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Gastric Plication

Gastric Plication Surgery: Procedure, Preparation, Recovery & Benefits

  • Dec 29, 2023


Gastric plication surgery, known as Laparoscopic Gastric Greater Curvature Plication or Gastric Imbrication, is a restrictive technique designed to reduce the stomach size by approximately 75%. The procedure involves a strategic “tucking in” of the stomach’s external curved portion. This adjustment prompts patients to experience a sense of fullness earlier, leading to reduced food intake. Gastric plication can serve as an effective method for initial weight-loss procedures or as a viable option for individuals considering revision weight loss surgery.

Who is the ideal candidate for Gastric Plication?

To qualify for gastric plication, individuals should have a BMI of 40 or higher. However, patients with a BMI between 30 and 39.9 may also be considered suitable candidates if they experience severe obesity-related health conditions, including but not limited to high blood pressure, elevated cholesterol levels, type 2 diabetes, or sleep apnea. In cases where individuals have a BMI between 30 and 39.9 but do not have any of these conditions, the non-invasive gastric balloon surgery might be a more suitable alternative.

How to prepare for gastric plication surgery?

As part of your preparation, our bariatric surgeon will conduct a thorough review of your medical history, perform essential blood tests, inquire about any prescriptions, over-the-counter medications, herbal supplements, and vitamins you are currently taking. Additionally, they will engage in a detailed discussion about your goals and expectations for the surgery. Finally, you will receive a set of instructions to follow before the surgery, outlining guidelines such as when to commence fasting and which medications to discontinue to prevent any complications during or after the procedure.

How is the surgery performed?

Before the surgery, you will receive antibiotics and anesthesia to ensure you are comfortably asleep throughout the process, feeling no discomfort.
The entire procedure typically takes between 1 and 2 hours. The surgeon initiates the process by making six small incisions in your abdomen to introduce a laparoscopic camera and surgical instruments.

These tools are then utilized to carefully fold and stitch the stomach, reducing its size by approximately 75%.

Once the procedure is complete, the surgeon will close the incisions, and you will be transferred to the recovery room.

If you have any further questions or concerns, feel free to discuss them with CosmeSurge healthcare team here or call at 80026763.

Post gastric plication

Our medical staff will provide you with intravenous medications shortly after the procedure to prevent vomiting and nausea. You’ll also be given small sips of water every 4 to 6 hours to ensure that you can retain liquids and will not vomit them. You will be ready to be discharged after 1 or 2 days if you are recovering well and don’t have any complications.

During the third and fourth weeks following surgery, you will consume only semi-solid foods, allowing you to progressively introduce solid foods in subsequent weeks and adjust to your new healthy lifestyle.

Why Choose Gastric Plication?

Gastric imbrication, known for its efficacy, stands out among bariatric surgeries for several compelling reasons:

  1. Non-Invasive Approach:
    No use of external or foreign materials.
    No implantation of devices inside the stomach.
  2. Cost-Effective:
    Provides efficient results at a comparatively low cost.
  3. Preservation of Stomach Integrity:
    No removal of any part of the stomach.
  4. Health Benefits:
    Facilitates recovery from various obesity-related diseases.
  5. Reversibility:
    Unique feature allows the procedure to be reversed at any time, restoring the stomach to its original state.
  6. No Vitamin Requirements:
    Patients are not required to take specific vitamins.
  7. Reduced Risk of GERD (Gastroesophageal Reflux Disease):
    The procedure does not lead to GERD.
  8. Swift Recovery:
    Short recovery period; patients can often be discharged on the same day as the operation.
  9. Minimal Complications:
    No possibility of infusion-related complications as there are no stomach wounds.
  10. Preservation of Stomach Functionality:
    Does not impact the absorption capacity or functionality of the stomach.Choosing gastric plication presents a comprehensive solution with a range of benefits, making it a preferred option in the realm of bariatric surgeries.


The cost of gastric bypass surgery involves multiple factors. Expenses vary based on the surgeon’s expertise, pre-op tests, post-op care, and potential insurance coverage. Many insurance plans cover part or all of the expenses, subject to eligibility and policy terms.

Your surgeon may also recommend taking multivitamins and iron supplements for an entire year following surgery; This prevents malnutrition or vitamin shortages while adjusting to your new physique and diet.

It is crucial to remember that you must attend your follow-up consultations as instructed by your doctor. Compliance with follow-up sessions is essential since it enables us to track your progress, evaluate your treatment’s efficacy, and aid you in reaching your weight-loss objectives.


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