on PinterestThe number of people getting bariatric surgery for weight loss has declined, partly due to the rise of GLP-1 medications.
on PinterestThe number of people getting bariatric surgery for weight loss has declined, partly due to the rise of GLP-1 medications. KARRASTOCK/Getty Images
- A new study has found a decline in the number of people getting bariatric surgery for weight loss.
- The widespread availability of GLP-1 medications and weight management programs is likely contributing to this trend.
- Experts say that bariatric surgery has been shown to be an effective long-term strategy for weight loss.
- Bariatric surgery also has quick recovery times due to procedural advancements, such as laparoscopic techniques.
- Your doctor can help you decide whether weight loss surgery or weight loss drugs are best for you.
Until recently, bariatric surgery was considered a first-line treatment for weight loss.
Now, a recent study from Loyola University Chicago researchers has uncovered a significant shift in the bariatric surgery landscape.
The study’s authors aimed to understand how the types and numbers of bariatric surgeries have changed in response to the growing popularity of GLP-1 drugs and other weight loss treatments.
After examining data from 2020 to 2024, the researchers observed a decline in the number of bariatric surgeries performed across the United States.
The findings have not yet been published in a peer-reviewed scientific journal, but were presented during the American Society for Metabolic and Bariatric Surgery (ASMBS) Annual Meeting from May 3–7 in San Antonio, TX.
The study highlights how patients and doctors are increasingly opting for surgery alternatives, reflecting evolving attitudes and options to treat obesity.
Bariatric surgeries decline in recent years
Bariatric surgery, which includes procedures like sleeve gastrectomy and gastric bypass, has long been considered an effective solution for severe obesity.
However, as noninvasive therapies advance, it’s important to track how these shifts affect surgical practices and patient choices.
To investigate these trends, the researchers analyzed a large national database called the ACS-MBSAQIP, which tracks bariatric surgeries performed in the United States.
They focused on surgeries performed from the beginning of 2020 through 2024, including both initial weight loss surgeries and follow-up revision or conversion procedures — procedures performed to modify or adjust earlier operations.
The data revealed that the overall number of bariatric surgeries reached its highest level in 2022, then declined in the following years. This drop reflects a growing preference for nonsurgical options among patients and healthcare professionals.
Alongside this reduction, the study found that the types of surgeries being performed have also shifted.
One key finding is a decrease in the frequency of sleeve gastrectomy, a common procedure in which a portion of the stomach is removed to reduce its size. While still the most popular surgery, its of total procedures has steadily decreased since 2020.
In contrast, Roux-en-Y gastric bypass surgeries — which create a small stomach pouch and reroute the intestines — have become more common, particularly as conversion surgeries. Many people who initially had a sleeve gastrectomy later undergo a gastric bypass to further aid weight loss or address complications.
Additionally, the study noted an overall increase in other bariatric procedures, including sleeve gastrectomy, gastric bypass, and lap-band surgeries. This suggests that surgeons and patients are exploring a wider
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