About the Practice

Dr. David Provost brings a regional and national referral practice to Central Texas for bariatric (weight loss) surgery, offering laparoscopic primary and revisional bariatric procedures, endoscopic pouch reduction, and the management of complications and failures of prior weight loss operations. Dr. Provost pioneered laparoscopic Roux-en-Y gastric bypass in Texas, first performing the procedure in 1999, and has performed the Lap-Band® procedure (laparoscopic adjustable gastric banding) since 2001, the year of Lap-Band approval by the FDA.

Provost Bariatrics coordinates complete, multidisciplinary care for obesity surgery patients, including nutritional, psychological, and rehabilitative care. The Temple weight loss surgery practice also sponsors regular support groups for pre- and post-operative patients.

PRE-SURGICAL CONSULTATION
During your initial visit, Dr. Provost will carefully explain the details about weight loss operations, including the risks, benefits and dietary changes that can be expected, and he will answer any questions you may have. If you decide to have surgery, we will contact your insurance company to obtain approval (see below). Occasionally this may take several weeks, and appeals may be necessary. Once approval has been obtained, we will schedule a date for surgery.

A second visit is required prior to your date of surgery to review the risks and benefits and perform a complete physical examination. You will then be escorted to the hospital day surgery area to complete your preoperative evaluation. There, you may meet with nurses, anesthesiologists, dietitians, physical therapists, and other providers who will participate in your care while in the hospital.

You will return to the hospital the morning your surgery is scheduled. Dr. Provost will again meet with you prior to your surgery. The majority of our gastric bypass procedures take from one and a half to two and a half hours. Recovery time in the hospital following your surgery is usually one to three days, depending on the procedure. You will return to see your surgeon about one week following discharge for an examination, to remove sutures or staples if necessary, and to advance your diet. An additional visit is required at 4 to 5 weeks for gastric bypass patients to discuss the next stage of dietary changes. Additional follow-up visits are maintained at 3 month intervals for the first year or two following weight loss surgery, then annually for life.

INSURANCE OPTIONS
We strongly recommend that you attend one of our monthly information, question-and-answer sessions prior to your initial appointment to learn about the different surgical treatment options and whether insurance will cover your procedure. You can also check your health insurance policy or inquire with your human resources department to determine if surgery for obesity is a covered benefit, and what requirements are necessary. Both gastric bypass and the Lap-Band procedure are covered under Medicare, when medically necessary.

To expedite the insurance approval process, our office will contact you prior to your appointment to confirm coverage and that all prerequisites have been met. Please bring a written record of previous attempts at weight reduction, as well as copies of medical records from any physician-supervised weight loss programs. Cash payment plans are available for patients who choose to pay for their weight loss surgery out of pocket.

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