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Weight Loss & Bariatric Surgery Procedures

Though bariatric surgery is not a quick fix, it can be part of a plan to help you achieve significant weight loss, free you from related medical problems and give you the chance to live the life you’ve always wanted.

At Flaget Memorial Hospital, we offer a full range of weight loss surgery options to put you on the path to success. Our board-certified surgeon, Dr. Robert Farrell, specializes in the latest laparoscopic techniques, requiring just a few small incisions. This may offer you a variety of benefits, including less pain and faster recovery, so you can get started right away on your weight loss goals.

Throughout your journey, you’ll also have the support of your own dedicated weight loss team—including a program coordinator, registered dietitian, access to a mental health provider and more. Together, they provide care for the whole you.

Call 859.904.5729 or fill out our quick form to save your spot at a free weight loss seminar, hosted close to home in Bardstown, Elizabethtown or Louisville. Dr. Farrell will provide in-depth information on each procedure, answer any questions and see if you may be a candidate.

Proven Procedures for Life-Changing Success

Choosing the right procedure for you involves discussion with an experienced bariatric surgeon. Dr. Farrell is here to listen, to understand your unique needs and goals and to help you find the best fit for your life.

You may qualify for weight loss surgery if you are:

  • Between the ages of 18 and 65
  • Obese with a body mass index (BMI) of 40 or above (calculate your BMI here)
  • Struggling with an obesity-related condition like type 2 diabetes, joint pain, hypertension, heart disease or obstructive sleep apnea
  • Have tried or are currently trying to lose weight through other means such as diet and exercise
  • Psychologically ready for weight loss surgery and willing to commit to a whole new lifestyle
  • Not drug or alcohol dependent

Options include:

Gastric Bypass

Also called "Roux-en-Y”, gastric bypass surgery involves making a small pouch out of the stomach and bypassing the small bowel. Rapid weight loss occurs by limiting the amount of food you consume and the calories your body absorbs. Gastric bypass requires lifelong follow up to monitor essential vitamin and nutrient levels.

Sleeve Gastrectomy

Sleeve gastrectomy, also called gastric sleeve, decreases stomach size by about 80%. You’re left with a tube the size of a banana, which limits the amount of food you can hold and promotes a longer-lasting feeling of fullness. Due to its lower risk, sleeve gastrectomy is optimal for patients who have had extensive previous surgery, and has even been used to help those with kidney disease lower their body mass index (BMI) in order to receive transplants.

Adjustable Gastric Banding

Adjustable gastric banding uses an inflatable, adjustable ring to create a smaller gastric pouch, limiting the amount of food it will hold at any time. That means you’ll feel comfortably full with less and maintain that fullness for several hours, reducing the urge to eat between meals. Adjustable gastric banding is the least invasive weight loss procedure, and may have you home the same day as surgery. It’s also the only reversible and adjustable option. Dr. Farrell performs all band adjustments himself with a quick and simple in-office procedure.


SIPS (Stomach Intestinal Pylorus Sparing) surgery is a hybrid approach using key components of the gastric sleeve and gastric bypass procedures. A gastric sleeve is created and the small bowel is rerouted using a single loop anastomosis. In this technique, the pylorus remains intact, which is an important part of digestion, vitamin and mineral absorption. Watch the video to hear Dr. Farrell discuss the SIPS procedure.

Duodenal Switch

The duodenal switch (DS) is similar to the SIPS procedure, requiring a division of the small bowel, but also has two anastomoses.

The DS and the SIPS provide improved weight loss results as well as improvement in A1c (blood glucose) levels.  Qualifying for these procedures is a very selective process, based on thorough evaluation by your surgeon.