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By Dr. Rizwan Chaudhry, MD, FACS

Quick Insights

Gastric sleeve surgery is a minimally invasive surgery that reduces stomach size and lowers hunger hormones, supporting sustainable weight loss when paired with lifestyle changes, according to clinical research.

Key Takeaways

  • The gastric sleeve removes most of the stomach, leaving a narrow “sleeve” to limit food intake.
  • Studies indicate hunger decreases after surgery due to lower ghrelin hormone levels.
  • Many patients lose 10–15% of excess body weight within the first month post-surgery.
  • Consistent follow-up and healthy habits are vital for long-term success after sleeve gastrectomy.

Why It Matters

For those facing persistent hunger and failed diets, gastric sleeve surgery offers a clinically supported way to achieve lasting weight loss and improve conditions like type 2 diabetes—helping restore health and hope for a brighter future.

Introduction

As a fellowship-trained bariatric specialist at Advanced Houston Surgical, I’ve dedicated my Houston-based practice to providing patients with expert, compassionate care—including the gastric sleeve Houston procedure. A gastric sleeve, or sleeve gastrectomy, is a minimally invasive surgery that reduces the stomach’s size to lower hunger and promote lasting weight loss.

Trained at the Mayo Clinic and Cleveland Clinic, I’ve led regionally accredited programs and pioneered innovative weight loss solutions for Houston-area patients, including performing the first intragastric balloon in the Bay Area. My care model is deeply personalized: from your first consultation through long-term follow-up, we focus on evidence-based treatments and a judgment-free environment.

Research shows that the gastric sleeve helps decrease hunger by lowering the appetite hormone ghrelin, leading to effective weight loss for many adults managing obesity and diabetes (studies indicate).

If you’re exhausted by failed diets and worried about your health or family’s future, you deserve solutions that truly last.

How the Gastric Sleeve Works to Tame Hunger

When I meet patients like Maria—working mothers who have tried every diet and still struggle with constant hunger—I often explain how the gastric sleeve addresses the root cause. The procedure, also called sleeve gastrectomy, removes about 75–80% of the stomach, leaving a narrow “sleeve.” This smaller stomach limits how much you can eat, but the real game-changer is hormonal.

Studies show that gastric sleeve surgery lowers levels of ghrelin, the hormone that drives hunger, by removing the part of the stomach where it’s produced. As a result, most patients feel less hungry and find it easier to stick to healthy habits long-term . In my practice, I’ve seen this shift help patients finally break the cycle of yo-yo dieting. For many Houston-area women, this means meals become manageable, not a daily battle.

From my years performing bariatric surgery in Houston, I can say that understanding this hormone change often brings hope to patients who feel “nothing has ever worked.” When the root cause of hunger is finally addressed, you’re not just fighting willpower—your body is truly working with you.

If you’re exhausted by failed diets, understanding this mechanism can be empowering. For more on the science behind hunger and weight loss, I recommend reading this research summary on ghrelin and bariatric surgery.

What Results Can You Expect? (Evidence and Success Stories)

One of the most common questions I hear is, “How much weight will I lose after a gastric sleeve?” Research indicates that most patients lose 10–15% of their excess body weight in the first month, and up to 55% after one year . For someone like Maria, who is motivated by her children’s future, these numbers can mean a dramatic improvement in health and energy.

From a clinical perspective, I’ve watched patients in my Houston area practice transform not only their weight, but their lives—many describe improvements in diabetes, sleep apnea, and joint pain that allow them to return to activities they’d given up. When I discuss these research findings with new patients, I always clarify that real-world success is about more than just the numbers. Many people feel discouraged by previous failures, but with ongoing follow-up and encouragement, most see progress that is both visible and meaningful to their daily routines and family life.

If you want to see how others have benefitted from our approach, you can read verified testimonials highlighting real-life experiences of Houston patients.

If you’re looking for more details on outcomes, this clinical review of sleeve gastrectomy offers a helpful overview.

What’s Recovery Like After Sleeve Gastrectomy?

I know that for working parents, the thought of surgery recovery can be daunting. In my Houston practice, I guide patients through every step to make the process as smooth as possible. Most people are up and walking the same day as surgery, and the hospital stay is usually one night.

The diet progresses from clear liquids to pureed foods, then to regular meals over several weeks. I always emphasize that returning to work and family routines is possible—many of my patients are back to light activities within a week or two, though everyone heals at their own pace. For mothers like Maria, planning childcare and support ahead of time can ease the transition.

Based on both research and my direct experience, the recovery timeline is often less overwhelming than you might expect. It’s not unusual to feel nervous about surgery, but in my practice, most people are surprised at how quickly they regain independence. Especially for busy caregivers in Houston, preparing a plan in advance allows you to focus on healing without feeling lost along the way.

For a detailed look at the recovery process, I suggest this patient guide to sleeve gastrectomy recovery.

Choosing the Right Surgeon: Why Complex Cases and Credentials Matter

Selecting a surgeon for your gastric sleeve is about more than just scheduling a procedure—it’s about trust, safety, and long-term support. As someone who trained at the Mayo Clinic and Cleveland Clinic, I bring advanced expertise to every case, including complex revisions and hernia repairs that many clinics avoid.

Having led a comprehensive bariatric center and performed hundreds of minimally invasive and revisional surgeries, I know that every patient’s journey is unique. For those who’ve been let down by failed diets or earlier weight loss surgeries, finding a surgeon with specialized experience means you’re far less likely to encounter complications and more likely to get the support you truly need. In my Houston practice, I’m personally involved in every step—something many larger clinics can’t provide.

For patients who have struggled with failed diets or previous surgeries, experience matters. I’ve seen firsthand how a tailored, patient-first approach can make all the difference, especially for Houston-area families who need compassionate, judgment-free care. My goal is to help you achieve lasting results, not just a quick fix.

If you’re comparing options, look for board certification, fellowship training, and a track record of comprehensive care. For more on what to consider, visit the Texas Medical Center’s resource page.

Alternative Paths: How Medications Like Semaglutide Compare

Not every patient is ready for or needs surgery. In my practice, I also offer medical weight loss options, including GLP-1 medications like semaglutide and tirzepatide. These medications work by mimicking gut hormones to reduce appetite and support weight loss, but they are not a substitute for the metabolic changes seen with surgery.

For some patients—especially those with lower BMI or who are not surgical candidates—these medications can be a helpful tool. However, studies suggest that while medications can lead to significant weight loss, the results may not be as dramatic or long-lasting as those seen with sleeve gastrectomy . I always discuss the pros and cons with each patient, considering their health, goals, and family needs.

Having managed both medical and surgical weight loss for patients around Sugar Land and the Houston area, I’ve found that surgery typically results in more sustained, long-term benefits compared to medications alone. Still, I always reassure patients that there’s no single “right” answer—it’s about matching the best treatment to your unique story and goals.

If you’re curious about how these options compare, I recommend reading this overview from Houston Methodist.

Why Choose Gastric Sleeve Surgery in Houston? (Local SEO Section)

Houston is home to world-class medical care, and I’m proud to serve patients from across Greater Houston—including areas like Bellaire and the Galleria. At Advanced Houston Surgical, you’ll find a unique blend of top-tier training, personalized attention, and a supportive environment designed for families like Maria’s.

Many of my patients choose the gastric sleeve Houston procedure because they want lasting change, not just another diet. I perform all surgeries myself and provide close follow-up, so you’re never just a number. Our practice is known for handling complex cases and offering both surgical and non-surgical solutions, all under one roof.

Having cared for patients from dozens of Houston neighborhoods, I believe local expertise isn’t just about geography—it’s about understanding your lifestyle, addressing your pain points, and ensuring you feel heard from the very first visit. Choosing care in your own community can make your weight loss journey more connected and supported.

If you’re seeking a trusted partner for your weight loss journey, I invite you to learn more about our approach and the difference that local expertise can make. For more information on Houston’s medical community, visit the UT Physicians website.

Community Voices Online

As a board-certified, fellowship-trained bariatric surgeon serving Houston and surrounding communities, I believe that true care goes beyond the operating room. My approach—shaped by training at the Mayo Clinic and Cleveland Clinic—focuses on patient-first, judgment-free support, whether I’m performing a gastric sleeve, revisional bariatric surgery, or complex hernia repair. It’s always rewarding to see our commitment reflected in the experiences shared by people in our community. One Google review posted online highlights the value of compassionate, long-term follow-up and the dedication of our Houston-area team:

Google Review Spotlight

Cameron: My surgery was on 4/22/19 and this whole experience before and after has been amazing. I had the Bariatric Sleeve Surgery and would not have chosen anyone else to do it. The office staff is the best. If you are thinking of having Bariatric Surgery or just for general surgery. Dr Chaudhry checks on you before and after the surgery, and the follow up visits he truly wants to know the progress you have made and truly cares.

Read the full review on Google

Conclusion

In summary, gastric sleeve surgery in Houston offers a proven, patient-first solution for those struggling with persistent hunger and failed diets. By reducing the stomach’s size and lowering hunger hormones, this procedure can help you achieve meaningful, lasting weight loss—especially when paired with ongoing support and healthy habits. As a board-certified surgeon with Mayo Clinic and Cleveland Clinic training, I’ve guided many patients to success through a comprehensive, judgment-free approach.

You don’t have to keep battling your weight alone—real, lasting solutions are available for Houston-area patients ready for change. Schedule your consultation today to take the first step toward lasting weight loss.

This article is for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment options. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.

Frequently Asked Questions

What is a gastric sleeve, and how does it help with weight loss?

A gastric sleeve, or sleeve gastrectomy, is a minimally invasive surgery where I remove a portion of the stomach, creating a smaller “sleeve.” This limits how much you can eat and, importantly, lowers hunger hormones. Studies suggest this combination supports significant, sustainable weight loss for many patients who have struggled with traditional diets.

Where do you perform gastric sleeve surgeries in Houston?

I perform surgeries at Advanced Houston Surgical, serving patients from across the Greater Houston area. My practice is easily accessible for those in neighborhoods like West University Place and surrounding communities, ensuring you receive expert care close to home.

What if I’ve already tried other weight loss surgeries or diets and failed?

If you’ve experienced disappointment with previous diets or even past bariatric surgery, you’re not alone. I specialize in complex and revisional cases, offering tailored solutions and ongoing support. Many patients find renewed hope and success with a personalized approach—even after years of frustration.

Is gastric sleeve surgery safe, and what results can I expect?

Clinical research indicates that gastric sleeve surgery is generally well-tolerated, with most patients losing 10–15% of their excess body weight in the first month and up to 55% after one year. As with any surgery, risks exist, but careful preparation and follow-up help ensure the safest possible experience and the best outcomes.

Are there alternatives to surgery, like medications?

Yes, I offer advanced medical weight loss options, including medications such as semaglutide and tirzepatide. These can help reduce appetite and support weight loss, especially for those not ready for surgery. However, evidence suggests that surgical options like the gastric sleeve often provide more dramatic and lasting results for eligible patients.

Please note: Advanced Houston Surgical does not offer or recruit for clinical trials. References to research are citations of published medical studies only.