Many post-bariatric patients prior to weight loss had weight-associated medical conditions. Prior to any procedures, these patients should have general medical clearance. If a patient is a smoker, they should go through a smoking cessation program. In order to reduce the risk of significant wound healing complications related to alteration in tissue perfusion by nicotine, all patients should be nicotine free for a minimum of six weeks prior to and after any elective surgical procedure. Bariatric patients are at risk for nutritional deficiencies that can affect the healing and thus put them at risk for wound healing complications. They should all undergo nutritional assessment, and any deficiencies should be addressed.
