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Why BMI Matters for Surgery

The decision to proceed with surgery is ultimately up to the surgeon, especially when it comes to patients with high BMIs. Surgeons must assess various factors to ensure each patient’s safety, and BMI is a key one. Higher BMIs can lead to more complications, impacting anesthesia, surgical technique, healing, and infection rates. Because of this, most surgeons set a BMI threshold for safety reasons.

Surgeons are guided by the principle of “do no harm” and strive to minimize the risk to each patient. For those with a BMI above a safe threshold, the surgeon may recommend lifestyle changes or even consider bariatric surgery to help reduce BMI to an ideal level. Once patients achieve a safer BMI, they may be eligible to move forward with elective surgery under more favorable conditions.

For individuals with a high BMI, surgery can carry specific complications that affect both the procedure and recovery. Here’s how an elevated BMI impacts surgical outcomes:

  1. Anesthesia Complications: High BMI can make anesthesia administration and monitoring more challenging due to airway obstruction and limited lung expansion. This increases the risk of respiratory complications during and after surgery.
  2. Higher Infection Risk: Excess body fat can reduce blood flow to surgical sites, slowing healing and making the area more susceptible to infections. Poor wound healing is a common complication for high BMI patients, which can prolong recovery.
  3. Increased Blood Clot Risks: Patients with high BMI are at greater risk for blood clots or deep vein thrombosis (DVT) due to reduced mobility and increased blood viscosity, especially in longer surgeries. Blood clots can travel to the lungs, leading to life-threatening pulmonary embolisms.
  4. Difficulties with Surgical Technique: The presence of excess tissue can make it challenging for surgeons to access and visualize certain areas, potentially prolonging surgery and increasing the risk of complications like bleeding or organ injury.
  5. Strain on the Heart and Lungs: High BMI is often associated with hypertension and other cardiovascular issues, increasing the strain on the heart and lungs under surgical stress. This raises the risk of heart attack, respiratory distress, and other serious complications during surgery.
  6. Post-Operative Breathing Challenges: High BMI patients may struggle with breathing post-surgery due to restricted lung capacity, raising the risk for respiratory distress or pneumonia, especially if they’re immobile for extended periods during recovery.
  7. Poor Scar Healing and Increased Scarring: Patients with a higher BMI are more prone to keloid and hypertrophic scars, as well as wound dehiscence (reopening), which can lead to more noticeable scarring and complications.
  8. Delayed Recovery: Increased BMI often correlates with reduced mobility, which can slow down recovery, delay rehabilitation, and increase the risk of complications like pressure ulcers from prolonged bed rest.

Steps to Lower Your BMI Safely and Sustainably

  1. Cut Out Processed Foods
    • Processed foods are often loaded with excess sugars, unhealthy fats, and empty calories that can slow progress toward your goal. Prioritize whole foods such as vegetables, lean proteins, and whole grains for balanced nutrition that keeps you full and supports your metabolism.
  2. Plan and Prepare Your Meals
    • Meal planning helps you control portion sizes and make healthier choices. Set aside time each week to prepare balanced meals. This reduces the temptation to eat out or reach for less nutritious options and helps you stick to your goals even on busy days.
  3. Eat Nutrient-Dense Foods
    • Incorporate foods high in fiber, lean proteins, and healthy fats to support weight loss and give your body the fuel it needs. Think of meals that combine whole grains, lean meats, leafy greens, and healthy fats like avocado or olive oil.
  4. Stay Hydrated
    • Drinking water throughout the day helps curb unnecessary snacking and boosts metabolism. Aim for about 8–10 glasses daily to stay hydrated, support digestion, and assist in weight management.
  5. Exercise Regularly
    • Engage in at least 150 minutes of moderate aerobic activity weekly. Activities like walking, swimming, and strength training are great for building lean muscle, which can boost metabolism and improve overall health.
  6. Practice Mindful Eating
    • Avoid distractions during meals, eat slowly, and listen to your body’s hunger cues. This helps prevent overeating and ensures you enjoy each bite, supporting digestion and satisfaction.

Consider Bariatric Surgery with Our Sister Company, Mexico Bariatric Center

If you’re working to achieve a lower BMI but are finding it challenging to reach your goals, bariatric surgery could be an effective option. Mexico Bariatric Center, our sister company, specializes in a variety of weight-loss procedures tailored to support lasting, transformative results. Their expert surgeons offer options like gastric sleeve and gastric bypass, which have helped countless patients regain control of their health. Opting for bariatric surgery could be a life-changing step on your journey to achieving a BMI under 30 and improving your long-term health.

Learn more about how Mexico Bariatric Center can help you reach your goals!

Fill out their health questionnaire HERE 

Or visit their website HERE


Common Challenges and How to Overcome Them

  • Managing Cravings: Prepare nutrient-dense snacks, like fresh fruits, nuts, and yogurt, to help satisfy hunger in a healthy way.
  • Busy Schedules: Prioritize meal prep and schedule workouts in advance. Even 20-30 minutes of daily exercise can make a difference.
  • Plateaus: If weight loss slows down, try varying your meals or changing up your exercise routine to reignite progress.

Reaching Your Goal and Preparing for Surgery

Once your BMI reaches the target level, you’re well on your way to surgery eligibility. Lowering your BMI not only meets a requirement but sets the stage for a safer, healthier experience. Our team is here to support you as you work toward this milestone, ready to help guide you through each step.

To help support you on this journey we have constructed a weekly meal plan with approximate macronutrient breakdowns based on nutrient-dense, whole foods designed to help reduce BMI by focusing on high-protein, high-fiber meals while limiting processed foods. Keep in mind that macros are approximate and can vary based on portion sizes and specific ingredients.


Weekly Meal Plan

Download Meal Plan MCC Lower BMI and Improve Pre Lab

Day Breakfast Lunch Dinner Snack
Monday Oatmeal with Berries
40g oats, 100g berries, 15g chia seeds, 10g walnuts, 250ml almond milk
Chicken Salad
100g grilled chicken, 50g mixed greens, 50g cherry tomatoes, 1 tbsp olive oil
Salmon & Veggies
150g salmon, 100g steamed broccoli, 75g quinoa, 10g lemon juice
Greek Yogurt
200g Greek yogurt, 50g mixed nuts
Tuesday Green Smoothie
200ml almond milk, 30g spinach, 1 small banana (100g), 20g peanut butter
Quinoa Bowl
100g quinoa, 50g black beans, 50g bell peppers, 30g avocado, 1 tbsp salsa
Stir-Fried Tofu
150g tofu, 50g carrots, 50g bell peppers, 1 tsp sesame oil
Apple & Almonds
1 medium apple (150g), 20g almonds
Wednesday Egg & Avocado Toast
2 eggs (100g), 1 slice whole-grain toast (50g), 50g avocado
Turkey Wrap
100g turkey breast, 50g lettuce, 30g hummus, 1 whole-grain tortilla (50g)
Chicken Stir-fry
150g chicken, 100g mixed veggies, 75g brown rice, 1 tsp olive oil
Carrot Sticks & Hummus
100g carrot sticks, 50g hummus
Thursday Yogurt & Fruit
200g Greek yogurt, 100g mixed berries, 20g chia seeds
Vegetable Soup & Salad
200g vegetable soup, 50g mixed greens, 20g nuts, 1 tbsp olive oil
Lentil Stew
150g cooked lentils, 100g spinach, 50g tomatoes, 1 tsp garlic
Cottage Cheese & Berries
150g cottage cheese, 100g berries
Friday Smoothie Bowl
150g frozen berries, 100ml almond milk, 20g almond butter, 10g flaxseeds
Grilled Fish Salad
150g white fish, 50g mixed greens, 50g cucumber, 1 tbsp olive oil
Beef Stir-fry
100g lean beef, 50g broccoli, 50g carrots, 75g quinoa, 1 tsp soy sauce
Trail Mix
50g mixed nuts and dried fruit
Saturday Avocado & Berry Toast
1 slice whole-grain bread (50g), 50g avocado, 50g strawberries
Egg Salad
2 boiled eggs (100g), 50g lettuce, 20g Greek yogurt, 1 tbsp mustard, 50g whole-grain toast
Shrimp & Veggies
150g shrimp, 100g zucchini, 75g brown rice, 10g lemon juice
Celery Sticks & Nut Butter
100g celery, 20g almond butter
Sunday Egg Omelet with Veggies
2 eggs (100g), 50g spinach, 50g mushrooms, 1 slice whole-grain toast
Chickpea Salad
100g chickpeas, 50g mixed greens, 50g cucumber, 1 tbsp olive oil
Baked Chicken
150g chicken breast, 100g roasted sweet potato, 50g asparagus, 1 tsp olive oil
Cucumber & Cheese
100g cucumber, 50g low-fat cheese

This meal plan balances macronutrients and provides a nutrient-dense approach

Meal plan


Weekly Macros Summary (Approximate Daily Averages)

  • Calories: 1,800–2,000 kcal
  • Protein: 90–120g
  • Carbohydrates: 180–210g
  • Fat: 50–70g

Conclusion

Achieving a healthy BMI takes dedication, but the rewards for your surgery and overall health are well worth it. By cutting out processed foods, planning meals, and staying consistent, you’re building lifelong habits that support both your surgery and your well-being. We’re here to cheer you on and look forward to helping you reach this exciting goal! Give us a call with any questions you may have! 916-693-5550