Dr. Ahmed Elwahidi
Bariatric & Laparoscopic Surgeon

Not every surgical condition requires an operation. The decision
is based on your symptoms, medical history, physical examination
and, when necessary, imaging, laboratory tests or endoscopy.
Non-surgical treatment may be recommended when it can manage the
condition safely and effectively.

Surgery is considered when it provides a clearer clinical
benefit, treats the underlying problem, reduces the risk of
complications or when conservative treatment has not been
successful. The benefits, risks and alternatives are discussed
before any treatment decision is made.

Procedure selection is individualized and is not determined by
weight or BMI alone. Options may include sleeve gastrectomy,
Roux-en-Y gastric bypass, one-anastomosis gastric bypass and
selected revisional procedures.

The recommendation considers weight-related conditions, reflux,
eating patterns, previous surgery, anatomy, nutritional risk and
long-term goals. A complete clinical, metabolic and nutritional
assessment is required before selecting the most appropriate
procedure.

Laparoscopic surgery is performed through several small incisions
using a camera and specialized instruments, while open surgery
requires a larger incision. When appropriate, laparoscopy is
commonly associated with less postoperative discomfort, a
shorter hospital stay and a quicker return to normal activity.

Open surgery may still be safer for certain complex or emergency
cases. Recovery depends on the operation, its complexity and the
patient’s general health, so an individualized recovery timeline
is provided during the consultation.

A colorectal and proctology surgeon treats conditions affecting
the colon, rectum and anal region. These may include hemorrhoids,
anal fissures, anal fistulas, perianal abscesses, pilonidal sinus
disease and other inflammatory or infectious anorectal
conditions.

Treatment may be medical, laser-based, minimally invasive or
surgical depending on the diagnosis, anatomy and severity of the
condition.

The consultation includes a detailed review of your symptoms,
medical history, medications, allergies, previous operations and
available results, followed by a focused clinical examination.
Additional laboratory tests, imaging or endoscopy may be
requested when clinically indicated.

If surgery is recommended, the diagnosis, alternatives, expected
benefits, possible risks and recovery plan are explained.
Preparation may include an anesthesia assessment, medication and
fasting instructions, preoperative testing and hospital
coordination.

Yes. Follow-up is planned according to the procedure and your
individual recovery. After general surgery, appointments may
assess wound healing, symptoms, pain control, diet, activity,
test results and possible signs of complications.

Bariatric surgery requires structured long-term follow-up
covering weight and metabolic progress, nutrition, hydration,
protein intake, vitamin and mineral supplementation and periodic
blood tests.