Biliopancreatic Diversion with Duodenal Switch (BPD/DS) is a combination of restrictive and malabsorptive bariatric procedures. It helps patients lose weight by both limiting food intake and reducing calorie absorption.

This surgery involves two main steps:

1. Sleeve Gastrectomy (Restrictive Phase):
   A portion of the stomach is removed, creating a smaller, tube-shaped stomach similar to the size of a banana. This reduces food capacity and helps patients feel full faster.

2. Intestinal Bypass (Malabsorptive Phase):
   The small intestine is divided and rearranged to separate the flow of food from digestive juices (bile and pancreatic enzymes). This reduces the length of the small intestine available for nutrient absorption, leading to decreased calorie intake and significant weight loss.

The result is a powerful combination that restricts food intake while dramatically reducing fat absorption — often leading to 70–80% loss of excess body weight within two years.

How the BPD/DS Procedure Works ?

The Biliopancreatic Diversion with Duodenal Switch is performed under general anesthesia, typically using a laparoscopic (minimally invasive) technique to reduce recovery time and complications.

Here’s how the procedure unfolds step by step:

1. Step 1: Creating a Sleeve Stomach

   • The surgeon removes about 70–80% of the stomach, creating a smaller, sleeve-shaped stomach that holds much less food.

   • The pyloric valve (which controls food flow from the stomach to the small intestine) is preserved, ensuring more natural digestion compared to other bypass surgeries.

2. Step 2: Dividing the Small Intestine

   • The small intestine is divided near the stomach.

   • The lower portion of the small intestine is connected to the stomach sleeve, bypassing a large part of the intestine where most calories and nutrients are absorbed.

3. Step 3: Creating the Duodenal Switch

   • The remaining portion of the small intestine, which carries bile and pancreatic enzymes, is reattached closer to the colon.

   • This “switch” ensures that digestive juices mix with food only near the end of the intestine, significantly reducing fat absorption.

The procedure usually takes about 3–4 hours, and patients typically stay in the hospital for 3–5 days post-surgery.

Who Is the Ideal Candidate for BPD/DS Surgery?

BPD/DS is not for everyone — it is specifically designed for patients with severe or morbid obesity or those suffering from serious metabolic diseases.

Ideal candidates include:

• Individuals with a BMI of 50 or higher.

• Patients with BMI between 40–50 who have obesity-related conditions such as:

  • Type 2 diabetes

  • High blood pressure

  • Sleep apnea

  • Heart disease

  • High cholesterol

• People who have tried other weight loss methods (including gastric sleeve or band surgery) but failed to achieve lasting results.

• Those who are motivated to make lifelong dietary and lifestyle changes.

Before surgery, patients at One Life Medical Tourism undergo a detailed pre-assessment including blood tests, nutritional evaluation, psychological counseling, and cardiac fitness analysis to ensure complete suitability for the procedure.

Benefits of BPD/DS Surgery

The Biliopancreatic Diversion with Duodenal Switch offers unparalleled long-term results among bariatric procedures. Some of the major benefits include:

1. Exceptional Weight Loss

Patients typically lose up to 70–80% of excess weight within 18–24 months. The results are often more consistent and sustained than with other weight loss surgeries.

2. Remission of Type 2 Diabetes

BPD/DS is considered one of the most effective surgical treatments for Type 2 diabetes, often leading to complete remission. This is due to hormonal and metabolic changes that improve insulin sensitivity.

3. Improvement in Obesity-Related Conditions

Post-surgery, many patients experience dramatic improvements in:

• High blood pressure

• Sleep apnea

• Polycystic Ovary Syndrome (PCOS)

• Heart disease risks

• Fatty liver disease

4. Preserved Pyloric Valve

Because the pyloric valve is left intact, patients experience more natural digestion, reduced dumping syndrome (rapid food passage), and better nutrient control compared to gastric bypass.

5. Sustainable Long-Term Results

Unlike gastric banding or other less invasive options, BPD/DS offers lasting results. Long-term studies show that most patients maintain over 70% of their weight loss even after 10–15 years.

6. Enhanced Quality of Life

Weight loss after BPD/DS leads to better physical mobility, higher energy levels, increased confidence, and an overall improvement in mental health and social well-being.

Post-Surgery Diet and Recovery

After Biliopancreatic Diversion with Duodenal Switch surgery, recovery is gradual and structured to ensure maximum results and safety.

Stage 1: Immediate Recovery (Days 1–7)

• Hospital stay lasts around 4–5 days.

• Patients are started on a clear liquid diet (broth, sugar-free beverages).

• Light movement and breathing exercises are encouraged to prevent complications.

Stage 2: Early Post-Op (Weeks 2–4)

• Transition to pureed and soft foods.

• Protein-rich meals are encouraged to aid healing.

• Hydration and vitamin supplementation begin.

Stage 3: Long-Term Diet (After Week 5)

• Gradual reintroduction of solid foods in small portions.

• High-protein, low-carb meals with limited fat intake.

• Lifelong vitamin and mineral supplementation (especially Vitamin D, B12, Iron, and Calcium) is essential to prevent deficiencies.

Expected Recovery:
Most patients return to light work after 2–3 weeks and resume normal activities within 6–8 weeks.

Possible Risks and Complications

While BPD/DS offers remarkable outcomes, it is also one of the most complex bariatric surgeries. Potential risks include:

• Nutrient deficiencies (especially fat-soluble vitamins like A, D, E, K)

• Dumping syndrome

• Gallstones or hernias

• Infection or leakage at the surgical site

• Chronic diarrhea (if dietary instructions are not followed)

At One Life Medical Tourism, all partner hospitals adhere to international safety protocols and provide patients with personalized nutritional guidance and follow-up programs to minimize risks and ensure a smooth recovery.

Cost of BPD/DS Surgery with One Life Medical Tourism

In Western countries such as the USA, UK, or Canada, the cost of Biliopancreatic Diversion with Duodenal Switch can range from $20,000 to $35,000 USD, making it financially inaccessible for many.

However, through One Life Medical Tourism, patients can access world-class bariatric care at a fraction of that price — typically between $6,000 to $9,000 USD, depending on the destination and hospital facilities.

Packages include:

• Pre-operative medical evaluation

• Surgeon and hospital fees

• Anesthesia and operating room costs

• 3–5 days hospital stay

• Airport transfers and accommodation assistance

• Post-surgery diet and fitness consultation

One Life Medical Tourism ensures complete transparency — no hidden fees, and all costs are clearly explained before the patient travels for treatment.

Why Choose One Life Medical Tourism for BPD/DS Surgery?

When it comes to life-transforming surgeries like the Biliopancreatic Diversion with Duodenal Switch, choosing the right medical tourism partner can make all the difference.

Here’s why One Life Medical Tourism is trusted by patients worldwide:

1. Highly Experienced Bariatric Surgeons

One Life Medical Tourism partners only with internationally trained bariatric surgeons who have successfully performed hundreds of complex BPD/DS procedures with excellent outcomes.

2. Accredited Hospitals and Advanced Technology

All hospitals meet global standards such as JCI and NABH accreditation, equipped with modern laparoscopic tools, 3D imaging systems, and advanced ICU support.

3. Personalized Treatment Plans

Each patient’s case is unique. One Life Medical Tourism provides customized plans based on BMI, health conditions, and lifestyle goals, ensuring that every patient receives the most suitable treatment.

4. Comprehensive Pre- and Post-Operative Support

From the moment you contact us, a dedicated patient coordinator handles everything — including travel arrangements, accommodation, surgery scheduling, and recovery monitoring.

5. Affordable Excellence

Patients save up to 70% on surgery costs compared to Western nations without compromising on medical standards or quality of care.

6. Global Reach with Local Care

With hospital networks across India, Turkey, Thailand, and the UAE, One Life Medical Tourism gives patients flexible choices based on location and budget.

7. Long-Term Follow-Up

The relationship doesn’t end after discharge. Patients receive ongoing teleconsultations, diet plans, and progress tracking for months after returning home.

Life After BPD/DS Surgery

The journey after BPD/DS is not just about losing weight — it’s about reclaiming control over your life and health.

Patients often report:

• Higher confidence and self-esteem

• Improved physical mobility

• Enhanced relationships and social confidence

• Freedom from diabetes and medication dependency

• Renewed energy and zest for life

With dedicated support from One Life Medical Tourism, patients not only transform physically but also emotionally and psychologically, achieving a balanced and fulfilling life.

Biliopancreatic Diversion with Duodenal Switch is a highly effective surgical solution for severe obesity, combining stomach reduction and intestinal bypass for maximum weight loss and long-term health benefits. While it requires a strong commitment to lifestyle changes and medical follow-up, its life-changing impact is undeniable.

Through One Life Medical Tourism, patients gain access to world-renowned bariatric surgeons, international-grade facilities, and compassionate care — all at an affordable cost. From the first consultation to post-surgery support, One Life Medical Tourism ensures that every patient’s transformation journey is safe, successful, and empowering.