STEP-BY-STEP – THE PROGRAM PROCESS 1st Step: Sign up for a free information session by contacting our office at (503) or via the website at You may choose either a web seminar or a live, in-person seminar hosted by our surgeon. 2nd Step: Complete a new patient application (available upon completion of, or attendance at, an information session) and submit to Oregon Weight Loss Surgery with a copy, front and back, of your current insurance card. Wait for approval to being your pre-surgical evaluation appointments. New patient applications may be submitted online, dropped off at the office, or mailed to the office at: Oregon Weight Loss Surgery, LLC Legacy Good Samaritan Hospital, Building NW 22 nd Avenue, Suite 500 Portland, OR rd Step: We will verify your insurance benefits once your new patient application has been received. If there IS a benefit – We will contact you with your insurance company’s requirement list for bariatric surgery coverage. If there is NO benefit – You will be mailed an explanation letter and information regarding other financing options. Self-pay patients – You will meet with the Self Pay Coordinator before being referred for pre- surgical evaluations. 4th Step: After you are approved, please call Oregon Weight Loss Surgery and speak to the New Patient Specialist to schedule your pre-surgical evaluations and appointments. A full list of required appointments is available on the Pre-Surgical Check List sheet (see next page). 5th Step: Following the required pre-surgical evaluations we will schedule you for your consultation with the surgeon. The surgeon’s scheduler will call YOU to schedule this appointment. Following the surgeon’s consultation we will contact your insurance company for the final approval for surgery (called the surgery authorization). 6th Step: Upon receipt of your surgery authorization we will notify you and schedule your surgery. You must attend a pre-operative class within 2 weeks of your scheduled surgery date. At this class you will be given details regarding your pre-surgery diet, discharge instructions to follow once you leave the hospital, and you will also be given prescriptions for any medications that you will need upon release from the hospital. 7th Step: Weight loss surgery! 8th Step: Post-surgery follow-up is an important part of reaching your weight loss goals. Follow-up schedules are dependant on the surgery performed and are available in this binder or at our main office. Studies have repeatedly shown that long-term follow-up is essential in maintaining permanent weight loss. Follow-up after any bariatric surgery is a life-long commitment

IS BARIATRIC SURGERY RIGHT FOR YOU? Considering the pros and cons of any decision is a very useful way to weigh the issue; Gastric Banding Sleeve GastrectomyGastric Bypass Invasiveness LeastMiddleMost Excess Weight Loss 40-60%50-60%50-70% Rate of Weight Loss SlowerFaster Risk of Death Lowest 1/1000 – 0.1% Middle 1/500 – 0.2% Highest 1/100 – 1.0% Complications Occur laterOccur earlyOccur early or late Adjustable YesNo Reversible YesNoVery difficult Implanted Device YesNo Hospital Stay <1 day1 day2 days Time off work 1 week1-2 weeks2 weeks US track record Since 2001Since ~2000Since 1960’s Anti Inflammatory OK NOT OK Follow up Most frequentLess frequent TIP: Make your own list of pros and cons for each procedure, taking into account the wants, needs, desires, and expectations that are relevant and important to YOU