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Interested in bariatric surgery? Register for a free weight loss surgery seminar to review your options. Held in-person at Weight Management Center in Columbia, South Carolina.


Can't make it to a seminar? Watch our online webinar and we'll contact you to schedule an appointment and begin your weight loss journey. Our updated webinar is now available on mobile devices.

Weight loss options

Offering more procedures than any other weight loss center in the region

Surgical options

Surgical weight loss procedures

Gastric bypass surgery
Gastric bypass diagram

Gastric bypass is a combination procedure using both restrictive and malabsorptive elements. With this surgery, first the stomach is stapled to make a smaller pouch. Additionally, part of the small intestine is bypassed causing you to absorb less of the food you eat. The result is that you cannot eat as much and you absorb fewer calories and nutrients.

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Gastric sleeve surgery
Gastric sleeve diagram

Sleeve gastrectomy is rapidly gaining popularity as an effective weight loss surgery. The surgery involves removing a substantial portion of the stomach, so that patients feel full after smaller meals. The weight loss resulting from sleeve gastrectomy can rival that seen with gastric bypass surgery.

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Gastric banding surgery (LAP-BAND or Realize bands)
Gastric banding diagram

Adjustable gastric banding restricts the amount of food the stomach can hold by placing an inflatable silicone band around the upper part of the stomach. The new, smaller pouch limits the amount of food that can be consumed at one time, and a narrowed stomach outlet increases the time it takes for the stomach to empty. Both factors result in weight loss.

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Laparoscopic bilary pancreatic diversion with duodenal switch surgery
Laparospcopic bilar pancreatic diversion with duodenal switch surgery diagram

We are proud to be one of the fewest centers in the United States to offer the Biliary Pancreatic Diversion with Duodenal Switch (BPD with DS). This is a standard bariatric procedure that has been performed for over 30 years and has the highest associated excess weight loss of all approved operations. Patients can reasonably expect to achieve excess weight loss of approximately 80 to 85 percent, which allows patients with BMI over 50 to achieve a healthy weight.

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Modified duodenal switch (SIPS)
Modified duodenal switch (SIPS)diagram

The Modified DS with Single Anastomosis (SIPS/SADI) procedure combines both restrictive and malabsorptive surgical components that allow patients to maximize weight loss quickly and maintain weight loss long term. It involves creating a gastric sleeve followed by a re-routing of the intestines.

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Non-surgical options

Non-surgical weight loss procedures (endoscopic)

At The Weight Management Center, we continue to provide more variety of options for patients who are interested in lifestyle changes and weight loss but less invasive non-surgical tools to help them accomplish their goals. We are one of the few centers in the United States to offer these endoscopic non-surgical weight loss options:

ReShape® integrated dual balloon system

We are proud to be the first center in South Carolina to offer the ReShape non-surgical weight loss system

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Endoscopic sleeve gastroplasty (ESG)

Also known as the accordion procedure or the non-surgical sleeve, endoscopic sleeve gastroplasty (ESG) is a newer, less invasive procedure that reduces the size of the stomach by 70-80% through the use of an endoscopic suturing device. Essentially, the suturing prevents the stomach from widening or lengthening while eating and tends to decrease the appetite at least in part by decreasing the level of our hunger hormone.

This procedure may offer similar results to a laparoscopic sleeve gastrectomy (LSG) without the need for surgery or incisions, as long as the patient commits to healthier dietary and lifestyle changes. ESG is not intended to replace surgical options. It is a potentially less invasive alternative to treat obesity.

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Revisional surgery options

Surgical revisional procedures

Patients may experience the need for revisions or reversal of their original operation for a variety of reasons. We are happy to evaluate your situation and recommend appropriate treatment. Just because a previous procedure has failed does not mean there is no hope.

Many patients who had their surgery elsewhere have benefited from the Weight Management Center’s comprehensive After Care Program. We offer a variety of revisional procedures, both surgical and non-surgical, to fit your individual needs and goals

Surgical options for revisional/reversal surgeries include, but are not limited to:

  • LAP-BAND to sleeve gastrectomy
  • LAP-BAND to gastric bypass
  • LAP-BAND to duodenal switch, or the SIPS procedure
  • Sleeve gastrectomy to gastric bypass
  • Sleeve gastrectomy to SIPS or duodenal switch
  • Gastric bypass to SIPS or duodenal switch
  • Revision of the gastric bypass
  • Reversal of gastric bypass to the normal anatomy
Non-surgical revisional options

Non-surgical (endoscopic) revisional procedures

We are pleased to offer non-surgical, less invasive revisional options for patients who previously had bariatric surgery, initially achieved good weight loss results, and slowly over time regained some of the weight back. These are only tools to assist in weight loss, and without any dietary and lifestyle changes, weight loss results can be disappointing.

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Our program

The Weight Management Center is a multidisciplinary program that is uniquely designed to work with patients one-on-one. We offer a compassionate environment and emphasize safety and service excellence to help you achieve lasting weight loss.

  • Medical care provided by nurses and doctors with bariatric training.
  • Surgical suites, recovery area, and patitent rooms designed for bariatric patients.
  • Nutritional counseling with a clinical dietician.
  • Psychological counseling and support.
  • Administrative support for insurance issues.

We are proudly designated as a BlueDistinction Center+ for bariatric surgery by Blue Cross Blue Shield of South Carolina.

Weight loss success

Meet DeMetrius

"Bariatric surgery saved my life."

After weighing his options for weight loss, DeMetrius Burrell opted for gastric bypass surgery and committed to a healthy lifestyle at the Weight Management Center.

Results will vary based on starting weight and other factors.

Meet Sonya

After failing with all other weight loss methods, Sonya Dunklin chose gastric bypass as her last hope. Since her surgery, she has lost 170 pounds and is the healthiest she’s ever been.

Results will vary based on starting weight and other factors.

Meet Deshawn and Roz

Mother and daughter Deshawn and Roz Furch have always been close and have enjoyed doing things together. Their drive and determination have put them back on the road to a healthy lifestyle.

Results will vary based on starting weight and other factors.

Meet Lilly

Lilly Williams, a 41-year-old mother of four, chose to have bariatric surgery at the Weight Management Center with Dr. Benjamin Tribble. After losing 190 pounds, she feels like she "fits into life."

Results will vary based on starting weight and other factors.

Meet Judy

Judy Fry chose to have Roux-en-Y gastric bypass surgery at the Weight Management Center. Since her surgery, she has lost 115 pounds and feels like a new person.

Results will vary based on starting weight and other factors.


Contact us

The Weight Management Center is located in Columbia and serves Lexington, Irmo and the greater Midlands of South Carolina. We offer compassionate care and a commitment to excellence in helping hundreds of South Carolinians achieve permanent weight loss.

Meet Our Team

Frequently asked questions

What is bariatric surgery?

Bariatric surgery helps individuals suffering from obesity achieve permanent weight loss by banding, removing or by-passing a portion of the stomach.

Is bariatric surgery going to work for me?

It is not unusual for patients who suffer from obesity to be afraid that surgery may fail, simply because nothing they have tried before has provided lasting weight loss or because they know someone else who failed. Our experience at the Weight Management Center and from several long-term studies is that 100% of patients are successful when they are committed to making the lifestyle changes that are taught and reinforced in the program. We invite you to read some of our patients’ stories and attend our support group meetings to have one-on-one exposure with our post-operative patients. Learn more

Can I start the process before attending a seminar?

Yes, you can begin the process of getting insurance approval. Not every insurance policy covers weight loss surgery, but those that do usually require a pre-operative medically supervised program that can lasts three or six months. This can cause a delay in obtaining insurance approval and scheduling your surgery. We suggest you visit your primary care provider and start your program as soon as possible. If your provider has questions or if you do not have a provider that can assist you with this, we would advise you to call us at the Weight Management Center and we will be happy to assist you in that.

Will I need skin reduction surgery?

This question isn’t answered easily, as a number of factors can come into play, such as your starting weight, your age, the nature of your skin, the amount of weight you lost plus the location of the excess weight. In general, younger patients are less likely to require skin reduction surgery because they have a greater amount of skin elasticity. We recommend you wait until your weight loss has stabilized before making a decision. When you call us at the Weight Management Center we will be glad to refer you to an experienced plastic surgeon for an evaluation.

Will I have gallbladder problems/complications?

A small percentage of patients have been known to develop gallstones following weight loss surgery. If problems stemming from gallstones occur following surgery, the gallbladder can be removed laparoscopically. If a patient has a history of suffering from gallstones, the gallbladder most likely will be removed during the initial weight loss surgery.

How long is my hospital stay?

Depending on the procedure, most patients will stay in the hospital one to three days. Those who have an open incision during surgery will stay about four to seven days. Each patient is unique, so your length of stay could vary.

What should I expect on the day of surgery?

Our caring team at the Weight Management Center will make your stay as comfortable as possible, with special equipment in our surgical suite and each patient room designed for the comfort of our bariatric patients. Our compassionate caregivers in our operating room and on the inpatient unit are specially trained to care for bariatric patients and are sensitive to your needs.

Upon arriving at Prisma Health Baptist Hospital, our team will prepare you for surgery. Most surgeries are done laparoscopically and take about two hours. After your surgery is finished, the surgeon will update your family on the procedure. After 2-4 hours in the recovery room, you will be moved to your room where your family can visit with you.

Most patients spend the first night in their room, and a family member is welcome to stay with them. Activity helps prevent complications such as blood clots, so the staff will help you walk the evening of surgery.

Will I be in pain?

Patients do experience pain after any surgical procedure, but our bariatric team will provide medication to manage the pain and keep you comfortable.

Besides the surgeon, what other Weight Management Center team members will I see in the hospital?

You will be seen by the nurse practitioner throughout your inpatient stay as she assists in your medical care and answers your questions. A dietitian will assess you each day to monitor your transition to a clear liquid and then full liquid diet. You also can expect a visit from a behavioral care nurse, and perhaps some members of our bariatric support group. We want to make sure that your physical and emotional needs are met during this time.

How long will I be out of work?

This varies between patients as they are required to be on weight lifting restriction for 4-5 weeks after surgery. For sedentary, office-style work, patients can typically return to work in one to three weeks.

What happens to the old stomach after the Roux-en-Y Gastric Bypass?

Even though the old stomach no longer serves as a reservoir to hold food, it remains in the abdomen after surgery, continuing to supply digestive juices to the intestines.

Can I become pregnant after weight loss surgery?

Yes, many women have had successful pregnancies following weight loss surgery. As a matter of fact, we recommend you use birth control post-surgery as fertility tends to increase due to the normalization of hormones. We offer referrals to experienced gynecologists for placement of an intra-uterine contraceptive device that can be removed once weight loss stabilizes.

How would I know if my insurance will cover the surgery?

Some insurers have elected to include weight loss surgery coverage and unfortunately some have not. We understand that you may have questions and concerns about the cost of weight loss surgery procedures. Our dedicated staff will make sure you’re comfortable in making an informed decision about paying for surgery. First we will need to determine if you have insurance coverage that covers all or part of your recommended treatments. We also highly recommend that you contact your insurance company by phone (there will be a phone number on the back of your insurance card) prior to calling us. Ask your insurance company this question: “Do I have coverage for weight loss surgery?” This will help you know what your insurance will pay for, even before you come to see us for the first time.

If I have insurance coverage, what will my insurance pay and what will I pay?

Insurance companies typically have certain guidelines or criteria you must meet to be approved to have bariatric surgery. It is a very good idea to ask them to supply you with the criteria for your plan. Even when insurance covers weight loss surgery, they may not pay for all expenses related to the surgery. We have a dedicated team to help you through the process of verifying your insurance benefits and finding out all the information needed to minimize any payment surprises.

What can I do if I didn’t have insurance coverage for weight loss surgery?

If you have an “exclusion policy” or do not have coverage for weight loss surgery, your insurance will not pay for your surgery even though you need it for serious medical conditions. We will gladly discuss any available payment arrangements or financing options.

Does the Weight Management Center offer support group meetings?

The Weight Management Center offers support groups designed to meet the needs of patients who either had weight loss surgery or are still in the process of having surgery. Groups meet at 1850 Laurel St. and on the Prisma Health Baptist Hospital campus. For more information, call 803-376-5982.

Can I view and download patient forms online?

Weight Management Center new patient forms and other resources can be viewed or downloaded here.