Frequently Asked Questions

Our caring medical team is here to answer your questions and assist you in any way we can. We recommend that you start learning all you can about weight loss surgery by attending one of our free, informational weight loss seminars. These seminars are offered on a monthly basis in Palm Bay, Sebastian, and Vero Beach (see seminar schedule). The next step is to set-up an appointment with Dr. Domkowski or Dr. Radecke. During your initial consultation, the surgeon will evaluate your medical condition and determine if you are a good candidate.

Our surgeons have performed hundreds of laparoscopic sleeve and gastric bypass procedures. We are proud to offer safe state of the art technology to all our patients.


Weight loss surgery may be right for you if:

  • Your BMI is 40 or higher. (Use our BMI Calculator)
  • Your BMI is 30 or higher and also suffer from one or more health problems such as Type II Diabetes or Hypertension.
  • You have been overweight for more than 5 years.
  • Your serious attempts to lose weight have had only short-term success.
  • You do not have any other disease that may have caused your obesity.
  • You are prepared to make substantial changes in your eating habits and lifestyle.
  • You do not drink alcohol in excess.

We recommend that you set-up an appointment with one of our doctors for a free consultation as soon as you have attended one of our monthly seminars.

This is a common question. The laparoscopic sleeve gastrectomy or laparoscopic gastric bypass. With new surgeries being introduced, the choice can cause confusion. Each of these surgeries has different weight loss profiles and the amount of data available on long term weight loss varies. Many factors go into making a decision about which surgery Is best suited for you. Your preferences and goals for weight and restoration of health are important factors in helping you make the correct decision. During your initial consultation, we would be happy to discuss all surgery options with you in more detail and recommend the best option for your individual health needs.

No, after either the sleeve or bypass your newly created “stomach” has a very small capacity. After returning to a regular diet you will consume between 1-3 ounces and feel very full. When you get this feeling you should stop eating. Your daily approximate calorie intake will be between 800-1000 calories daily.

Many private insurance companies provide coverage for the Laparoscopic sleeve gastrectomy and laparoscopic gastric bypass. Some insurance companies require a 3-6 month physician supervised weight loss program prior to approving your surgery. If your own doctor is familiar with medical weight loss management, he or she may be able to provide that service to you. If your doctor is unfamiliar with medical weight loss management, our program is able to provide the 3-6 month physician supervised visits that may be required by some insurance companies. If your surgery is initially denied we will appeal it for you.

The laparoscopic adjustable gastric band surgery can usually be done as an outpatient procedure. The total cost to the patient for the Lap Band can be as low as $12,500. The total cost for the Laparoscopic Sleeve can be as low as $13,000. The Lap Gastric Bypass can be as low as $16,000.This includes the surgeon’s fee, anesthesia, psychology consult, nutrition consult, and the hospital fee. If there are unexpected complications or additional services or hospital stays required the patients will be billed accordingly and in addition to above costs.

Yes. If your health insurance does not cover your monthly payments they are tax deductible since these operations are deemed medically necessary. In the year you finance or pay cash for your weight loss surgery, you may be eligible to receive thousands of dollars back in potential tax savings. IRS Publication 502 states you can deduct your medical expenses when they total more than 7.5% of your Adjusted Gross Income. Please consult your tax advisor to learn more about this before making any financial decisions.

Learn more about Lap-Sleeve Gastrectomy and Lap-Gastric Bypass surgeries.

Becoming a Patient

Step 1: Seminars

Attend Our Free Weight Loss Seminar

It is necessary to attend one of our free, monthly informational seminars before your first appointment with any of the Sebastian River Medical Center Surgical Weight Loss team. To reserve your spot in advance call 888-671-7762. Space is limited. Granola bars and fruit will be served.

Learn more. See Seminar Schedule.

Step 2: Insurance

Check to make sure that surgery and the treatment for obesity, and weight-loss, are covered benefits in your plan. It is very important that they are not excluded in your specific policy.

Learn more.

Step 3: Patient Information

Please help us by downloading and completing the Patient Information form before your first office visit. 

Learn more.

Step 4: Consultation

After attending a bariatric seminar and deciding that this is something you would like to pursue, please call our office and schedule a consultation with Dr. Domkowski.

Learn more.

Step 5: Psychologist/Nutritionist/Bariatric Coordinator

For the health and safety of our patients, we follow the National Institute of Health (NIH) guidelines for Bariatric Surgery.

Learn more.

Featured Testimonial

  • After her surgery, Robyn was surprised at how good she felt, and how little pampering she needed.
  • After eight months and 150 pounds lost, Justin can sleep through the night and doesn't want to stay in the house all day.
  • After weight-loss surgery, Ken participates in a basketball league and has traveled comfortably to Atlanta in the middle seat on the plane.

Support Group--You're Invited

Meet with others who are thinking of having surgery, individuals who have already had surgery, and people who had their surgery elsewhere. Everyone is welcome.

Support Group Schedule
Meets the fourth Tuesday of every month at 6:00 pm in the Dining room at Sebastian River Medical Center.

Learn more.