Expedited Clearances

To accommodate the patient’s schedule, we have designed the one-day presurgical workup to expedite the clearance process for surgery. We have put together a team of physicians and providers in-house that specializes in their field so that patient clearances can be completed in as little as 4 hours. All of our specialists also provide post-surgical support, which we highly recommend for our patients.


A cardiologist is a doctor specializing in diseases of the heart. As part of the clearance for surgery, the cardiologist will evaluate the heart and circulatory system and determine if additional testing is necessary.

Here’s what to expect at the cardiology consultation:

  • A thorough review of your medical history and any heart-related symptoms you've been experiencing.
  • Physical examination with specific focus on your cardiovascular system, including blood pressure and heart rate checks.
  • Potential diagnostic tests, such as an electrocardiogram (EKG) or stress test, to assess the heart's electrical activity, heart rate, and overall function.


A pulmonologist is a doctor specializing in diseases of the lungs. The pulmonologist will evaluate the health of your lungs and your breathing, and determine if additional testing such as pulmonary function tests, etc. is needed.

Here’s what to expect at the cardiology consultation:

  • A detailed review of your medical history, particularly any respiratory issues or symptoms you may have.
  • Physical examination, including listening to your lungs and checking your breathing rate.
  • Possible diagnostic tests, such as spirometry or other pulmonary function tests, to measure your lung capacity and how well your lungs are functioning.


The endocrinologist specializes in diseases of the endocrine (hormone) organs and the in the management of diabetes. The endocrinology clearance is only applicable for those patients with diabetes. The endocrinologist will help determine whether there are any hormonal causes of obesity that should be addressed before surgery. 

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    All patients are required to have an upper endoscopy performed before surgery. The endoscopy includes a biopsy for H. pylori, a very common bacteria that causes ulcers. If the bacteria are present, patients receive a course of antibiotics. Retesting will be required to ensure that the bacteria is no longer present. 

    Here’s what to expect for the endoscopy:

    • You'll receive instructions about fasting before the procedure, as your stomach needs to be empty to perform the endoscopy.
    • The doctor will use a thin, flexible tube with a camera (an endoscope) to look at the upper part of your digestive system. Samples for biopsy will  be taken during this time.
    • The procedure is performed under sedation, so you will need someone to drive you home after the procedure.

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    Sleep Study

    Obese patients are at a very high risk of developing a condition called Obstructive Sleep Apnea (where one actually has episodes of stopped breathing while asleep). The sleep study will diagnose the level of Obstructive Sleep Apnea condition. 

    Here’s what to expect during the sleep study:

    • The Sleep Study team contacts the patient to review the guidelines, expectations, time allotted for the test and the potential outcomes.
    • If conduc