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Dr. Harsh J Shah

Day of Weight-Loss Surgery: What Really Happens?

Last updated: 06-Nov-2026

Dr Harsh Shah, stomach and gastro surgeon, Ahmedabad

Dr Harsh Shah
MS, MCh (Surgical Gastroenterology), DrNB (Surgical Gastroenterology)
Registered with Gujarat Medical Council, Reg. No. G-38738
Stomach & Gastro Surgeon
Dr. Jivraj Mehta Hospital, Vasna, Ahmedabad · 18 years of experience

In short

You stop eating the night before, reach the hospital in the morning, and have a keyhole operation under general anaesthesia. You are asleep throughout.

You wake in a recovery room, are walking within hours, and take sips of water on the same day. Most people go home in two to three days.

Your family waits outside, and the team updates them after the operation. Bring your reports, your medicine list and your breathing machine if you use one.

Who can have weight-loss surgery, the tests and the follow-up are explained on our bariatric and metabolic surgery page. This post covers one question: what happens on the day itself.

What should you do the night before and that morning?

Follow the fasting time we give you, take only the medicines we have approved, and bring your files. A calm, prepared start makes the day smoother.

  • Stop solid food at the time we tell you. Clear water is allowed up to a set hour, and then nothing by mouth.
  • Take the tablets we have agreed on with a sip of water. Blood thinners, diabetes medicines and insulin need a written plan from us beforehand.
  • Bathe, remove nail polish, jewellery and contact lenses, and wear loose clothes.
  • Bring your reports, your medicine strips, your ID, and your sleep apnoea machine if you have one.
  • Arrange for a family member to stay in the hospital all day.

If you develop a cough, fever or loose motions the day before, call us. We may delay the date, because anaesthesia is safer when you are well.

What happens when you reach the hospital?

You are admitted, checked, and prepared in a short series of steps. Each step has a reason, and you can ask about any of them.

A nurse checks your pulse, blood pressure, oxygen level and blood sugar. Dr Harsh Shah meets you, and confirms the operation you have chosen. You sign the consent form again, after a last chance to ask questions.

The anaesthetist reviews your tests and your breathing. A drip is placed in your hand, and elastic stockings or leg pumps go on to guard against clots. A small dose of a blood thinner may be given before surgery.

What happens in the operating theatre?

Under general anaesthesia, the surgeon works through a few small cuts using a camera. You feel nothing during the operation and remember nothing of it.

The surgeon fills the abdomen with gas to make room, and passes thin instruments through small cuts. For a sleeve, most of the stomach is removed. For a bypass, a small pouch is made and joined to the small bowel.

Before the operation ends, the join or staple line is checked for leaks. A thin drain is sometimes left in the abdomen. The cuts are closed with fine stitches, and the whole operation usually takes one to two hours.

How does the day go, hour by hour?

A typical timeline for the day of weight-loss surgery
WhenWhat happensWhat you do
Early morningAdmission, checks, consent and dripStay fasting, ask your questions
Before surgeryAnaesthetist meets you; stockings fittedTell the team about allergies and past reactions
In the theatreKeyhole operation under anaesthesiaNothing; you are asleep
Recovery roomMonitoring of breathing, pulse and painBreathe deeply, tell the nurse about pain or nausea
Back in your roomDrip fluids, pain and nausea medicinesSit up, move your legs, use the breathing exerciser
Later that dayFirst walk with help; sips of water if allowedWalk a few steps, rest, sip slowly
EveningReview by the surgical teamReport pain, vomiting, breathlessness or chest discomfort

Your own timeline may shift a little. We tell you what to expect for your own operation at the visit before the date.

What do you feel when you wake up?

Expect to feel sleepy and sore, with some nausea and shoulder discomfort. These feelings settle, and the team treats each of them.

Sleepiness and a dry throat. These pass within a few hours. A tube in the windpipe is used during anaesthesia, so a sore throat is common for a day.

Soreness and shoulder pain. The cuts are sore, and the gas used in surgery can ache in the shoulder. Walking helps the gas settle. We give regular pain medicines so that you can breathe and move.

Nausea. Anti-sickness medicines are given. Vomiting needs a report to the nurse, because the new stomach is small and cannot be strained.

Walking early lowers the risk of clots and chest infection. The first steps are with a nurse beside you. After that, you should walk every few hours, even if only to the door of your room.

Sips of water begin when the team says so, usually the same day or the next morning. Take them slowly. Gulping can cause pain and vomiting.

When should you call us after you go home?

Call us at once for fever, a racing heartbeat, severe belly pain, breathlessness, a swollen painful leg, or if you cannot keep any fluids down.

  • Fever, or a pulse that stays fast even at rest.
  • Pain that grows worse rather than better.
  • Breathlessness, or chest pain.
  • A calf that is swollen, red or painful.
  • Repeated vomiting, or no fluids kept down for a day.
  • Redness, pus or bleeding from a cut.

Most people recover without trouble. Knowing these signs helps us treat the rare problem early. Our post on eating after weight-loss surgery explains how food returns over the following weeks.

Frequently asked questions

When do I stop eating and drinking?

We give you a written time. Solid food stops the night before, and clear water is allowed up to a set hour. After that, nothing goes by mouth until the team says so.

Should I take my usual tablets that morning?

Take only the ones we have approved, with a sip of water. Blood thinners, diabetes tablets and insulin need a written plan from us before the day, so ask at your visit.

How long does the operation take?

A sleeve or a bypass usually takes one to two hours. You will be in the theatre and the recovery room for longer than that, because preparation and waking up take time.

Will I have a tube or a drain?

Some people have a thin drain in the belly for a day or two, and a catheter in the bladder for a short time. Not everyone needs them. We tell you what to expect before the date.

When will I get out of bed?

Usually within a few hours of waking, with a nurse beside you. Early walking lowers the risk of leg clots and chest infection, and it helps the gas used in surgery settle.

Can a family member stay with me?

Yes. One family member can usually stay in the hospital with you. They wait outside during the operation, and the team speaks to them once it is over.

When will I be allowed to drink?

Sips of water begin when the team says so, often the same day or the next morning. Take them slowly. Gulping can cause pain and vomiting.

Related pages

For the full range of weight-loss and metabolic surgery, start at the bariatric and metabolic surgery page. For questions before you travel, call +91-63555-64601.

Where Dr Harsh Shah sees patients and operates

Dr Harsh Shah — Dr. Jivraj Mehta Hospital, Vasna, Ahmedabad
Dr. Jivraj Mehta Hospital, Dr Jivraj Mehta Marg, Vasna, Ahmedabad 380007.
Consultations, review of reports and scans, operations and follow-up. OPD Monday to Saturday, 9 am to 5 pm.
Appointments: +91-63555-64601 · +91-63590-11009 · Hospital 079-2663 6363
Directions to the hospital · WhatsApp +91-63555-64601

Worried about the day of your weight-loss operation? Dr Harsh Shah explains each step before you are admitted, so nothing on the day comes as a surprise. Book a visit and bring your reports to the consultation. You can also call, or message us on WhatsApp. Call +91-63555-64601 Ask on WhatsApp

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Dr. Harsh J Shah
Dr Harsh Shah, Gastro, Cancer & Laparoscopic Surgeon, Ahmedabad
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