Set Realistic Expectations

This is perhaps the most important step. Having realistic expectations can help you adjust better to life post-surgery. Here are some key areas to focus on:

• Food: Your portion sizes will change dramatically. For instance, post-surgery, you might only manage one boneless fillet from KFC, which leaves you full. Before surgery, you might think you could have a McDonald’s meal again after three months, but the portion sizes and what you can eat are vastly different now. You might find it challenging to even finish a cheeseburger. Learning about these changes beforehand can help you mentally prepare for the new way of eating.
• Weight Loss: Understand that surgery won’t make you lose 100% of your excess weight. Tools like the American College of Surgeons Bariatric Surgery Risk/Benefit Calculator can give you an idea of how much weight you will lose and how fast. This tool has been very accurate for many and is widely recommended. Setting realistic weight loss goals can prevent disappointment and help you stay motivated.

Deal with Emotional Eating

It’s crucial to address emotional eating before surgery. In the first few months post-surgery, your restriction will be so significant that emotional eating isn’t possible even if you want to. However, as the swelling reduces and there’s more room in your stomach, emotional eating can lead to unwanted calorie intake. Dealing with this issue beforehand is essential:

• Identify Triggers: Recognise what triggers your emotional eating. It might be stress, boredom, or sadness. Understanding these triggers can help you develop healthier coping mechanisms.
• Seek Professional Help: Consider therapy or counselling to address these issues. A mental health professional can provide strategies to manage emotional eating effectively.

Establish a Support Network

Building a strong support network of close friends and family is vital. This network can help you through tough times, such as dealing with the liver reduction diet or post-surgery challenges. Additionally, consider joining a support group like a Facebook bariatric group to connect with others who are going through similar experiences:

• Family and Friends: Discuss your surgery and its implications with your loved ones. Their understanding and support can make a significant difference in your journey.
• Support Groups: Join online or local support groups where you can share experiences, ask questions, and get advice from others who have undergone similar surgeries.

Stay Optimistic

Maintaining a positive outlook throughout the process is important. The journey can be nerve-wracking and scary, but staying optimistic and focusing on the long-term benefits can help. Instead of fixating on the surgery, think about how great you will feel and look six months after:

• Visualise Success: Imagine your life post-surgery. For instance, James went from a XXXL to a medium in UK shorts within three months post-surgery. Visualising these positive outcomes can boost your motivation.
• Positive Affirmations: Use positive affirmations to maintain a positive mindset. Remind yourself daily of the benefits and improvements you are working towards.

Practical Steps for Preparation

Dietary Changes

Start implementing the dietary changes recommended for post-surgery. This helps ease the transition and ensures your body is better prepared:

• Pre-Surgery Diet: Follow the liver reduction diet as prescribed by your surgeon. This not only prepares your body but also helps you mentally adapt to smaller, healthier meals.

Exercise Routine

Begin a regular exercise routine if you haven’t already. Physical activity not only aids weight loss but also boosts mental health:

• Gradual Increase: Start with light exercises and gradually increase intensity. This builds endurance and prepares your body for post-surgery activity levels.

Plan for Recovery

Make arrangements for the recovery period, including time off work, help with household chores, and childcare if needed:

• Recovery Plan: Plan for your post-surgery needs. Ensure you have all the necessary supplies and support in place for a smooth recovery.

Journaling

Keep a journal to document your thoughts, feelings, and progress. This can be a therapeutic outlet and a valuable tool for reflection:

• Daily Entries: Write about your daily experiences, challenges, and victories. This can help you track your progress and stay motivated.

Professional Help

Therapist or Counsellor

Engage with a mental health professional to discuss any concerns or fears. They can provide strategies to manage anxiety and promote a positive outlook:

• Regular Sessions: Schedule regular sessions with a therapist or counsellor to address any emotional or mental health concerns.

Dietitian

Work with a dietitian to develop a personalised nutrition plan that suits your needs before and after surgery:

• Nutritional Guidance: Follow the dietitian’s advice on portion sizes, food choices, and nutritional supplements.

Surgeon and Medical Team

Maintain open communication with your surgeon and medical team. Don’t hesitate to ask questions or express concerns:

• Follow-up Appointments: Attend all scheduled appointments and follow the medical team’s advice for a successful recovery.

By taking these steps, you can enhance your mental and emotional readiness for gastric sleeve surgery, increasing your chances of a successful and positive outcome. Remember, this is our personal experience, and it’s always best to consult with your healthcare provider for personalised advice.