you are not taking any at home, you probably received some with anesthesia during your procedure. You should be able take any over-the-counter stool softener or laxative to help. Contact your physician for more direct instructions. READ MORE

  • Why am I not hungry and so weak 4 days after an appendectomy?

    I usually tell my patients that you may not have an appetite or energy for at least 2 weeks, and often 4-6 weeks. Your symptoms are relatively common. In spite of having small incisions, surgery is still a large physiologic stress on your body and it takes time to recover. Warning signs of a complication include fevers, nausea and vomiting, profuse diarrhea, worsening pain, and redness or drainage from your incisions. READ MORE

  • Which doctor does lipoma removal?

    Typically a general surgeon. READ MORE

  • Can I sleep on my side after laparoscopic surgery?

    You can sleep in whichever position is most comfortable for you- on your back, on your side, on your stomach; in a chair, on the bed, etc. READ MORE

  • How do you get out of bed after abdominal surgery?

    Most people generally roll their side and sit up by swinging their legs down. It is usually too uncomfortable to rise up as if doing a sit up. The pain usually gets better in 1-4 weeks. READ MORE

  • Why am I having these issues after a hernia mesh?

    When people get pain after hernia repairs, it is typically located in the groin crease and in the thigh. Erectile and ejaculatory problems are rare after an inguinal hernia repair. The nerves that control sexual function are not located in the same region as groin hernias. I would recommend seeing your surgeon or following up with a urologist for your ongoing symptoms. READ MORE

  • How long is the recovery from bowel surgery?

    Recovery varies depending on what part of the bowel (intestines) that is removed (whether it is your colon or your small intestine). It also depends on why it is being removed. Recovery can also depend on if you have had previous surgery and are prone to adhesions (scar tissue) in your abdominal cavity. For a general rule, it takes about 2 weeks to recover about 80% and 4-6 weeks to get back to your new baseline. Sometimes though, recovery can take 8-12 weeks and even longer depending on the factors above. READ MORE

  • How long is pilonidal cyst surgery recovery?

    It depends on the type of surgery that is done. There are many different ways to remove the cyst, and each may require or not require wound care. If the wound is left open, it may require wound care for 4-6 weeks. If the wound is closed, it may be uncomfortable for about 2 weeks. Unfortunately, wound healing is poor and recurrence rates are high due to the poor blood supply in this area. Be sure to discuss this in detail with your surgeon. READ MORE

  • Can I exercise after pilonidal cyst surgery?

    It depends on the kind of wound you have after surgery. Probably no strenuous activity for at least 2 weeks and maybe even 6-8 weeks. READ MORE

  • Can a small hiatal hernia cause problems?

    Small hiatal hernias typically become large hiatal hernias over time. Larger hernias are harder to fix than smaller ones. If you do develop symptoms, hiatal hernias are typically associated with acid reflux, bloating, and difficulty swallowing. READ MORE

  • How long do you stay in the hospital after hiatal hernia surgery?

    My patients typically stay in the hospital 1 or 2 nights. A lot of depends on how large the hernia is, how your swallowing is afterwards, and how well your pain is controlled. READ MORE

  • How do you sleep with a hiatal hernia?

    If you do have symptoms with a hiatal hernia such as reflux, heartburn, indigestion, or regurgitation, you may want to consider elevating your head with several pillows at night. READ MORE

  • Do you need to have surgery if you have gallstones?

    Typically yes. Having symptoms and gallstones is typically an indication for surgery. Episodes tend to increase in frequency and severity over time. I almost always recommend surgery once symptoms start. READ MORE

  • Is a colon resection an emergency surgery?

    Not necessarily. If you have a perforation (a hole) in your colon, that is typically an emergency. If you have a colon cancer, that would be an urgent procedure, meaning you should schedule it but not wait too long. Non-emergency procedures for diverticulitis can be scheduled electively. READ MORE

  • Do you have to stay overnight in the hospital after gallbladder surgery?

    If you have a scheduled procedure, that can be done as an outpatient. If you have to come into the hospital via the ER and do not get to go home before surgery, you will likely spend at least one night in the hospital after your surgery. READ MORE

  • Will I have pain after a colonoscopy?

    Pain is not a typical symptom after colonoscopy. My patients feel bloated, distended, and air-filled afterwards. These symptoms typically resolve within 24 hours. True pain after a scope could be a sign of a complication and should be addressed with your physician. READ MORE

  • How is a colon polyp removed surgically?

    The primary way that polyps are removed is via a colonoscopy. If the polyp is too large or deep to be removed that way, surgery to remove that portion of the colon is required. READ MORE

  • Is it normal to feel a lump after hernia surgery?

    It is not uncommon to get swelling and inflammation at the site of a hernia repair. If your hernia was a large size, you may also get a fluid collection called a seroma at the site. It is also possible, although much less likely, that your hernia repair has failed and the hernia has recurred. Be sure to raise your concerns with your surgeon at your post-operative appointment. READ MORE

  • How long do you stay in the hospital after hernia surgery?

    Inguinal and umbilical hernia repairs are typically done as outpatient procedures. Larger ventral or incisional hernia repairs may require a 1 night stay in the hospital. Complex abdominal wall reconstructions and hernia repairs may require several days in the hospital. If your procedure is being done laparoscopically, your hospital stay will likely be shorter as well. READ MORE

  • What is the most successful weight loss procedure?

    Surgery is not typically recommended if you need to lose <50 lbs. Non-surgical options include placement of a gastric balloon (such as the Obalon device) or endoscopic techniques. Medically managed weight loss, including medications, may be a good option for you. I would recommend finding an obesity medicine specialist to discuss options. READ MORE

  • How painful is gastric bypass surgery?

    I typically manage pain post-operatively with multiple types of medications. Initially, I start my patients on a pain pump (PCA) and then transition to oral medications the next day. I include anti-inflammatories, gabapentin, and local anesthetics as well. Once patients go home, I prescribe 5 days of oral medications, and very rarely do I get asked to refill them. It is surgery, so it can be uncomfortable. It is well tolerated, and the pain does go away pretty quickly. READ MORE

  • Experiencing pain after appendectomy?

    Surgery at that location is almost always the answer to correct the problem. If you can find a good gastroenterologist, they may be willing to try a colonoscopy with a dilation of the stricture. READ MORE

  • What are the side effects of having your gallbladder removed?

    About 1/3 patients will develop post-cholecystectomy dumping. This is where fatty, greasy, or oily foods are eaten, and the patient suffers from nausea, bloating, and rapid diarrhea (dumping). If this occurs, it resolves in 99% of patients within 3 months. It is rare in my practice to have long-term side effects from not having a gallbladder. READ MORE

  • How long does it take to recover from gallbladder surgery?

    I quote my patients 80% recovery at 2 weeks and 100% recovery at 4-6 weeks. At the 2 week appointment, most patients are tolerating a diet, have minimal pain, and have returned to work. Patients are not completely recovered, as they continue to feel fatigue, have low appetite, and do have mild aches and pains. This typically resolves over the next several weeks. READ MORE

  • Is gallbladder surgery painful?

    A cholecystectomy (gallbladder removal) is typically a well-tolerated procedure. I prescribe 5 days of narcotics for my patients, and seldomly do patients take all of the pills. Rarely do patients ask for a refill. The first week may be uncomfortable but it does get better. READ MORE

  • Is surgery to remove the appendix dangerous?

    An appendectomy (appendix removal) is generally a well-tolerated and safe operation. Risks are mostly related to rupture of the appendix, leading to infection in the incisions, abscess in the abdomen, or needing to have an open operation with a large incision. READ MORE

  • Is bowel resection surgery dangerous?

    Generally no, but there are risks. The dreaded complication of bowel surgery is re-connecting the intestines (called an anastomosis). A leak from the connection is possible and can lead you to become very ill. The risk of that is very low, and varies based on your medical history, reason for surgery, amount of inflammation, etc. Surgeons rarely recommend bowel resection unless absolutely indicated, so it may ultimately be more dangerous for you not to have surgery. READ MORE

  • How many hours does gallbladder surgery take?

    A laparoscopic cholecystectomy (removal of the gallbladder) typically takes about 30-90 minutes depending on how severe the inflammation is. READ MORE

  • How serious is gallbladder surgery?

    In the scheme of surgeries performed by a general surgeon, it is a routine operation. As a patient, a cholecystectomy (gallbladder removal) should be considered a major operation. That being said, the operation can be done extremely safely with a low chance of complications. Be sure to discuss these with your surgeon. READ MORE

  • How long will I be off work after gallbladder surgery?

    I tell patients who work "desk jobs" that they can return to work in as little as 3-5 business days. I have even done surgery on a Friday and have the patient go back to work on Monday. I tell patients who work "manual labor" or who have significant physical activity related to their job that they should take off at least 2 weeks of work. The reasoning is that you need to make sure the incisions heal so that a hernia does not develop. The recovery may vary depending on the severity of your disease. Also, ask your job off for more time from work than anticipated. It is much easier to go back earlier than you thought than to ask for more time when you are supposed to be going back. READ MORE

  • How painful is hernia surgery?

    Inguinal hernia repair is well-tolerated. I prescribe patients 5 days of pain medications and rarely have to refill them. Most of my patients are back to full activities without discomfort within 2-4 weeks. READ MORE

  • What type of surgery is done for diverticulitis?

    Many times the procedure can be done via a minimally invasive approach with small incisions, a camera, and long instruments. The diseased portion of the colon, typically the sigmoid colon, is removed. if you have active infection or an abscess, a colostomy may be needed. Most times, the surgeon will try to connect the colon back to itself so that the GI tract is whole. If a colostomy is needed, it can be reconnected in about 3-6 months. READ MORE

  • How long does diverticulitis surgery last?

    The surgery is generally between 1.5-3 hours. If you have severe disease, I have seen procedures that can last up to 7 hours. READ MORE

  • Is appendicitis surgery painful?

    It is generally a well tolerated operation, especially if done laparoscopically. Patients receive pain medication while in the hospital. I typically prescribe 20 tabs (5 days worth) of pain medication after discharge, and most people seem not to even need to take that much. READ MORE

  • Is hernia surgery painful?

    It is generally a well tolerated operation, especially if done laparoscopically. Patients receive pain medication while in the hospital. I typically prescribe 20 tabs (5 days worth) of pain medication after discharge, and most people seem not to even need to take that much. READ MORE

  • Is an appendix operation dangerous?

    No, it is not dangerous. It's generally a very safe and well-tolerated a procedure. All surgeries carry risk, but removal of the appendix is relatively routine. READ MORE

  • How is appendicitis treated?

    Generally with laparoscopic surgery. There are some ongoing studies that are trying to use antibiotics alone, but the complication rate and recurrence rates may or may not be as good as surgery. READ MORE

  • How long does gastric bypass surgery last?

    The surgery itself takes about 1.5-2.5 hours. The initial recovery is about 4-6 weeks. Weight loss goes on for a period of 12-18 months. The benefits last a lifetime! READ MORE

  • Is surgery the only option for an inguinal hernia?

    Yes. Hernias do not improve with medications or activity. Medications may help with any symptoms of discomfort or pain, but the hernia will stay. Activity will typically worsen symptoms or the size of a hernia over time. Surgery is the only option. The timing of surgery can vary depending on your activity level and symptoms. READ MORE

  • Could I have appendicitis?

    Appendicitis can be present as right lower quadrant abdominal pain. The "classic" presentation is diffuse abdominal pain, sometimes around the belly button, that then migrates and localizes to the right lower quadrant. It may be associated with fevers, nausea, vomiting, and diarrhea. If you are concerned, you should seek care from your primary physician, an urgent care clinic, or the emergency room. READ MORE

  • How do I know if I have appendicitis?

    Appendicitis can be present as right lower quadrant abdominal pain. The "classic" presentation is diffuse abdominal pain, sometimes around the belly button, that then migrates and localizes to the right lower quadrant. It may be associated with fevers, nausea, vomiting, and diarrhea. If you are concerned, you should seek care from your primary physician, an urgent care clinic, or the emergency room. READ MORE

  • Why do I have a bump on my abdomen?

    There are lots of different reasons why bumps may develop. These may infections (skin abscess or folliculitis). They may be benign lesions (lipoma, cyst). They may be something more worrisome (cancer). You should seek care from your physician for further guidance. READ MORE

  • Can I live a normal life with an inguinal hernia?

    Yes. Hernias do tend to get larger and more problematic as time goes on. In some studies, patients waited two years prior to repair. The risk of waiting was equal to the risk of immediate surgery, so we know it is safe to wait. READ MORE

  • How long does hernia surgery last?

    The surgery itself takes about 30-90 minutes. Recovery is about 2-4 weeks. The repair is designed to last your life, but there is about a 2-3% recurrence rate. READ MORE

  • What could cause right side pain and nausea?

    There is a wide differential for right upper quadrant pain. Common causes include gastroenteritis (stomach bug), gallstones, or a kidney infection. If your pain is located in your right lower quadrant, appendicitis is always a possibility. With the severity of your symptoms, evaluation by your primary care doctor or at at an urgent care clinic sounds reasonable. READ MORE

  • Is a 5cm hiatal hernia large?

    The short answer is yes. That is a moderate sized hernia and it will only get larger and more symptomatic as times goes on. I have unfortunately seen many patients who are told they have small hernias. 20 years later, those become large hernias and require emergency operations. I would recommend repair at this time. There are no other options for treatment. READ MORE

  • Why do I have upper left abdominal pain after eating?

    You may have a peptic (gastric or stomach) ulcer. You can try to take over-the-counter medications like an H2 blocker (ranitidine) or a PPI (omeprazole, pantoprazole). If this does not help your symptoms, I would recommend evaluation by a gastroenterologist. An endoscopy may be warranted to help identify the cause. READ MORE

  • It feels like I have something under my skin. What could it be?

    It sounds like you have a localized skin infection such as an abscess, infected cyst, or folliculitis. It may require antibiotics or drainage to treat. I would recommend consulting with a physician. READ MORE

  • How does a doctor "run the bowel" laparoscopically?

    I do not routinely run the bowel during an open or a laparoscopic hernia repair unless I am concerned for other pathology. "Running the bowel" means examining it from the start to the end. During an open procedure, the bowel is felt between hands. During a laparsocopic procedure, instruments are used to pass one segment to the next. READ MORE

  • How do I know if I have appendicitis?

    If you are concerned, I would recommend going to an urgent care center or emergency room where a CT scan can be performed. Your pain is in the general vicinity of where appendicitis pain is located. READ MORE

  • How long does inguinal hernia surgery last?

    The surgery is generally about 30-60 minutes. The whole process of checking into the facility, having surgery, recovering, and then going home will be about 4-6 hours. READ MORE

  • What is a thyroidectomy?

    A thyroidectomy is removal of the thyroid gland. In your case, your thyroid gland is too active, and this can have significant health risks. After removal of the thyroid gland, you will be required to take thyroid hormone replacement, which is just a pill, for the rest of your life, as your body will no longer be able to procedure thyroid hormone naturally. READ MORE

  • What could this pain on the right side of belly be?

    Appendicitis is typically acute onset of pain that persists. It rarely is chronic and intermittent. It can also be associated with fevers, nausea, and vomiting. I would recommend speaking to your primary care physician about your symptoms. READ MORE

  • Is an abscess supposed to bleed?

    Any kind of incision may bleed for several days. I would contact the physician who drained the abscess about ongoing bleeding and especially for worsening pain. READ MORE

  • Can I get a stomach transplant?

    Unfortunately no. There are some centers in the United States that are performing intestinal transplants, but to the best of my knowledge, stomach transplants are not a known procedure. READ MORE

  • Can appendicitis be related to nausea?

    It's a definite possibility. Appendicitis typically persists as pain in the right lower abdomen. It can be associated with nausea, vomiting, fevers, chills, or diarrhea. READ MORE

  • What can I do about my excessive sweating?

    Botox can be injected for excessive sweating. Talk to your physician about this as an option. READ MORE

  • Are there any side effects after appendectomy?

    The standard of care for an appendectomy is for it to be performed laparoscopically. I have trained at several facilities and practiced at several others and do not know of anyone still doing routine open appendectomies. That being said, there are still some select indications (such as multiple previous operations or a perforation/rupture/abscess). Risks of an open operation compared to a laparoscopic one include a higher risk of a wound inection, hernia, pain, and prolonged recovery. READ MORE

  • Is gastric banding minimally invasive?

    Gastric banding is considered a minimally invasive surgery; however, it is largely ineffective and holds significant long-term risk. Up to 50% of people with bands are having revisional surgery. Banding was done about 40% of the time up until 5-10 years ago, but has lost favor, and is performed <5% of the time today. Sleeve gastrectomy and gastric bypass are still minimally invasive operations with a lower long-term risk of needing another operation. Both of these operations have much better weight loss as well. READ MORE

  • How does a gastric bypass surgery work?

    A gastric bypass is a great operation for the right patient. It is a "restrictive" operation where the size of the stomach is decreased. A surgical stapler is used to create a small pouch at the top of the stomach. The small intestine is then re-arranged (or "bypassed") to drain the pouch into the rest of the gastrointestinal tract. By dividing the stomach, the hormones and nerve signals between your stomach and brain are changed. In addition to physically being unable to eat much food due to the small size of your stomach, the operation decreases your hunger and increases your satiety (sense of fullness). READ MORE

  • How would I know if son has appendicitis?

    Typically, appendicitis does not linger. Most patients present to the hospital within 24-48 hours with severe pain. If the pain is persistent, I would recommend talking to your PCP or presenting to an urgent care center that has the ability to perform a CT scan or an ultrasound. READ MORE

  • Is the recovery from bariatric surgery long?

    Most patients stay 1 or 2 nights in the hospital. I recommend most patients take off 2 weeks from work. It typically takes about 4-6 weeks before people starting feeling better than they did prior to surgery. READ MORE

  • What can I do with my arm lipoma?

    Lipomas are typically benign (non-cancerous) masses. Reasons to remove them include change in the size and discomfort from the location. If it does not bother you and it does not change, there is probably no reason to get it removed. READ MORE

  • Can a hernia be treated without surgery?

    No. It is typically safe to wait prior to proceeding with repair, but there is not a non-surgical solution to fixing a hernia. No medicine or activity will make it go away. In studies, they have compared immediate surgery to watchful waiting for 2 years. The risk of a complication was the same in both groups. Most patients in the watchful waiting group went on to get their hernias repaired at the end of 2 years. READ MORE

  • Can a hernia problem be fixed without a surgery?

    Surgery is this only fix for a hernia. No medication or activity will make the hernia go away. That being said, many people, especially those without symptoms, can wait before having their hernias repaired. There is a low risk of complications from watchful waiting, but most hernias do tend to get larger and more symptomatic over time. READ MORE

  • Do doctors check for HIV before surgery?

    It is generally not a routine test that is ordered. READ MORE

  • What side effects should I look out for after son's appendectomy?

    Common post-operative side effects including pain, low grade temperatures (<99.5), and constipation. More worrisome complications are the result of a leak where the appendix was removed or formation of an abscess/infection and include severe unrelenting pain, fevers >101, nausea, and vomiting. Other rarer complications include hernias (bulge at the incision site). READ MORE

  • Why did my cyst rupture 8 months after cyst removal?

    Recurrences of cysts can happen even under the best of circumstances. Your cyst has likely recurred and ruptured. READ MORE

  • Abdominal pain when I breathe in. Could it be appendicitis?

    Appendicitis typically presents with pain in the lower part of the abdomen on the right side. It often migrates from the area around the belly button down to the lower right side. It can be associated with fevers, nausea, and diarrhea. It is usually associated with acute onset and the symptoms worsen without improving. READ MORE

  • Boil under belly button. Can it cause an internal infection?

    It sounds like you have folliculitis with a follicular abscess. Treatment for this is surgical drainage. You should go see your primary doctor or a surgeon. READ MORE

  • What are the qualifications for bariatric surgery?

    The basic qualificiations for surgery is anyone with a BMI >40 or a BMI 35-40 with evidence of metabolic disease (such as diabetes, high blood pressure, high cholesterol, heart disease, sleep apnea). READ MORE

  • How long after surgery can I have sex?

    Whenever you feel comfortable. I treat sexual activity as any other strenuous activity. If the activity causes pain, don't do it. If you don't have discomfort, you are ok to progress. READ MORE

  • How common is chronic pain after inguinal hernia surgery?

    Studies quote a rate of nearly 10% but in my experience, I think the rate is closer to 1-2%. Because hernia surgery is very common, there are lots of people who can describe their experience. I have also seen the situation where someone is afraid to get their hernia fixed. Over time, they get larger and can extend into the scrotum. People can also get bowel obstructions and even require removal of a piece of intestine during an emergency operation. It is generally safe to wait on surgery if you do not have symptoms. If you do have symptoms, I would recommend proceeding. I would not let the fear of chronic pain prevent you from proceeding with at least an evaluation for surgery, if not the operation itself. READ MORE

  • Painless lump on my thigh. Should I get it removed?

    If it is discolored, I would recommend evaluation by your primary care physician or a dermatologist. READ MORE

  • It feels like I have something under my skin, what could it be?

    It could be folliculitis (an infected hair follicle) or other skin infection. I would recommend seeing a primary care physician or dermatologist. If it continues to swell or drain, you may need to go to the emergency department. READ MORE

  • Is it normal to have bowel issues after gallbladder removal?

    The constipation you are having is very typical after surgery. Almost every patients receives narcotics (opiates such as Morphine, Dilaudid, or Hydrocodone) during or after surgery. These medications help with pain, but they also are very good at slowing down the colon leading to constipation. I would say most patients have their first bowel movement within 1-4 days after surgery. It should be safe to take over the counter supplements such as Miralax or Milk of Magnesia to help have a bowel movement. Long-term (as in 3 months down the road), you should not have any significant changes to your bowel habits. In the short term, about 1 in 3 patients will get some diarrhea after having their gallbladder removed. READ MORE

  • How painful is it after a hernia operation?

    It depends. Robotic or laparoscopic hernia repairs are associated with less pain than open hernia repairs in my experience. I typically prescribe 5 days of pain medication after surgery, and very rarely get called about refills. I have had patients return to work (if it is not manual labor) within 3 days after surgery. READ MORE

  • Is my surgical wound infected?

    It's possible. I would check with your surgeon. READ MORE

  • What happens if I don't have surgery for my hernia?

    Hernias do tend to get larger over time. Things that tend worsen hernia are things that increase pressure in your abdomen such as chronic coughing from smoking, difficulty urinating in men with prostate problems, straining to have bowel movements due to constipation, repetitive heavy lifting in construction workers or body builders. Obesity is another risk factor that worsens hernias. If your hernia is not causing symptoms, there is no emergency to fix it. They will get larger over time, and you run the risk of developing a bowel obstruction if the intestines get trapped in the hernia. Hernias are also much easier to fix when they are smaller. The bigger they are, the larger and more complicated the operation. READ MORE

  • Should I have small lump on leg removed?

    It's likely benign, but I would talk to your primary care physician or dermatologist. READ MORE

  • Should my lipoma be removed?

    There are a few reasons to have lipomas removed. 1. It causes pain, discomfort, or is in a bothersome location (where your arm bends, a bra line, etc.) 2. It is growing in size. 3. There are concerning features such as a firmness or irregular borders. If it is stable, soft, and causes no problems, there is no reason to remove it unless you want. READ MORE

  • How long does it take to recover after hernia surgery?

    I perform most of my hernia repairs with minimally invasive techniques. I typically quote patients 2 weeks of no heavy lifting (20 lbs or more) and strenuous activity. For people who work sedentary jobs, they can usually return to work within 2 weeks. For people who work manual labor, they can usually return to work within 4-6 weeks. Open hernia repairs might double the recovery time. READ MORE

  • What are the treatment options for inguinal hernias?

    There are two approaches to fixing hernias- open and laparoscopically. 90% of the inguinal hernia repairs that I do are performed laparoscopically. This means I use three small incisions, each about the length of a fingernail, a camera and long instruments to do the procedure. The laparoscopic (or robotic-assisted laparoscopic) approach requires placement of mesh. There has been some bad press about mesh, but if I need a hernia repaired, that is the approach I would take. The recurrence rate with a mesh repair is about 1-2%. The recurrence rate with a non-mesh open repair may be >30%. READ MORE

  • Can an appendectomy block my bowels?

    Every type of intra-abdominal surgery has a risk of developing scar tissue that can cause a bowel obstruction in the future. Laparoscopic surgery, as I presume your appendectomy will be, has a much lower risk of that occurring. The risk of a future bowel obstruction is not so high that it should worry you or prevent you from getting a needed surgery. READ MORE

  • How common are infections with surgery?

    The risk of infection varies by type of surgery. A straightforward inguinal hernia repair has a <1% infection risk. A large abdominal hernia repair may have about a 10% infection risk. An appendectomy has about a 5% infection risk. A colon surgery may have at least a 30% infection risk. If the small bowel or colon are to be manipulated, your chance of infection is much higher. If the procedure just involves the abdominal wall, your chance of infection is much lower. The more body fat you have, the higher the risk as well. READ MORE

  • Does it take a while to heal from abdominal surgery?

    It depends on what kind of surgery she had. Recovery is general 2-6 weeks for most surgeries. Full recovery includes return of appetite, energy, and pain resolution. For some people, that can take 3-6 months. The larger the operation, the longer the recovery. READ MORE

  • Can coughing damage hernia repair?

    Anything that increases pressure in the abdomen puts you at risk for a hernia recurrence. This includes obesity, coughing (either in smokers or from allergies), constipation (straining to have a bowel movement), men with prostate problems that strain to urinate, or repetitive heavy lifting. Avoidance of these can help decrease the risk of a recurrence. READ MORE

  • Can diverticulitis require intestine removal?

    It depends, and some of it depends on the age of your doctor. Traditional teaching recommended surgery after the first episode. Newer teaching is variable depending on your symptoms and severity of presentation. If you have a perforation or abscess, surgery is recommended. If you are admitted for IV antibiotics, surgery is suggested. If your diverticulitis can resolve with antibiotic pills alone, you may be able to avoid surgery. READ MORE

  • How long is the recovery for laparoscopic appendectomy?

    Please clarify with your surgeon why you are getting your appendix removed. I assume it is because you have appendicitis and not because of your weight. Regardless of reason, I would always recommend a laparoscopic procedure over an open one. There is much less recovery and change of complications. I typically quote most patients a two week recovery. I have had patients who work desk jobs return to work with 3-5 days. Patients who work manual labor or other physically taxing jobs may return in 2-4 weeks. READ MORE

  • Is the laparoscopic method better for appendicitis?

    Laparoscopic surgery is by far the way to go. Significantly less complication rate. There is a long-term benefit of decreased hernia rate, decreased adhesion rate, and decreased obstruction rate with laparoscopic surgery. In the short term, it is a much faster recovery and significantly less pain. I have never offered an open appendectomy to a single one of my patients. READ MORE

  • Do all hernias require surgery?

    In general it is safe to wait on hernia repairs as long as you are not having symptoms. Studies have been performed regarding the course with small hernias. In one group, the patients had surgery immediately. In the other group, the patients waited two years. The chance of a complication was the same in both groups (very low). In the group who waited, the majority of those patients developed symptoms over the two years and went on to have their hernias repaired. Symptoms related to a hernia include the presence of a bulge, pain, discomfort, constipation, and nausea. If this symptoms develop and persist, it is probably time to get your hernia fixed. READ MORE

  • Is vertigo common after thyroid surgery?

    It's not a common complaint that I have heard after thyroid surgery. If you are in your first week after your operation, it may be related to the positioning of your head during surgery. Even though you had high thyroid function prior to surgery, you now have no thyroid function. You should be on thyroid hormone replacement. If your levels are not appropriate, that may cause some vertigo symptoms. I would check back with your surgeon about your symptoms. READ MORE

  • What's the likelihood of a pancreas transplant?

    Pancreatic transplants are possible. You can go this website: https://www.srtr.org/transplant-centers/?&organ=pancreas&recipientType=adult&sort=transplantRate to check out what programs around the country perform them. They will be able to guide you and your friend with a lot more information regarding the transplant. READ MORE

  • How can I prepare for abdominal wall surgery?

    It all depends on what you are having done. Open surgery is much more invasive than laparoscopic (minimally invasive surgery). If you are having a hernia fixed, some are small, and some are large. Unfortunately without more information, I cannot point you in a better direction. READ MORE

  • How long is the recovery from an appendectomy?

    I perform a lot of appendectomies as outpatient procedures, where patients go home the same day. I typically quote patients about a 2-week recovery for non-complicated appendicitis. Usually sore for about 5-7 days and about 80% recovered at 2 weeks. It may take a full 4-6 weeks to feel normal (i.e., appetite normalizes, energy levels improve, vague aches and pains resolve). People who work desk jobs can typically return in 3-5 days. People who work manual labor can return in about 2-4 weeks depending on the amount of activity. READ MORE

  • Is a 7cm hiatal hernia big?

    A hiatal hernia is where the stomach migrates from the abdomen into the chest. Surgery is the only way to fix this. There is no medicine or activity that will improve it. Symptoms can include chest pain, chest tightness, difficulty swallowing (dysphagia), heartburn or acid reflux, and belching/bloating. READ MORE

  • How long after appendicitis surgery can I have sex?

    You should hold off on sex, or any other strenuous activity, until you feel comfortable. For most people, that is about 2 weeks. You can resume activities when your symptoms are limited to soreness or discomfort. Pain at your incisions during an activity is a reason not to do that activity. READ MORE

  • What causes black blood after surgery?

    What you are describing sounds like a hematoma, or an old collection of blood within the surgical wound. Fresh blood is bright red. Old blood (hematoma) looks more maroon/black. If you are having drainage from your wound, you should contact your surgeon immediately. READ MORE

  • Can diverticulitis require intestine removal?

    Diverticulitis is a form on inflammation of the colon. The colon is supposed to be a tube, but it can get pouches (diverticula) on the sides due to chronic increased pressure. This is the disease of diverticulosis which is present in about 60% of people over the age of 60. When the pouches get blocked by stool, they get inflamed and infected (diverticulitis). Simple cases of diverticulitis can be managed with oral antibiotics alone. More severe cases require hospitalization and IV antibiotics. Complications of diverticulitis include an abscess (an infected fluid collection outside the colon) or a perforation. Small perforations may be managed conservatively with antibiotics and require elective surgery in 6-8 weeks. Perforations with sepsis and peritonitis (severe infections) require emergency surgery with removal of a portion of the colon and a temporary colostomy. READ MORE

  • What is gastric bypass surgery?

    A gastric bypass is both a weight loss operation and a metabolic surgery. First, estimated weight loss with a gastric bypass are up to 75% of your excess body weight. If you are 100 lbs overweight, you could expect to lose about 75 lbs over the course of the first 12-18 months after surgery. Some patients do better than this; some do not. That is a pretty good average. Second, a gastric bypass can improve all of the medical problems associated with the disease of obesity. Those include high blood pressure, high cholesterol, diabetes, sleep apnea, and reflux. It can also decrease your risk of developing heart disease and cancer. The results are stunning! If your doctor offered patients a single pill to cure all of these diseases, everyone would be signing up. Instead, because it has "surgery" associated with it, unfortunately there is a negative stigma. There shouldn't be. A weight loss operation is life changing for more than 90% of patients who have it done. READ MORE

  • Is it possible to gain weight after a gastric bypass?

    Typical weight loss after a gastric bypass is about 75% of excess body weight. Excess body weight is the difference between your current weight and your ideal body weight. Your ideal body weight is not your preference; it is a value calculated by a formula based on your height. For instance, if you weigh 250 lbs and your ideal weight is 150 lbs, your excess body weight is 100 lbs. You could be expected to lose about 75 lbs after a gastric bypass. The success rate with achieving goal weight is about 80% after surgery. Patients typically keep the weight off, even up to 20 years after surgery. You may regain 10-20 lbs over the years, but you will be far better off in the long run by having surgery then by avoiding it. READ MORE

  • What questions should I ask my surgeon before my surgery?

    What are the risks of the procedure? What are the side effects or long-term consequences (both positive and negative) of the procedure? How long is surgery? How long will I be in the hospital? How long is the recovery process? How long will I need to be off work? Do I have any dietary restrictions after surgery? Do I have any activity restrictions after surgery? What medications, specifically for pain, will I receive after surgery? Will I have any wound care? Those are a good start! Don't be afraid to ask questions. You can never have too much information. READ MORE

  • Constipation after surgery?

    The biggest reason that patients get constipated after surgery is narcotic or pain medicine use. Narcotics such as Codeine, Hydrocodone, and Oxycodone do several things very well. First, they help with the immediate pain of surgery. Second, they cause constipation. Even if you are not taking many pills at home, you would have received narcotics through your IV during the procedure, and even that small amount can have a profound effect. Very rarely could the constipation be caused by a complication from your hernia procedure such as a bowel obstruction. I recommend all patients drink plenty of fluids and start with a mild stool softener such as Docusate. You can add Miralax powder as needed. If the constipation persists, you can add a stronger laxative such as Milk of Magnesia or Magnesium citrate. All of these are available over-the-counter at your local pharmacy or grocery store. If your constipation does not improve, contact your surgeon. READ MORE

  • Is bariatric surgery safe?

    Weight loss is not easy by any means. Even if you diet and exercise appropriately, your body has built-in mechanisms to deter weight loss. Surgery is a fantastic option for weight loss. The surgeon can be performed very safely with controlled risks and few, if any, side effects. Your surgeon and surgical team will put you through comprehensive medical testing prior to surgery to ensure that you are safe to undergo a major operation. The risk profile for a weight loss operation is very similar to that of a gallbladder removal. Most people think of a cholecystectomy as a relatively routine procedure, and weight loss surgery should be thought of the same way. READ MORE

  • Is high blood pressure bad for anesthesia?

    Your blood pressure will be constantly monitored during surgery by the anesthesiologist. They will give medications through your IV as necessary to maintain it in an appropriate range. If your blood pressure is too high prior to surgery (greater than 180/100), it is possible that your surgery will be cancelled. There are no greater risks of high blood pressure during surgery than there are outside of surgery. READ MORE

  • Do peptic ulcers require surgery?

    With the advent of PPIs (proton-pump inhibitors), also known as acid blocking medications such as Omeprazole (Nexium) or Pantoprazole (Protonix), surgery for peptic ulcer disease is rarely warranted. If you have persistent pain, you need to make sure that you had an upper endoscopy (EGD) to evaluate for ulcers and to obtain a biopsy to rule out a cancer or other pathology. You should also be test for an infection called H. pylori that can cause ulcers. H. pylori treatment includes antibiotics. Surgery for peptic ulcers is typically reserved for perforations, bleeding, or pain that lasts longer than 6 months. READ MORE

  • How do I know if I need my gallbladder removed?

    The best test for gallbladder disease is an ultrasound. This will evaluate for the presence of gallstones. Right upper quadrant pain and gallstones is enough for me to recommend to most patients that a cholecystectomy (removal of the gallbladder) is warranted. An ultrasound may also examine for thickening of the wall of the gallbladder that indicates inflammation. If the ultrasound is normal, the next test to get is a HIDA scan. A HIDA scan tests the function of the gallbladder. Dye will be injected into your veins and will then be taken up inside your gallbladder. The HIDA scan tests for how rapidly the dye empties from the gallbladder. If it empties too slow, this is called biliary dyskinesia, and is a pathologic problem of the gallbladder that warrants surgery. If you have gallbladder disease, whether it is from stones or a functional problem, surgery is the treatment. There is no medicine and no diet changes that will ward off symptoms for the long run. I almost always recommend surgery to patients who are medically fit for surgery. READ MORE

  • Are colonic polyps surgically removed?

    Typically small polyps are removed at the time of colonoscopy. Larger polyps may be biopsied, and surgical removal may depend on the pathology on the biopsy. Some times larger polyps will be monitored over time with serial colonoscopies. READ MORE

  • How long do surgical stitches take to heal?

    I typically quote patients about 2 weeks for about 95% of wound healing. That can vary depending on nutritional levels, medications (especially steroids), and the presence of an infection. READ MORE

  • Does appendicitis require immediate surgery?

    Traditional teaching is that appendicitis is a surgical emergency and patients would typically be taken to the operating room within 4-6 hours for an appendectomy. There is newer research stating that appendicitis may be treated with antibiotics alone, sparing people the risk of surgery. The recurrence rate with this may be up to 30% at 2 years, and even higher thereafter. I personally do not recommend non-operative management for my patients unless they are too sick to tolerate a surgery, but understand the reasoning of surgeons who are attempting a non-surgical option. READ MORE

  • Can internist perform surgical procedures?

    The simple answer is no. Surgeons should be performing surgeries, especially in an emergency situation when the likelihood of a complication is much higher. An internist may be trained to do simple "bedside" procedures such as an incision and drainage, removal of a small skin lesion, or placement of a central venous catheter. Invasive procedures should be done by someone with appropriate training and board certification. Some older internists in rural areas may have received some procedural training. READ MORE

  • Does hemorrhoids require a surgery?

    Depending on whether they are internal or external hemorrhoids, they can sometimes be managed with banding in the office setting without needing to go to the operating room. If he continues to have difficulties after conservative management (medications, dietary changes, etc), surgery will likely be necessary. READ MORE

  • What is safe to eat after gallbladder surgery?

    About 1 in 3 patients will get diarrhea after having the gallbladder removed. This happens most frequently with fatty, greasy, or oily foods. I have also occasionally heard patients state that dairy will cause problems as well. I typically do not give any strict dietary precautions to my patients. If you eat a food and immediately feel bloated, nauseous, or have diarrhea, I would avoid that food for a week or two before trying to re-introduce it into your diet. Studies say that the symptoms (post-gallbladder removal diarrhea) resolve in up to 99% of people within 3 months. I have found it rare that I have to recommend permanent dietary changes or prescribe medications. READ MORE

  • Will my diabetes cause delay in my healing post a bariatric surgery?

    If anything, your surgery should improve your diabetes! That is one of the great benefits of a weight loss operation. Up to 60% of patients who have a gastric bypass and about 50% of patient who have a sleeve gastrectomy will see resolution of their diabetes. Your glucose control will be much better. Your medication requirements may drop by half even before you leave the hospital. READ MORE

  • Did I cause permanent damage by having sex 3 days after my hernia surgery?

    In general, I tell my patients to avoid activities after hernia surgery that cause pain. Given the sensations you are describing, I would strongly recommend calling your surgeon for evaluation to ensure that you did not disrupt your repair. The pain may just be from the procedure, but ultimately, you want to make sure you do not have a recurrence. READ MORE

  • Are there any risks involved in appendix surgery for a 12 year old?

    All surgery has risks including pain, bleeding, wound infections, and scars. Having an appendectomy is a relatively safe and well-tolerated procedure. Most are done laparoscopically and patients, especially those that are young and healthy, recovery well without any significant side effects. Your son will not miss having his appendix. There are no long-term drawbacks from having it removed. READ MORE

  • I have to undergo an abdominal surgery to remove blockages from my large intestine. What will recovery be like?

    For major abdominal surgery, such as a partial colectomy as you are describing, is about 2-4 weeks to recover about 80% and potentially 8-12 weeks to get back to baseline. Pain and wound healing depends on whether your surgery is being done via an open approach with a single large incision or a minimally invasive approach with several small incisions. The hardest part for most patients to recover from is gaining energy and appetite. READ MORE

  • Should I stop taking my blood thinners before my anal fissure surgery?

    The simple answer is yes. The type of blood thinner you are on will mean a different amount of time you need to stop taking it. Either your surgeon, anesthesiologist, or pre-operative nursing team will guide you in managing your blood thinners. READ MORE

  • Why do I feel so sleepy post my surgery?

    Surgery itself, in addition to whatever pathology led to your surgery, is a huge physiologic insult to your body. It takes time to recover. I tell my patients that energy is the hardest thing to recover after surgery. Even a routine operation like removing a gallbladder or appendix may take 4-6 weeks before your energy level returns to normal. People who have never taken naps in their life will find they need to rest in the afternoon to make it through the day. This is fairly typical. READ MORE

  • How long will my son take to recover from an abdominal surgery?

    Recovery varies depending on which factor you are looking at. This is what I quote my patients (at least for someone who is young and healthy). 1 night in the hospital (occasionally home the same day) Walking the day of surgery In and out of bed, in and out of a car, up and down stairs- immediately. 3-10 business days off work. People who work desk jobs can return earlier than those doing manual labor 5-7 days of no driving. He can return to driving when he does not need to take prescription pain medication during the day, and when he feels comfortable turning from side to side. Strenuous activity (sports, weight lifting, sexual activity) about 2 weeks, but ultimately whenever comfortable About 80% recovered at 2 weeks. Full recovery, meaning appetite and energy return to normal and vague aches and pains of surgery go away, may take about 4-6 weeks. READ MORE

  • My surgery site is really itchy. What should I do?

    Itching is typically a sign of wound healing. When an incision is made, nerves in the skin get cut. Itching is the feeling you get when the nerves heal. Redness may be worrisome. Sometimes it is just a reaction to the sutures, staples, or glue that is used to close the incision. Other times, it is a sign of infection. If the area of redness is growing, if your wound starts draining, if your pain gets worse, or if you start to have fevers, you should contact your surgeon immediately for evaluation. READ MORE

  • How long does my husband need to recover after his appendectomy?

    People who do desk jobs and work on a computer all day can do that whenever they feel like it, generally about 3-10 business day. People who are active or do manual labor may need to wait 2-4 weeks. READ MORE

  • Is it safe to conceive after gastric bypass surgery?

    I tell my patients to wait at least 1 year prior to trying to get pregnant. Ensure that your vitamin and nutrient levels are within normal limits prior to getting pregnant. Your surgeon or primary care doctor should check these levels. If those values look good, there should be no risk of having a baby. READ MORE

  • Why did my blood pressure drop when I was given anesthesia?

    General anesthesia induces vasodilation in peripheral blood vessels. This means that the small arteries and veins get larger and more blood pools in these vessels instead of the larger blood vessels that maintain your blood pressure. This is a known effect and is usually transient and short-lived. There are generally no long-term ill effects from this. READ MORE

  • Can I stop breathing while receiving anesthesia?

    General anesthesia reduces your respiratory (breathing) rate. During most surgeries, a breathing tube will be placed, and a ventilator will breathe for you. You would not have control of your own breathing in this situation. READ MORE

  • Could anesthesia be the reason for my father's confusion?

    It is not uncommon for elderly patients to have some confusion or delirium after surgery. It is not necessary a direct result of anesthesia. Some of it depends on the reason why he had surgery in the first place. Some of it depends what sorts of medications he received before, during, and after surgery. Some of it depends on his sleep-wake cycle after surgery. READ MORE

  • How soon after appendix surgery can I begin exercising again?

    I tell my patients to get up and walk as soon as possible after surgery. Walking on a treadmill, using a bicycle or an elliptical machine are all acceptable forms of activity. I recommend avoiding strenuous activity such as heavy lifting (defined as >20 lbs) for 2 weeks. This will allow your incisions to heal and help avoid getting a hernia. READ MORE

  • What are the risks of a Colectomy?

    The most serious risk of a partial removal of the colon is to get a leak where it is sewn or stapled back together. This is called an anastomotic leak. It can lead to sepsis and require a return to the operating room with a probable colostomy. Other things that can occur include injury to the ureter, the tube that drains urine from the kidney into the bladder. Wound infections at your incisions are also common occurrences. READ MORE

  • How likely is it to throw up from anesthesia?

    Post-operative nausea and vomiting is a relatively common occurrence. If one of your family members has suffered from this, you are more likely to have it. Be sure to speak to your anesthesiologist as there are many strategies that can be used to help prevent it. READ MORE

  • What can I expect from a breast lumpectomy?

    A lumpectomy is typically an outpatient procedure where you come to the hospital in the morning and leave in the afternoon. It is a well-tolerated operation. Women are generally sore for about 5-7 days after surgery. You will likely be sent home with some pain medication. Your incision will be sewn shut with absorbable sutures that do not need to be removed and will be covered with a dressing. You should be able to shower within 24 hours. It is encouraged that you get up and move around rather than lying in bed all day. Talk to your surgeon about any specific recommendations. READ MORE

  • What are the most common side effects of a tumor removal?

    The stomach is a very pliable organ and removing portions of it have relatively minor consequences. In fact, we remove parts of the stomach all the time as part of standard weight loss operations. I presume your friend will not need that much of her stomach removed. It is very common after these operations for patient's to lose their appetite and feel full quickly after eating small amounts, especially initially after surgery. Most patients may lose 10-15 lbs. That being said, as the body adapts, eating habits and appetites return to normal and the weight is regained. READ MORE

  • Is constipation normal after a bypass surgery?

    Constipation is a common complaint after a gastric bypass. 1. Patients have relative dehydration after surgery. Dehydration will dry out your stool and make it harder to have a bowel movement. You should be drinking at least 60 oz of water every day. 2. If you have been taking prescription pain medication (narcotics), these will make you constipated. Two weeks after surgery, you are hopefully taking no pain medication, but if you have to, I would recommend taking Tylenol. READ MORE

  • Gallbladder removal

    If it is safe for you, I would recommend taking anti-inflammatories such as ibuprofen or naproxen. One of the other issues that causes discomfort after surgery is constipation. Ensure that you are having one soft bowel movement daily. If not, start a bowel regimen using colace, miralax, or something else over the counter. I quote my patients that it takes 2 weeks to feel about 80% recovered, but it may take 4-6 weeks to feel normal. READ MORE

  • Retracting testicle in adult following inguinal hernia repair

    Some of the retraction is likely due to scarring and inflammation from surgery. This will shorten the tether on the testicle (the spermatic cord). I’ve only had one patient note this same complaint after surgery, so it’s not very common. I would suspect this should improve as time goes on. If it is bothersome, I recommend talking to your surgeon. READ MORE

  • Anal fissure

    You should see a general surgeon or a colorectal surgeon. Orthopedic surgeons deal with bones and joints. READ MORE

  • What is the post operative care after a gastric surgery?

    I suspect what you are describing is a Nissen fundoplication, the standard anti-reflux operation. This is typically done laparoscopically using a camera with small incisions. The incisions will be covered with surgical glue or tape. He should be able to shower and get the incisions wet as soon as he likes. The dressings will come off on their own in 10-14 days. I typically keep my patients on liquids for about 1 week, and then soft foods for another 1-2 weeks. The stomach can swell where the surgery is done, leading to reflux, regurgitation, nausea, vomiting, and difficulty swallowing. As the swelling decreases, swallowing should improve, and he can progress his diet. It is quite normal to have a decreased energy level and appetite for 4-6 weeks after surgery. Patients lose about 10-15 pounds immediately after surgery, but everyone tends to put it back on. READ MORE

  • My stitches from the surgery hurt as they heal. Is it normal?

    It is normal to have vague aches and pains in an incision for up to 2-3 months after surgery. Itching and burning are common; they are a sign of skin nerve regeneration. Stitches in general can also cause discomfort. If the pain is worsening, make sure to talk to your surgeon. READ MORE

  • How long after an appendix surgery can I resume swimming?

    I would recommend avoiding getting into a pool until your incisions have healed completely, generally about 14 days. I would avoid strenuous activity (like racing) for about 2-4 weeks after surgery. As you resume activity, let pain be your guide. Soreness is typical, but pain is your body telling you to avoid an activity until you are better. The biggest risk is disrupting the repair of the muscle and developing a hernia by being too aggressive with activity early on. READ MORE

  • Will my facial surgery scars always remain?

    Scars can heal over a period of 6-9 months. Facial scars tend to heal a little better due to better blood supply on the face. There is no way to make scars go away completely. If you are unhappy with your appearance, you may choose to see a plastic surgeon about other reconstructive options once all the wounds have healed completely. READ MORE

  • How soon after a c-section is it advisable to walk up the stairs?

    I would tell her that she can walk up stairs whenever she feels comfortable. That is what I tell patients after any abdominal surgery. I wouldn't recommend strenuous activity or heavy lifting (>20 lbs), but things like walking upstairs, getting in and out of a car, and getting in and out of bed are fine. READ MORE

  • After my surgery I am passing traces of blood in my urine. Is it normal?

    What kind of procedure did you have? If it was a urologic procedure (kidney, ureter, bladder) it is quite likely that hematuria (blood in the urine) is expected. I would check with urologist If that’s what you had done. The next question to ask is did you have a catheter in your bladder during or after surgery? If you did, the urethra can be irritated and hematuria is not uncommon for several days after removal. If the answer to both of those questions is no, I would contact your surgeon directly. Hematuria is not expected after most other abdominal operations. READ MORE

  • Are sugar levels taken into consideration during surgery?

    Typically the anesthesiologist will check glucose levels prior to surgery and administer insulin as necessary. For a longer procedure, it will typically be monitored every hour. After the procedure, your blood glucose will be checked every 4-6 hours as appropriate. READ MORE

  • Why are my surgery stitches still not healing?

    Itching is a normal sign of wound healing. It may take 3-4 weeks for the wound to seal completely. Worrisome signs including redness, heat, or drainage from the wound. If you have concerns, I would contact your surgeon immediately for an evaluation. If you have staples or external sutures, it is probably time for them to come out. READ MORE

  • What are the risks of a tracheostomy?

    In the short-term after the procedure, there is a risk that the tracheostomy can pop out before the tract has time to develop. Many times, it requires a return to the operating room to replace. In the long-term, there is a small risk of erosion into the major blood vessels in the neck and upper chest, although I have never seen this happen in my experience. A tracheostomy makes it difficult to swallow, and many times a feeding tube is also required to allow for adequate nutrition. READ MORE

  • Is surgery the only way to remove gallstones?

    The amount and size of gallstones is not a trigger for me to operate or not operate. Your symptoms related to your gallstones are the trigger to operate sooner or later. Typical symptoms include right upper quadrant pain that occurs after meals (especially fatty, greasy, and oily foods), nausea, vomiting, and bloating. If these symptoms come and go, surgery can typically be done in an elective planned fashion. If these symptoms are persistent and last longer than 6 hours at a time, surgery needs to be performed more urgently, and frequently on an emergency basis. Once you have gallstones, they do not go away. There is a medication called cholestyramine that can dissolve gallstones. This medication causes bloating, nausea, and constipation, which for many patients, is worse than their gallbladder symptoms. Furthermore, once you stop the cholestyramine, the stones will typically recur. Surgery is the only definitive treatment. It is typically done via a minimally invasive (laparoscopic) fashion as an outpatient. Patients are sore for about 1-2 weeks and return to full activities and diet within 4-6 weeks. Patients who are working can usually return to work in 3-10 business days. READ MORE

  • How should I choose a surgeon and hospital?

    Ensure that you are surgeon is board-certified in their specialty. Ensure that the hospital is accredited by JCAHO. That should be a minimum criteria for choosing a physician and a facility. Also ensure that both the surgeon and the hospital are in your insurance network unless you are willing to pay cash or out-of-network fees. READ MORE

  • Sex and surgery

    It depends on the kind of surgery you are having. A good rule is when you feel up to performing any kind of strenuous activity, whether that be sex, jogging, or weight lifting, you should be able to return to that activity. If you don't feel up to it, then don't do it. Talk to your surgeon about any limitations specifically related to your procedure. READ MORE

  • How soon before my heart surgery should I stop smoking?

    It is recommended that you stop smoking at least 4-6 weeks before any surgery. In addition to the chronic problems that smoking causes (lung disease, heart disease, etc), smoking severely impairs wound healing and puts you at risk for complications like wound breakdown or wound infections. The longer you stop before surgery, the better for you. READ MORE

  • What risk factors are associated with an abdominal surgery?

    That's a very broad question based on several factors. 1. Is your surgery being performed via an open approach with a large incision or via a laparoscopic (minimally invasive approach) with smaller incisions? 2. Where is the mass located? Depending on if it involves your GI tract, your urinary tract, or the soft tissue can certainly affect the risks. In general, the risks of any surgery including pain, bleeding, infections (wound, urinary tract infections, pneumonia), and scarring. Scarring inside of the abdominal cavity can put you at risk of intestinal adhesions and obstructions in the future. Other risks include hernias at the site of the incision or injuries to intra-abdominal organs such as the colon or the small intestine. Rare complications include things such as blood clots in the legs or lungs (deep vein thrombosis [DVT] or pulmonary embolus [PE]), kidney failure, a heart attack, stroke, or death. The risks for these sort of complications depend on any underlying medical conditions that you may have, but typically range about 1-3 in 1000. READ MORE

  • Since I had my appendix removed, I haven't really had an appetite. Is this normal?

    This is pretty typical. It may take 4-6 weeks for your appetite to return. Most patients will lose 5-10 lbs after surgery, but almost all gain it back. READ MORE

  • Hernia

    Sexual function should not be affected by hernia surgery. Your activity should be limited by pain. If an activity, whether it be sexual intercourse or jogging or lifting, hurts, then you should avoid it until your pain goes away. Difficulties with ejaculation is not a side effect or complication of hernia surgery. Numbness around the incision and sometimes around the inner thigh or scrotum is typical. That loss of sensation improves in most, but not all, people. READ MORE

  • Gallstones

    Symptoms from gallbladder disease tend to occur more frequently and more severely as time goes on. The classic symptoms are related to fatty, greasy, and oily foods, but over time, may occur with any kind of food or drink. I recommend that once you have symptoms related to gallstones that you have your gallbladder removed. Pain in the back may be related to your gallbladder disease. Sometimes the pain radiates from the gallbladder itself. It can also be sign that gallstones have migrated out of the gallbladder and into the ducts (or tubes) that drain the liver and pancreas. If your liver tests are abnormal and you continue to have back pain, talk to your surgeon about performing a cholangiogram, an X-ray of the ducts, to ensure no stones have left the gallbladder. I routinely perform cholangiograms on all my patients, but most surgeons only perform them on a selective basis. READ MORE

  • After surgery what can I do to get rid of the scars?

    If you are having laparoscopic surgery, your incisions will all be about 1 cm or less in length (about the length of a fingernail). They tend to fade away over time and it many patients, are barely, if at all, noticeable. There are lots of over the counter skin care and scar products available, but to the best of my knowledge, none have been proven to be overly successful. That being said, none of them should hurt your scar and feel free to try any of them. READ MORE

  • How should I mentally prepare myself for surgery?

    Surgeons perform surgeries routinely, but patients should never feel like surgery is routine. All surgery, even procedures considered minor, should be considered a big deal. Know that your team of care providers have all received years of education and training. Make sure the physicians and hospital have all the appropriate credentialing to be able to provide care to you safely. Anesthesia these days is extremely safe. I would not be concerned about anesthesia. if I had to be put to sleep or if any of my family members would be put to sleep. Know that surgery is never pain-free. The key is to identify an appropriate pain level that you will be able to tolerate. If your pain level is 0 and you are taking a lot of narcotics, you are probably taking too many and are at risk for an overdose. Pain is only temporary and it gets better over time. READ MORE

  • What does a hernia surgery involve? What is the usual recovery period from the surgery?

    A hernia is a hole in the tissue layers of the abdominal wall. Depending on the location, size, and complexity of the hernia, it may be repaired via an open approach with a long incision or a minimally invasive approach via multiple small incisions. The repair involves reducing the hernia sac and its contents back in the abdomen and reinforcing the hole with a piece of mesh to prevent the hernia from recurring. Typical recovery from a minimally invasive approach is about 2-4 weeks, and an open approach is about 4-8 weeks. A lot of the recovery time depends on how many symptoms you have prior to surgery and the size of the hernia itself. The location of the hernia has a bearing as well- groin hernias tend to heal faster than hernias around the belly button. READ MORE

  • Is bariatric surgery painful?

    Bariatric surgery is performed via a minimally invasive approach. While not pain-free, patients generally tolerate it very well. I typically will prescribe only 5-7 days of prescription pain medication after surgery; after that, most patients take tylenol alone for the pain. READ MORE

  • Does sex after surgery carry any risks?

    I typically recommend no strenuous activity (sex, lifting more than 20 lbs, aggressive exercising) for about 2 weeks after surgery. Let pain be you and your husband's guide. If an activity causes pain or discomfort, you should avoid that activity until the symptoms go away. READ MORE

  • What are the chances that my stitches could get infected after a surgery?

    There is always a small chance of a wound infection after bariatric surgery. The medical literature suggests that the rate is a little <1% for a sleeve gastrectomy and about 1.5% for a gastric bypass. Treatment typically includes removing sutures and allowing the wound to drain as well as oral antibiotics. READ MORE

  • I have been putting on weight around my abdomen after my bypass surgery. Why?

    Every patient tends to gain a little weight back after surgery. The typical time period for weight loss is around 12-18 months. You may gain up to 30% of your weight back over time, but studies have shown that even out to 20 years, weight loss can be sustained after a gastric bypass. Your GI hormone regulation will change as time goes on. You will start to feel hungry again. You will not feel full as quickly. I recommend that all patients start by keeping a food journal. Make sure to track your calories and your protein intake. I recommend to all my patients that even after surgery when they have reached their goal weight, that they only consume 1000-1200 calories per day to maintain their weight. You should also be consuming at least 60 grams of protein per day. You may find that you are not adhering to these recommendations by eating too many calories by substituting carbohydrates for protein. The other simple way to start looking at your weight loss or weight regain is to see how much activity you are doing. People who exercise more tend to lose more weight and keep more weight off. I recommend at least 30 minutes per day of some activity. Some patients with weight regain may benefit from weight loss medications such as Phentermine, Belviq, or Qsymia. I would speak to your surgeon about this as an option. READ MORE

  • What are the side effects of bariatric surgery?

    There are different complications depending on the type of surgery that you are having done. Most operations are restrictive, meaning they decrease the size of your stomach and restrict the amount of food you can eat at any given time. Your ability to eat a normal-sized meal will forever be altered. The operations are essentially irreversible. Other side effects, at least for the first 9-18 months, include a decreased appetite and early satiety (feeling full quickly). If you do not maintain a low-fat, low-sugar diet, you will be at risk for dumping syndrome, which is characterized by nausea, bloating, and diarrhea. Many people develop acid reflux after a sleeve gastrectomy, but this may improve over time. Nausea, vomiting, and bloating are all common effects, especially in the early phases after surgery. There are also specific risks of surgery related to each procedure that are not necessarily long-term side effects. READ MORE

  • How do I manage my husband's stomach disorders after his gall bladder surgery?

    It depends on what his symptoms are. One of the most frequent problems after a cholecystectomy (gallbladder removal) is called post-cholecystectomy dumping. This typically occurs after eating a fatty and greasy meal. It leads to nausea, bloating, and diarrhea. It can be managed with dietary changes. Occasionally, a medication called cholestyramine may be prescribed to help bind the bile. READ MORE

  • Is acid reflux normal after gall bladder surgery?

    It is not uncommon to have some bile reflux after surgery. I have also seen patients whose symptoms of acid reflux were masked by the severity of the gallbladder disease. Once their gallbladder was removed and they were no longer having pain, their reflux symptoms were much more noticeable. It could also be a completely separate problem. I would speak with your doctor about it. READ MORE

  • What is the recovery period for laparoscopic surgery?

    Recovery from surgery largely depends on what the type of surgery it is, not necessarily that it is laparoscopic or not. Even though laparoscopic surgery is done through small incisions, a significant amount of work can be done inside of the abdomen. The incisions themselves are typically sore for about 2-4 weeks. In general recovery is much faster and easier than a traditional open operation. I would say that recovery can be anywhere from 10 days to 2 months depending on what is done. READ MORE

  • For a diabetic patient with gangrene in one toe, is foot amputation the only option?

    With the information provided, it has to say if a foot amputation (or a below knee amputation) is what is being recommended. Gangrene typically does not respond to conservative measures alone such as antibiotics and wound care, and does require an amputation. The amount of infection in the toe and how far it extends up the foot are two factors that are considered when offering an amputation. If the blood supply to the foot is poor, no amount of care in the foot will be sufficient to heal a wound or a toe amputation, leading to a higher amputation in the future. No surgeon offers an amputation lightly or as an easy fix, so I would heed the advice of the surgeon. READ MORE

  • What is robotic surgery and how does it work?

    Robotic surgery is also known as robotic-assisted laparoscopic surgery. The Da Vinci robot made by Intuitive is a special machine that is controlled completely by the surgeon who is sitting at a console. It is a special way to do minimally invasive surgery. Studies have not yet been conclusive as to the full range of benefits, but the thought is that it can decrease post-operative pain and allow the patient to return to work faster. In my extensive use of the technology, I believe that allows me to perform more operations with a minimally invasive technique, rather than performing an open operation with a large incision. Any procedure that can be done with a traditional laparoscopic approach can also be performed using robotic-assistance. At no time does the robot work autonomously; the four arms are always under the control of the surgeon. READ MORE

  • My pregnant wife has been recommended gall bladder removal surgery. When can we do it?

    It is ideal to wait until after the pregnancy to operate. If surgery is necessary, the second trimester (months 4-6) is the best time to operate as it is safest for the baby. Surgery can still likely be done via a minimally invasive approach (laparoscopically). READ MORE

  • My hernia has developed again. Should I get it operated on?

    Is the hernia in your groin or around your belly button? Was mesh placed the first time or was the hernia repaired only with sutures? I would typically recommend a different approach to fixing a hernia the second time. Do you have any risk factors for forming hernias- factors that increase pressure inside your abdomen, such as obesity, a chronic cough from smoking, chronic constipation, or difficulty urinating due to prostate problems? READ MORE

  • Is diarrhea and pain after a surgery normal?

    Post-cholecystectomy dumping can occur in about 1/3 of patients after having their gallbladder removed. The function of the gallbladder is to store bile; bile helps us digest fatty foods in our diet. Without a gallbladder to store the bile, there is a larger amount of bile within the intestinal tract. This leads to irritation of the colon and thus diarrhea. Over time, your body will produce less bile and will become more efficient at absorbing extra bile. The dumping typically resolves within 3 months in 99% of patients. Very rarely, a medication called cholestyramine (Questran) can be prescribed to absorb bile and decrease the diarrhea. READ MORE

  • Stone in my appendix?

    A stone in your appendix is also known as an appendicolith. These can serve as a cause of appendicitis. Do you have right lower quadrant pain? Was this the reason why you had the CT scan? If so, you may need to consider having an appendectomy. READ MORE

  • Do I need surgery for gallstone removal?

    There is a medication called cholestyramine that may cause gallstones to dissolve. The medication is not very effective and can cause as many side effects and symptoms as the gallstones. I typically do not recommend medication as a treatment method. Surgery to remove the entire gallbladder (not just the stones) is the recommend course of treatment for symptoms related to gallstones. READ MORE

  • With respiratory problem, is it wise to plan gallbladder operation?

    Surgery can typically be performed safely, provided that your asthma is optimized. I would visit with your primary care provider, lung doctor, or allergist who manages your asthma prior to your surgery to ensure there are no tests that need to be performed or changes to your medications that need to be made. READ MORE

  • Can I have sex after 13 days of hernia surgery?

    I tell my patients to let pain be your guide. If it hurts, do not do that activity, regardless of whether it is sex, jogging, biking, etc. Do not try to "power through" any activity if it causes discomfort. The hernia is about 90% healed at 2 weeks and 97% healed at 4 weeks. Unless you are trying to injure yourself, it would be hard to disrupt your repair. I would recommend discussing this with your surgeon directly in case there are subtleties to your operation that would require further rest. READ MORE

  • I have pain in the inguinal hernia surgery wound. Is re-surgery necessary?

    There are several reasons to develop pain at the site of a previous inguinal hernia repair. Do you have a bulge? A recurrence of your hernia can cause pain. Nerve entrapment due to the mesh placed at the time of your repair can also cause persistent pain. That may respond to oral medications, injections by a pain specialist, and rarely, surgery to remove the nerve that provides sensation to the skin along where your incision is. Persistent pain occurs in a small percentage of patients. It is most common in patients who had significant pain prior to their surgery. I would discuss your symptoms with the surgeon who performed your operation. READ MORE

  • Quitting smoking before surgery?

    Quitting smoking is good prior to any surgery for a variety of reasons. If you are going to have general anesthesia with a breathing tube, smoking puts you at risk of having respiratory complications. Smoking also puts you at risk for having heart disease, which can manifest unexpectedly during surgery. Lastly, smoking can put you at risk of having wound healing problems. READ MORE

  • Having my gallbladder removed - will my life be different after?

    You should not need to restrict your diet significantly after surgery. About 1/3 of patients will get diarrhea after surgery, especially when eating fatty, greasy, or oily foods. If this does occur, it resolves in 99% of people within 3 months. I have had 1 of my last 200 patients that have had their gallbladder removed require medication for this problem. What was a healthy diet for you before surgery should remain a healthy diet for you after surgery. READ MORE

  • Off and on lower right abdominal pain

    It's uncommon to get chronic symptoms related to your appendix. Typically, patients get sudden onset of pain that does not resolve without treatments (usually surgery). I have seen a few patients get recurrent episodes. A CT scan may be warranted to better evaluate your pain. READ MORE

  • I had back surgery. Should I see a chiropractor or avoid it?

    That question would be better served by asking an orthopedist or a spine surgeon; unfortunately that is not my area of expertise. READ MORE

  • Nausea after surgery

    You should definitely have a discussion with your surgeon and anesthesiologist about your post-operative nausea and vomiting (PONV). A scopolamine patch can be placed 1-3 days prior to surgery. Emend, an anti-emetic, can be prescribed and taken by mouthy on the night before surgery. Steroids can be given during surgery. Narcotics (also known as opiates or pain medications such as hydrocodone, morphine, and hydromorphone) can cause lots of nausea as well. There may be other pain medications that work in conjunction with narcotics to lower the overall dosing of such medications. READ MORE

  • Can a colostomy bag ever be removed?

    It depends on the reason the colostomy was performed, but most (not all) are typically reversible. Surgeons will wait at least 3-6 months prior to considering a reversal of a colostomy. A lot does depend on the type of colostomy and the indication for performing it in the first place. READ MORE

Areas of expertise and specialization

General and Bariatric Surgery

Faculty Titles & Positions

  • Medical Director of Robotic Surgery Medical City Dallas Hospital 2016 - 2016
  • Chair of the Advanced Clinical Advisory Board Medical City Dallas Hospital - 2016
  • Section Chief for General Surgery Medical City Dallas Hospital 2019 - 2019


  • Top10MD 2019 Top10MD 
  • Top10MD 2018 Top10MD 
  • Top10MD 2017 Top10MD 

Professional Memberships

  • Texas Association for Bariatric Surgery  
  • American Society for Metabolic and Bariatric Surgery  
  • Society of American Gastrointestinal and Endoscopic Surgeons  


  • Minimally Invasive and Bariatric Surgery, University of Texas Southwestern Medical Center

Professional Society Memberships

  • Society of American Gastrointestinal and Endoscopic Surgeons, American College of Surgeons, Texas Medical Association, Dallas County Medical Society

What do you attribute your success to?

  • Good training and availability

Hobbies / Sports

  • Spending Time With Family

Dr. Michael Sutker, MD's Practice location

Michael Sutker, M.D., P.A.

7777 Forest Ln Suite A 331 -
Dallas, TX 75230
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Michael Sutker, MD, PA

4510 Medical Center Drive 302 -
McKinney, TX 75069
Get Direction
New patients: 972-566-7860

Practice At 5201 Harry Hines Blvd

5201 Harry Hines Blvd -
Dallas, TX 75235
Get Direction
New patients: 214-590-8058

Request An Appointment With Dr. Michael Sutker, MD | Surgeon

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Dr. Michael Sutker, MD's reviews

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Patient Experience with Dr. Sutker


Based on 66 reviews

Dr. Michael Sutker, MD has a rating of 5 out of 5 stars based on the reviews from 66 patients. FindaTopDoc has aggregated the experiences from real patients to help give you more insights and information on how to choose the best Surgeon in your area. These reviews do not reflect a providers level of clinical care, but are a compilation of quality indicators such as bedside manner, wait time, staff friendliness, ease of appointment, and knowledge of conditions and treatments.
  • Monica

    Doctor Sutker was great and explained everything really well.

  • Michael

    Absolutely great!

  • Ernest bore n


  • Morgan

    I came in through the Er so had no prior experience with the Dr. He has been very attentive, caring and helpful with all of my questions and concerns.

  • Casey

    Dr. Sutker is so attentive. He provides exceptional support!

  • (4)

    Amazing doctor and staff!

  • Michael

    Excellent bedside manners. Excellent care

  • Dorothy

    Great Doctor very professional

  • Ronda

    He saved my life! What's a better review than that.?

  • Dorothy

    Excellent care. Excellent bedside manners

  • Robert


  • Nighat

    He did good Job

  • Damon

    Excellent doctor . Kind and understanding. Gave great advice to help my problem.

  • Robert

    He was fantastic.

  • Ana


  • Carol

    Dr. Sutker was very knowledgeable, kind, professional and considerate. He made me feel relaxed and that he cared for me and my anxiety and that I was a person not a number.

  • Elliot

    I found dr sutker to be very professional but still personable. He answered all of my questions truthfully.

  • (5)

    Great :)

  • Abba

    A bit of a wait but worth it. I felt the doctor really listened and addressed my concerns. Also knowledgeble.

  • Phyllis

    Good care. Talked me and answered all my questions.

  • (5)

    Easy to talk to and doesnt Rush

  • Elizabeth

    Excellent care.

  • Leticia

    I was very satisfied with the Doctor.

  • Ada

    Great doctor.

  • Antoinette

    Dr. Sutker is a wonderful surgeon. I feel so much better since my surgery. He is a great Dr.

  • Glen

    Great job

  • Samer

    10 greatest Doctor

  • (5)

    Very thorough explanation and treatment plan.

  • Kim

    Everything is good

  • Stanley


  • Carrie

    Excellent bedside manner. Made me feel very comfortable and at ease.

  • Kurt

    Great experience great staff. Would definitely recommend!

  • Maria

    Thank you dr sutker for doing my surgery everything came out great

  • (5)

    Great doctor and staff

  • Sudtida

    The experience seeing the doctor has been good.

  • Leon

    A good review great dr

  • Ken

    I received excellent care from Dr Sutker. He is very competent and cares for his patients. Medical City is very lucky to have a doctor with his abilities and compassion at their facility. Thanks to Dr Sutker and his staff for taking care of me.

  • Mark


  • Alvin

    Real good

  • James

    Excellent Doctor!

  • Kathryn

    Great and quick, not a long wait, very nice

  • (5)

    Good orientation and very personable. Very informative and polite.

  • Kenneth

    Great doctor

  • (5)

    Great service

  • Jose

    From having a bad experience at another hospital. I came to Medical City and went under emergency surgery. Dr. Sutker was such a blessing. He was very nice and friendly and informative. His staff has also been very nice and attentive as well. I'm so glad I chose to come here.

  • Ovetta

    Beautiful office and great care. Doctor understands my medical needs.

  • Ronald

    Very knowledgeable and informational set up appointment in a timely manner.

  • Ronald

    Very knowledgeable and informational set up appointment in a timely manner.

  • (5)

    Good orientation and very personable. Very informative and polite.

  • Kenneth

    Great doctor

  • (5)

    Great service

  • Jose

    From having a bad experience at another hospital. I came to Medical City and went under emergency surgery. Dr. Sutker was such a blessing. He was very nice and friendly and informative. His staff has also been very nice and attentive as well. Im so glad I chose to come here.

  • (5)

    Answered all questions. Great bed side manner and smile.

  • (4)

    The doctor did an excellent job for me. Very pleased.

  • (5)

    Answered all questions. Great bed side manner and smile.

  • Angela

    Great üòÄ

  • (4)

    Need magazines in the waiting and Doctor rooms.

  • Seneca

    This visit was one of the best I've ever had, everyone was friendly and made me feel welcomed.

  • James

    Very pleasant, and knowledgeable

  • Nick

    Worthwhile and informative bariatric surgery consultation

  • Debbie

    Excellent experience. Dr. Sutker is personable, professional, spends time explaining and answering questions. I would refer patients to him without question.

  • Tiffany

    Very knowledgable and great bedside manners. Ability to answer all questions and make you feel comfortable trusting him for your medical needs.

  • Shira

    Professional and caring doctor and office staff.

  • Maria

    My surgery went well...so glad. Now I can wake up every morning without any stomach ache üòäüòäüòä

  • (5)

    Very personable and part of the new generation of physicians.

  • Chad

    This place is awesome. Thanks for all y'all have done for me.

  • + Show More

Media Releases

Get to know General Surgeon Dr. Michael Jason Sutker, who serves patients in Texas.

Dr. Sutker is a board-certified general surgeon who specializes in treating general surgery conditions with minimally invasive techniques, mostly utilizing robotic-assisted laparoscopy. He opened his practice, Michael Sutker, M.D., P.A., at Medical City Dallas in 2014 where he is the Medical Director of the Robotic Surgery Program & Section Chief for General Surgery.

At the beginning of 2019, he started a second office at Medical City McKinney to bring his skills and expertise to that area. Dr. Sutker is also a part of the Surgical Consultants of Dallas, LLC, and he maintains close ties with associate surgeons, including Dr. Sue Jiang, Dr. Christopher Bell, and Dr. Dina Madni.

A Plano, Texas native who graduated from the University of Texas at Austin, Dr. Sutker earned his medical degree from the University of Texas Southwestern Medical School in Dallas. He then went on to complete his general surgical internship and residency at the same educational venue. He received additional fellowship training in minimal invasive and bariatric surgery at the University of California, San Francisco Medical Center. 

Skilled in the repair of abdominal wall defects, the doctor is board-certified in general surgery by the American Board of Surgery, an independent, non-profit organization located in Philadelphia, Pennsylvania, founded for the purpose of certifying surgeons who have met a defined standard of education, training, and knowledge. 

In addition, he is board-certified in obesity surgery by the American Board of Obesity Medicine, which is a 501 nonprofit, self-appointed physician-evaluation organization that certifies physicians practicing obesity medicine.

Attributing his success to good training and availability, he has received specialty training in the surgical treatment of obesity, gastro-esophageal reflux disease, esophageal motility disorders, paraesophageal hernias, and inguinal and ventral hernias. He also has an extensive practice in emergency general surgery, managing problems such as appendicitis, cholecystitis, diverticulitis, and small bowel obstructions.

Remaining at the forefront of his challenging specialty via memberships with professional organizations, Dr. Sutker is a member of the American College of Surgeons (Fellow), the Society of American Gastrointestinal and Endoscopic Surgeons, the American Medical Association, the Texas Medical Association, the Texas Association for Bariatric Surgery, the American Society for Metabolic and Bariatric Surgery (Fellow), the Dallas County Medical Society, and the Obesity Medicine Association.

He maintains the highest levels of accreditation and pursues ongoing education to stay abreast of the latest trends in the medical field. He also participates in regular continuing medical education and attends local and national conferences to stay abreast of new research and surgical techniques.

General surgery is a surgical specialty that focuses on abdominal contents including the esophagus, stomach, small bowel, colon, liver, pancreas, gallbladder, appendix and bile ducts, and often the thyroid gland. A general surgeon performs a wide range of abdominal surgeries for many forms of intestinal and abdominal wall neoplasms, gallbladder disease, gastric and pancreatic disease. They follow the patient through critical care and surgical recovery all the way to outpatient care. 

Among his numerous accolades, Dr. Sutker is the recipient of Patients’ Choice Award (2015, 2016, 2017, 2018), On-Time Doctor Award (2015, 2016, 2017, 2018), and Compassionate Doctor Recognition (2015, 2017).

Outside of practicing medicine, he enjoys spending time with family.

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You have arrived at your destination, on the right



Head northwest on Park Central Drive 167 ft
Make a U-turn onto Park Central Drive 351 ft
Continue onto Park Central Drive 193 ft
Turn left onto Forest Lane 1385 ft
Turn right onto North Central Expressway 157 ft
Take the ramp on the left 1066 ft
Merge left onto North Central Expressway (US 75) 1.4 mi
Take the ramp on the right towards Walnut Hill Lane 1096 ft
Go straight onto North Central Expressway 1023 ft
Turn left onto Walnut Hill Lane 4581 ft
Make a U-turn onto Walnut Hill Lane 308 ft
You have arrived at your destination, on the right



McKinney Village Pkwy, McKinney, TX 75069, USA
Head northwest
210 ft
Turn right
52 ft
Turn left
0.1 mi
Sharp left
0.1 mi
Slight right
0.6 mi
Take the US 75 S exit toward Dallas
0.2 mi
Merge onto S Central Expy
1.6 mi
Take the ramp on the left onto US-75 S
0.7 mi
Take exit 36 toward Exchange Pkwy/Allen Dr
0.2 mi
Merge onto Central Expy N
0.4 mi
Keep right to stay on Central Expy N
0.4 mi
Turn right
0.1 mi
Turn leftDestination will be on the right
102 ft
1105 N Central Expy, Allen, TX 75002, USA



McKinney Village Pkwy, McKinney, TX 75069, USA
Head northwest
210 ft
Turn right
52 ft
Turn left
0.1 mi
Sharp left
0.1 mi
Take the SRT, Sam Rayburn Tollway S ramp on the left
0.3 mi
Merge onto TX-399 Spur W
0.5 mi
Continue onto TX-121 S
0.4 mi
Continue onto Sam Rayburn TollwayPartial toll road
2.4 mi
Take the exit toward Alma DrToll road
0.2 mi
Merge onto TX-121 S
0.6 mi
Turn right onto Alma Rd
3.3 mi
Turn left onto S Stonebridge Dr
0.2 mi
Turn right
135 ft
Turn rightDestination will be on the left
59 ft
2801 S Stonebridge Dr, McKinney, TX 75070, USA



McKinney Village Pkwy, McKinney, TX 75069, USA
Head northwest
210 ft
Turn right
52 ft
Turn left
0.1 mi
Sharp left
0.1 mi
Slight right
0.2 mi
Take the exit toward U.S. 75 N/TX-121 N/Sherman
0.2 mi
Merge onto S Central Expy
0.5 mi
Slight left to stay on S Central Expy
1.7 mi
Take the Texas 121 ramp on the left
0.2 mi
Merge onto US-75 N
0.9 mi
Take exit 41 toward Greenville/Denton/U.S. 380
0.3 mi
Merge onto N Central Expy
0.2 mi
Turn left onto W University Dr
2.7 mi
Turn right
0.1 mi
Turn right
46 ft
Turn left
236 ft
Turn leftDestination will be on the right
177 ft
5236 W University Dr, McKinney, TX 75071, USA



Head east on Amelia Court 622 ft
Continue slightly left onto Amelia Court 108 ft
Turn left onto Medical District Drive 370 ft
Turn left onto Harry Hines Boulevard 848 ft
Turn right onto Lofland Street 124 ft
Make a slight right 306 ft
You have arrived at your destination, on the left



Head east on Amelia Court 622 ft
Continue slightly left onto Amelia Court 108 ft
Turn left onto Medical District Drive 370 ft
Turn left onto Harry Hines Boulevard 1.1 mi
Make a U-turn onto Harry Hines Boulevard 159 ft
You have arrived at your destination, on the right



Head west on Amelia Court 731 ft
You have arrived at your destination, on the right