Treatment Overview
Duodenal Switch Surgery (DS), also known as Biliopancreatic Diversion with Duodenal Switch, is a complex bariatric procedure designed for patients with severe obesity. It combines a sleeve gastrectomy, which reduces stomach size, with a bypass of a significant portion of the small intestine to limit calorie and nutrient absorption. This dual approach provides substantial weight loss and improved metabolic health. Korea is recognized globally for performing DS with advanced laparoscopic and robotic techniques, experienced surgeons, and comprehensive care tailored for international patients.
Purpose & Benefits
Duodenal Switch Surgery is primarily performed to treat morbid obesity and associated metabolic disorders. Key benefits include:
- Maximum and sustained weight loss for patients with severe obesity.
- Significant improvement or remission of type 2 diabetes, hypertension, and sleep apnea.
- Reduction of long-term cardiovascular risks and obesity-related complications.
- Combination of restrictive and malabsorptive techniques ensures durable results.
- Enhanced quality of life, energy, and mobility.
Ideal Candidates
DS surgery 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 health conditions.
- Adults aged 18–65 who have not achieved sustainable weight loss with diet, exercise, or medications.
- Patients committed to lifelong dietary modifications, nutritional supplementation, and follow-up care.
Possible Risks & Complications
While highly effective, DS surgery carries potential 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 or robotic techniques, detailed pre-operative assessments, and structured post-operative monitoring.
Techniques & Technology Used
Korean hospitals use cutting-edge technology to ensure safety and effectiveness:
- Laparoscopic Surgery: Minimally invasive approach reduces scarring and recovery time.
- Robotic-Assisted Surgery (optional): Provides precision for complex procedures.
- High-Definition Imaging & Navigation: Ensures accurate sleeve creation and intestinal reconstruction.
- Post-Operative Monitoring Systems: Track patient recovery, nutritional intake, and early detection of complications.
Treatment Process in Korea
- Consultation: Medical history review, BMI assessment, and evaluation of obesity-related conditions.
- Pre-Operative Testing: Blood work, imaging scans, and nutritional evaluation.
- Surgery: Performed under general anesthesia, typically 3–5 hours.
- Hospital Stay: Usually 3–5 days with monitoring by a multidisciplinary medical team.
- Post-Operative Care: Includes dietary guidance, nutritional supplementation, exercise plans, 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 of weight loss, nutritional status, and metabolic improvements.
- Lifestyle Adjustments: Emphasis on balanced diet, portion control, and consistent physical activity for long-term success.
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.
- High patient satisfaction due to effective outcomes, expert care, and advanced surgical techniques in Korean hospitals.
Why Korea Is a Top Destination
- Highly skilled bariatric surgeons experienced in complex DS procedures.
- Advanced hospitals with modern technology and facilities.
- Comprehensive pre- and post-operative care for international patients.
- Competitive pricing compared to Western countries without compromising quality.
- English-speaking staff, concierge services, and full medical tourism support.
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



