Texas Center for Bariatrics & Advanced Surgery

Weight Loss Clinic in North Richland Hills, Texas

Call (469) 517-32354351 Booth Calloway Rd, Ste 404, North Richland Hills, TX 76180

About Texas Center for Bariatrics & Advanced Surgery

Texas Center for Bariatrics & Advanced Surgery in North Richland Hills focuses exclusively on surgical and advanced weight loss interventions. The practice brings together bariatric surgeons with specific training in weight loss procedures, offering patients access to a focused surgical team rather than a general surgery group that performs bariatric procedures on the side. That specialization shows in how the program is structured, from the pre-operative evaluation process to post-surgical follow-up care.

The center treats surgery as one part of a longer journey rather than a standalone fix. Patients go through a thorough pre-surgical evaluation that includes medical clearance, nutritional counseling, and psychological assessment. Post-operative support continues for years after surgery, which reflects a realistic understanding of how sustainable weight loss actually works. For patients who've already tried non-surgical approaches without lasting success, this is a serious next step.

Services Offered

The center's core services are bariatric and metabolic surgery, including sleeve gastrectomy, Roux-en-Y gastric bypass, and revisional bariatric procedures for patients who've had prior surgeries with complications or inadequate results. The surgical team also performs hiatal hernia repair and other advanced abdominal procedures that often accompany weight loss surgery. Beyond the operating room, the program includes a structured multi-disciplinary pre-operative program. Patients typically complete three to six months of supervised visits covering nutrition education, behavioral health evaluation, and medical optimization before surgery is scheduled. This isn't just an insurance requirement in most cases; it's clinically important for reducing surgical risk and setting up long-term success. Post-operative care includes regular follow-up visits, lab monitoring to track nutritional status, and ongoing support group participation. Bariatric surgery creates permanent physiological changes that require lifelong attention to nutrition, particularly around protein intake and micronutrient supplementation. The center's team supports patients through that learning curve and beyond, with access to dietitians and behavioral health providers as part of the program.

Weight Loss Centers

Surgeons

Treatment Options

Sleeve Gastrectomy

Surgical removal of roughly 80% of the stomach, leaving a sleeve-shaped pouch that limits food intake and reduces hunger hormones. The most commonly performed bariatric procedure in the US.

1.5-2 hour procedure; 1-2 night hospital stay$15,000-$20,000 self-pay; often covered by insurance

Roux-en-Y Gastric Bypass

Creates a small stomach pouch and reroutes the small intestine, reducing both intake capacity and calorie absorption. Strong evidence for type 2 diabetes remission alongside weight loss.

2-3 hour procedure; 2-3 night hospital stay$18,000-$25,000 self-pay; often covered by insurance

Revisional Bariatric Surgery

Correction or conversion of a prior bariatric procedure due to complications, inadequate weight loss, or weight regain. Technically demanding and requires specialized surgical experience.

Variable; typically longer than primary procedures$20,000-$30,000 self-pay; insurance coverage varies

Pre-Surgical Supervised Program

Multi-disciplinary preparation program including nutrition education, behavioral health evaluation, and medical optimization before surgery. Required by most insurers and clinically essential.

3-6 monthsUsually covered under medical benefits when surgery is pre-authorized

What to Expect

The process begins with a consultation to assess whether you're a surgical candidate. Surgeons review your BMI, medical history, previous weight loss attempts, and any obesity-related health conditions. Most insurance plans require a BMI of 40 or higher, or 35 with qualifying comorbidities, though specific criteria vary.

If you're a candidate, you'll be enrolled in the pre-operative program, which typically runs three to six months. During that time you'll meet with a dietitian, complete a psychological evaluation, and attend educational sessions about what to expect before and after surgery. Medical clearance visits may involve your primary care provider and specialists depending on your health status.

Once cleared, surgery is scheduled. Most procedures are performed laparoscopically and require a one to two night hospital stay. Recovery varies by procedure, but most patients return to light activity within two to three weeks. Post-operative follow-up is scheduled at regular intervals for the first year, then annually after that, with ongoing lab work to monitor nutritional status.

Why Choose Texas Center for Bariatrics & Advanced Surgery

The specialization is the main differentiator. This isn't a general surgery practice that occasionally performs bariatric procedures. The center's surgeons focus on weight loss and metabolic surgery, which matters for managing complications, handling complex anatomy, and performing revisional procedures.

The multi-disciplinary program structure is also meaningful. The pre-operative process is thorough not because insurance requires it but because the evidence consistently shows that patients who are well-prepared for surgery, who understand the dietary requirements and the behavioral demands, have better long-term outcomes. Cutting corners on pre-op prep often catches up with patients a year or two after surgery.

For patients who've had bariatric surgery elsewhere and need revision work, the center's experience with revisional procedures is particularly relevant. These are technically complex operations that carry higher risk, and they require surgeons who perform them regularly.

Insurance & Pricing

Most major commercial insurance plans, Medicare, and Medicaid cover bariatric surgery when medical necessity criteria are met. BMI thresholds and required documentation vary by plan, and many insurers require the completion of a supervised pre-operative program before approving surgery. The center's staff assists with prior authorization and insurance documentation, which is a significant part of the process.

Self-pay pricing for bariatric surgery in the DFW area typically runs $15,000-$25,000 depending on the procedure and facility fees. Financing options are available. Patients should request a detailed cost estimate that includes surgeon fees, facility fees, anesthesia, and pre- and post-operative care.

First-Time Patient Tips

Be honest during the pre-operative evaluation, especially about your eating behaviors and your relationship with food. The psychological assessment isn't a test to pass; it's a tool to identify whether you have the support and coping strategies in place to succeed after surgery. Patients who are candid get more useful support.

Start making dietary changes before surgery, not just after. The pre-operative program will guide you on this, but patients who adjust their eating habits early adapt more easily to the post-surgical diet. Protein first, liquid intake habits, and portion awareness all become critical after surgery.

Build your support system before the procedure. Surgery changes your relationship with food, and that can be socially and emotionally complicated. Having family members or close friends who understand what you're doing and why makes a real difference in the year following surgery. The center's support groups are genuinely useful; don't skip them.

Pros & Cons

Advantages

Dedicated bariatric surgery center with surgeons who specialize exclusively in weight loss and metabolic procedures.
Handles revisional surgeries, which many general practices and smaller bariatric programs don't offer.
Structured pre- and post-operative support program improves long-term outcomes beyond just the surgical procedure itself.

Things to Consider

Surgery carries real risks including complications, nutritional deficiencies, and need for lifelong dietary management.
The multi-month pre-operative program means surgery isn't immediate, which can be frustrating for patients ready to move forward quickly.

Service Area

Texas Center for Bariatrics & Advanced Surgery serves patients across the DFW metro from its North Richland Hills location. The clinic draws patients from Fort Worth, Keller, Hurst, Euless, Bedford, Grapevine, and Colleyville, as well as communities further out across Tarrant and surrounding counties. Some patients travel from smaller cities in North and Central Texas for access to a dedicated bariatric surgical program rather than a general surgery practice.

Local Insight

North Richland Hills sits in the heart of the Mid-Cities corridor between Fort Worth and Dallas, making it accessible to patients from across the western and northern DFW suburbs. Tarrant County has seen growing demand for bariatric surgical services as obesity rates have remained elevated and as insurance coverage for these procedures has expanded. The proximity to major hospital systems in the area supports the surgical team's access to inpatient facilities and specialist consultations when needed.

Frequently Asked Questions

Am I a candidate for bariatric surgery?

General criteria include a BMI of 40 or higher, or 35 or higher with a qualifying condition like type 2 diabetes or hypertension. A consultation with the surgical team will evaluate your specific medical history and determine whether surgery is appropriate for you.

How long does the pre-operative process take?

Most patients complete the pre-operative program in three to six months. The timeline depends on how quickly you complete required evaluations and whether your insurance has specific requirements for the duration of supervised visits.

What's the difference between sleeve gastrectomy and gastric bypass?

Sleeve gastrectomy removes most of the stomach to limit intake. Gastric bypass creates a small stomach pouch and reroutes the intestine, providing both restriction and some malabsorption. Bypass tends to produce stronger metabolic effects including higher rates of type 2 diabetes remission.

Will insurance cover my surgery?

Most major commercial plans, Medicare, and Medicaid cover bariatric surgery when you meet documented medical necessity criteria. Prior authorization is required, and the center's staff will help you navigate the insurance process.

What does recovery look like after sleeve or bypass surgery?

Hospital stay is typically one to three nights. Most patients return to light activity within two to three weeks, though full recovery and the transition through post-surgical diet stages takes several months. Work return depends on the nature of your job.

What are the risks of bariatric surgery?

All surgery carries risk of infection, bleeding, and anesthesia complications. Bariatric-specific risks include leaks, strictures, nutritional deficiencies, and in rare cases, need for reoperation. The pre-operative program helps minimize risk by optimizing your health before surgery.

Do I need to take vitamins after surgery for the rest of my life?

Yes. Bariatric surgery, especially gastric bypass, reduces your ability to absorb certain nutrients. Lifelong supplementation with a bariatric-formulated multivitamin, calcium, vitamin D, and B12 is standard. Lab monitoring ensures your levels stay in range.

Can I have revisional surgery if I had a procedure done elsewhere?

In many cases, yes. The center has experience with revisional procedures including conversions from sleeve to bypass and repairs of prior surgical complications. A consultation and review of your original operative records is the starting point.