Heartland Surgical Weight Loss: Rick Fermelia, MD, FACS

Weight Loss Clinic in Lincoln, Nebraska

Call (402) 227-81572221 South 17th St, Ste 303, Lincoln, NE 68502

About Heartland Surgical Weight Loss: Rick Fermelia, MD, FACS

Treatment at Heartland Surgical Weight Loss: Rick Fermelia, MD, FACS

Heartland Surgical Weight Loss, led by Dr. Rick Fermelia, MD, FACS, specializes in comprehensive bariatric surgery services for patients struggling with severe obesity. Dr. Fermelia brings decades of surgical expertise and a compassionate understanding of the challenges faced by bariatric patients.

Our practice takes a patient-centered approach, recognizing that bariatric surgery is just one component of a lifelong commitment to health. We provide thorough preoperative evaluation, expert surgical care, and extensive postoperative support to ensure the best possible outcomes for our patients' long-term success.

Services Offered

We offer the full spectrum of bariatric procedures, including gastric bypass, sleeve gastrectomy, and adjustable gastric banding, with Dr. Fermelia helping determine the best option based on your individual health profile and goals. Our comprehensive program includes extensive preoperative education, psychological evaluation, and nutritional counseling to prepare you for surgery and recovery. Postoperative care is equally important, with regular follow-up appointments, ongoing nutritional support, and access to support groups. We work closely with registered dietitians, psychologists, and other specialists to address all aspects of your health journey. Our team also provides guidance on managing complications, adjusting to dietary changes, and maintaining long-term weight loss success. We're committed to being your partner throughout this transformative process.

Weight Loss Centers

Surgeons

Treatment Options

Gastric Sleeve Surgery

Laparoscopic removal of 80% of stomach, creating smaller stomach pouch to limit food intake and reduce hunger hormones.

1-2 hour surgery, 1-2 day stay$18,000-$22,000

Gastric Bypass Surgery

Creates small stomach pouch and reroutes intestines to limit food absorption and intake, often most effective for diabetes resolution.

2-3 hour surgery, 2-3 day stay$20,000-$25,000

Adjustable Gastric Band

Silicone band placed around upper stomach to create small pouch, adjustable for gradual weight loss with regular follow-ups.

1 hour surgery, outpatient possible$15,000-$18,000

Revision Surgery

Surgical correction or conversion of previous bariatric procedures that haven't achieved desired results or developed complications.

Varies by complexity, 2-4 day stay$22,000-$30,000

What to Expect

Your journey begins with a comprehensive consultation where Dr. Fermelia evaluates your medical history, current health status, and weight loss goals. You'll undergo a thorough medical evaluation including laboratory work, imaging studies, and consultations with our dietitian and psychologist.

The preoperative phase includes attending educational seminars, completing required insurance documentation, and making necessary lifestyle changes. Surgery is performed using minimally invasive techniques when possible, typically requiring a 1-2 day hospital stay. Recovery involves gradual progression through different food textures while learning new eating habits under close medical supervision.

Why Choose Heartland Surgical Weight Loss: Rick Fermelia, MD, FACS

Dr. Fermelia's board certification in surgery (FACS) and extensive experience in bariatric procedures provide the expertise you need for successful outcomes. Our practice has helped thousands of patients achieve significant weight loss and resolution of obesity-related health conditions.

What sets us apart is our commitment to long-term relationships with our patients. Bariatric surgery isn't a quick fix, and we're here to support you through the inevitable challenges and celebrate your successes. Our comprehensive approach addresses the medical, nutritional, and psychological aspects of obesity to give you the best chance for lasting success.

Insurance & Pricing

Most major insurance plans cover bariatric surgery when medical necessity criteria are met, including a BMI over 40 or over 35 with significant comorbidities. Our staff works extensively with insurance companies to obtain preauthorization and maximize your benefits.

Self-pay options are available for patients without coverage, with financing plans to make surgery more accessible. Total costs typically range from $15,000-$25,000 depending on the procedure and any complications. We provide detailed cost estimates after your initial consultation and insurance verification.

First-Time Patient Tips

Come to your consultation prepared to discuss your complete weight loss history, including previous attempts and any eating disorders. Bring a list of all medications, medical conditions, and recent lab work to help us assess your surgical candidacy.

Be prepared for an honest conversation about the risks and benefits of bariatric surgery. This isn't a decision to make lightly, and we want you to have realistic expectations about the commitment required for success. Start thinking about your support system at home and any lifestyle changes you'll need to make before and after surgery.

Pros & Cons

Advantages

Proven long-term results with significant weight loss and resolution of obesity-related diseases.
Dr. Fermelia's extensive experience and board certification provide surgical expertise.
Comprehensive support team including dietitians, psychologists, and ongoing follow-up care.

Things to Consider

Major surgery with inherent risks including bleeding, infection, and potential complications.
Requires lifelong dietary changes and vitamin supplementation for optimal outcomes.

Service Area

Heartland Surgical Weight Loss serves patients throughout Nebraska and surrounding states, with many traveling from rural areas for Dr. Fermelia's expertise. We're affiliated with major Lincoln hospitals to provide the highest level of surgical care. Our central Nebraska location makes us accessible to patients from Omaha, Grand Island, North Platte, and other communities seeking experienced bariatric surgery services.

Local Insight

As Nebraska's population faces increasing rates of obesity and diabetes, Heartland Surgical Weight Loss provides essential services to help patients reclaim their health. We're proud to offer world-class bariatric care without requiring travel to larger metropolitan areas. Our Lincoln location provides access to excellent hospital facilities and specialized services while maintaining the personal touch of a dedicated bariatric practice.

Frequently Asked Questions

Am I a candidate for bariatric surgery?

Generally, patients with BMI over 40 or BMI over 35 with significant health conditions like diabetes or sleep apnea may be candidates. A comprehensive evaluation determines individual suitability.

How much weight can I expect to lose?

Most patients lose 60-80% of their excess weight within 12-18 months after surgery. Individual results vary based on procedure type, starting weight, and adherence to lifestyle changes.

What are the risks of bariatric surgery?

While generally safe, risks include bleeding, infection, blood clots, and long-term nutritional deficiencies. Dr. Fermelia discusses all risks thoroughly during consultation.

How long is recovery after surgery?

Most patients return to work within 2-4 weeks, depending on their job requirements. Full recovery and ability to exercise normally typically takes 6-8 weeks.

Will my insurance cover bariatric surgery?

Many insurance plans cover bariatric surgery when medical criteria are met. Our staff helps navigate the approval process and requirements for each individual plan.

What changes will I need to make after surgery?

You'll need to eat smaller portions, chew thoroughly, avoid drinking with meals, and take daily vitamins. Regular exercise and follow-up appointments are also essential.

Can bariatric surgery cure diabetes?

Many patients experience complete remission of type 2 diabetes after surgery, especially with gastric bypass. However, results vary and some patients may still need medication.

What happens if I regain weight after surgery?

Some weight regain is normal, but significant regain may require evaluation for complications or revision surgery. Our long-term follow-up helps prevent and address weight regain.