Treatment Overview
Biliopancreatic Diversion with Duodenal Switch (BPD/DS) is an advanced bariatric surgery designed for patients with severe obesity. The procedure combines two techniques: a sleeve gastrectomy to reduce stomach size and a bypass of a significant portion of the small intestine to limit calorie and nutrient absorption. This dual approach leads to substantial weight loss and improved metabolic health. Korea has emerged as a top destination for BPD/DS due to its experienced surgeons, minimally invasive techniques, and comprehensive care for international patients.
Purpose & Benefits
BPD/DS is intended to treat severe obesity and associated metabolic disorders. Key benefits include:
- Maximum and sustained weight loss for patients with morbid obesity.
- Significant improvement or remission of type 2 diabetes, hypertension, and sleep apnea.
- Enhanced long-term metabolic health and reduced cardiovascular risk.
- Combination of restrictive and malabsorptive techniques ensures durable results.
- Improvement in quality of life, energy levels, and mobility.
Ideal Candidates
BPD/DS is suitable for:
- Individuals with a Body Mass Index (BMI) of 50 or higher.
- Patients with a BMI of 40–49.9 who have severe obesity-related comorbidities.
- Adults aged 18–65 who have not achieved sustained weight loss through diet, exercise, or medications.
- Patients committed to lifelong dietary changes, nutritional supplementation, and follow-up care.
Possible Risks & Complications
While effective, BPD/DS carries certain risks:
- Surgical complications such as bleeding, infection, or reactions to anesthesia.
- Nutritional deficiencies (protein, fat-soluble vitamins A, D, E, K, and minerals).
- Diarrhea or malabsorption-related digestive issues.
- Rare complications like leaks at the surgical site, bowel obstruction, or ulcers.
Korean hospitals minimize risks through advanced laparoscopic techniques, thorough pre-operative assessment, and structured post-operative monitoring.
Techniques & Technology Used
Korean hospitals use modern techniques to ensure safety and effectiveness:
- Laparoscopic Surgery: Minimally invasive approach for faster recovery and minimal scarring.
- Robotic-Assisted Surgery (optional): Enhances precision in complex procedures.
- High-Definition Imaging & Navigation: Ensures accurate sleeve creation and intestinal reconstruction.
- Post-Operative Monitoring: Tracks patient recovery, nutrition, and early detection of complications.
Treatment Process in Korea
- Consultation: Medical history review, BMI evaluation, and assessment of obesity-related conditions.
- Pre-Operative Testing: Blood work, imaging scans, and nutritional assessment.
- Surgery: Performed under general anesthesia, typically lasting 3–5 hours.
- Hospital Stay: Usually 3–5 days with monitoring by a multidisciplinary medical team.
- Post-Operative Care: Dietary guidance, nutritional supplementation, exercise plan, and regular follow-ups.
Recovery & After-Care
- Immediate Post-Surgery: Light walking, hydration, and liquid diet.
- Weeks 2–4: Gradual transition from liquid to soft foods, then solid foods.
- Nutritional Supplements: Lifelong vitamins, minerals, and protein supplements to prevent deficiencies.
- Follow-Ups: Regular monitoring for weight loss, nutritional status, and metabolic improvements.
- Lifestyle Adjustments: Focus on healthy eating, portion control, and consistent physical activity.
Results & Longevity
- Patients typically lose 70–90% of excess body weight within 12–24 months.
- Long-term improvement or remission of type 2 diabetes and other obesity-related conditions.
- Sustained weight management requires lifelong adherence to diet, supplements, and follow-ups.
- Korean patients report high satisfaction due to successful outcomes, expert care, and advanced technology.
Why Korea Is a Top Destination
- Highly skilled bariatric surgeons with expertise in complex procedures like BPD/DS.
- Advanced hospitals with modern surgical technology and facilities.
- Comprehensive pre- and post-operative programs for international patients.
- Competitive costs compared to Western countries without compromising quality.
- English-speaking staff, concierge services, and medical tourism support for international patients.
Cost Range
- Surgery alone: $12,000 – $20,000 USD
- Full packages (including pre-op tests, hospital stay, post-op care, and medical tourism services): $15,000 – $25,000 USD
Popular Clinics in Korea
- Seoul National University Hospital – Bariatric Surgery Center
- Asan Medical Center – Weight Loss Surgery Department
- Samsung Medical Center – Obesity & Metabolic Surgery
- JK Plastic Surgery & Bariatric Center
- Korea University Anam Hospital – Bariatric Surgery Unit



