Bariatric Surgery Procedures in Sacramento
Choosing the right weight loss surgery is a deeply personal decision.
As Sacramento’s only double board-certified obesity medicine and bariatric surgery specialist, Dr. Machado understands that one size doesn’t fit all. Each procedure offers unique benefits, and the best choice depends on your individual health goals, lifestyle, and medical needs.
Below, you’ll find an overview of the proven bariatric procedures we offer — each designed to help you achieve lasting weight loss and improved health.
Gastric Bypass Surgery
The Roux-en-Y gastric bypass is often called the “gold standard” of weight loss surgery for good reason. This procedure creates a small stomach pouch and reroutes your digestive system, delivering powerful results through both restriction and metabolic changes. Beyond simply limiting portion sizes, gastric bypass triggers favorable hormonal changes that naturally suppress hunger, reduce cravings, and can even help reverse type 2 diabetes. Performed laparoscopically with small incisions, most patients experience faster recovery times and long-term success when they pair the procedure with healthy eating habits and proper supplementation.
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Sleeve Gastrectomy
The sleeve gastrectomy offers effective weight loss by removing approximately 80-85% of the stomach, creating a narrow, tube-shaped pouch about the size of a banana. This procedure doesn’t just restrict how much you can eat—it also dramatically reduces production of ghrelin, the hormone responsible for hunger signals. The result? You feel fuller faster and experience fewer cravings between meals. Because the sleeve doesn’t involve rerouting the intestines, it’s a simpler procedure that still delivers impressive results. Dr. Machado trained with one of the country’s most experienced sleeve surgeons to ensure her patients receive the safest, most effective technique available.
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Laparoscopic Adjustable Gastric Band (Lap-Band®)
The Lap-Band® procedure places an adjustable silicone band around the upper portion of your stomach, creating a small pouch that helps you feel satisfied with smaller portions. What makes the band unique is its adjustability—Dr. Machado can fine-tune the band’s tightness over time to optimize your weight loss journey. This gradual approach to appetite control works by reducing hunger signals rather than simply restricting how much you can eat. The Lap-Band® is also completely reversible and doesn’t require any cutting or removal of stomach tissue. With nearly 1,000 Lap-Band procedures performed, Dr. Machado has the experience to help you maximize success with this tool.
Revisional Bariatric Surgery
Life changes, bodies change, and sometimes your original weight loss surgery needs to change too. Revisional bariatric surgery addresses complications, insufficient weight loss, or weight regain after an initial procedure. Dr. Machado is one of the most experienced revision surgeons in the Sacramento region, carefully evaluating each patient’s unique anatomy and circumstances to determine the best path forward. Whether you had surgery years ago with different techniques, experienced band complications, or need to restore the effectiveness of your original procedure, our team has the expertise to help you get back on track toward your health goals.