Surgical Options

Hurley Comprehensive Weight Loss Center offers four minimally invasive procedures, each designed to help you achieve lasting weight loss and health improvements with expert medical oversight.

Minimally Invasive Approach

Our surgeries are performed laparoscopically through 4–6 small (≤1") incisions and often using the da Vinci surgical robot--the most advanced system of its kind.

Surgical Procedures

Compare our four procedures at a glance, then scroll down for full details on each option.

Procedure Avg. Weight Loss
(% excess body weight, yr 1–2)
Hospital Stay Key Benefit
Roux-en-Y Gastric Bypass ~60–70% 1–2 nights Often rapidly resolves type 2 diabetes & acid reflux
Sleeve Gastrectomy ~50–60% 1–2 nights No malabsorption; preserves natural digestive flow
SADI-S ~65–75% 1–2 nights Greatest average weight loss; strong metabolic effects
Adjustable Gastric Band ~40% 1 night Adjustable over time; no permanent anatomical changes

Roux-en-Y Gastric Bypass

What it is: Creates a small (1-2 ounce) stomach pouch that connects directly to the middle of the small intestine, bypassing the rest of the stomach and the first segment of intestine.

Hospital stay: 1-2 nights

Benefits:

  • Weight loss: ~60–70% of excess body weight in 12-24 months
  • Often resolves type 2 diabetes, lowers blood pressure, and improves acid reflux very quickly after surgery

Sleeve Gastrectomy

What it is: Removes 75–85% of the stomach to form a narrow "sleeve," without bypassing intestine.

Hospital stay: 1-2 nights

Benefits:

  • Weight loss: ~50–60% of excess body weight in 12-24 months
  • No malabsorption: preserves natural digestive flow
  • Improvement in chronic health conditions with weight loss

SADI-S (Single-Anastomosis Duodenal-Ileal Bypass with Sleeve)

What it is: Combines a sleeve gastrectomy with a single small-bowel bypass (duodeno-ileal anastomosis) for both restriction and moderate malabsorption.

Hospital stay: 1–2 nights

Benefits:

  • Typically greater weight loss compared to other procedures offered: ~65–75% of excess body weight in 12-24 months
  • Metabolic improvement: Powerful effects on diabetes and lipid profiles

Learn More About SADI-S

Adjustable Gastric Band

What it is: An inflatable silicone band placed around the upper stomach to create a small pouch; band tightness is adjusted via a port.

Hospital stay: 1 night

Benefits:

  • Weight loss: ~40% of excess body weight in 12-36 months