Before and after pictures are a ritual involved in every transformation. What better way to show off weight loss results than with a photo displaying how far you’ve come and how much you’ve changed?

Duodenal Switch Surgery is a special procedure that is performed less often compared to the gastric sleeve. It restricts the amount of food intake, changes gut hormone levels, and reroutes the food path for fewer calories as well as fat absorption. These two key factors, referred to as restriction and malabsorption, have serious implications on the body in the form of excessive weight loss.

Biliopancreatic Diversion (BPD), with the Duodenal Switch (DS) and its variation single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S), produce extreme weight reduction often in a short period of time and it resolves type 2 diabetes mellitus.

Michelle Christina - Duodenal Switch Surgery Before and After Photo

Michelle C

Duodenal Switch Surgery (BPD/DS) in June 2020

  • Surgery Date: 6/2/2020
  • HW: 330.1
  • SW: 305.7
  • CW: 264.7
  • GW: 140

3 months post-op from Duodenal Switch surgery.  Started pre-op diet on 5/14/2020 weighing 330.1 lbs.

The biggest Non-Scale Victory (NSV) is being able to work my long work schedule and be able to have enough energy to come home and do all the housework so the home environment has certainly improved.

The pic on the left is my heaviest weight, and the bottom right is today!

Christopher Browers Duodenal Switch Before and After Photo

Christopher B

Duodenal Switch Surgery (BPD/DS) in September 2020

  • Surgery: Duodenal Switch
  • Surgery Date: 9/30/2020
  • Age: 39  Height: 5’10’
  • HW: 320
  • CW: 194 (Feb 20th, 2021)
  • GW: Roller Coaster Ride Eligible

Before Surgery: Scheduled for my Duodenal Switch (with Dr. Christian Rodriguez Lopez), next week. I’ve done my research for YEARS about DS, and now that it’s real, anxiety is building…

After Surgery: Five months ago, I wouldn’t have known what an NSV was. Four months ago, I said “those NSV are silly” Three months ago, I felt life-changing. A month ago, I was waiting to enter ONE-derland (I made it!)

Every day I’m seeing changes now. I want to shout it from mountain tops – “If you’re scared, wanting change, feel like you’ve done your best but haven’t gotten the results you wanted. Jump in, feet first, and prepare for life to change as you use your WLS as ONE OF THE TOOLS to reach your goals.”

Jamie Duodenal Switch Before and After Photo

Jamie G

Duodenal Switch Surgery (BPD/DS) in May 2020

  • Surgery: Duodenal Switch
  • Surgeon: Dr. Christian Rodriguez Lopez
  • Surgery Date: 5/23/2020
  • HW: 397 lbs
  • SW: 347 lbs
  • CW: 194 lbs (Dec 22, 2020)
  • GW: 180 lbs

I’m officially 30 weeks POST OP! I had the DS on 5/23/2020. It was hands down the best decision I have ever made! -99lbs

If you have any questions, any hesitations, any worries… PLEASE REACH OUT to those in this group!! Everyone is here for each other!!

Roshni Hall Duodenal Switch Before and After Photo

Roshni H

Duodenal Switch Surgery (BPD/DS) in September 2018

  • Surgery: Duodenal Switch
  • Surgery Date: 9/07/2018
  • HW: 361
  • SW: 309
  • CW: 193

It’s official ???? I am officially under 200 pounds! Omgee I literally would imagine how I would look at this weight as a  little girl. That makes for 162-pound weight loss at this point!!! If I never lost another pound I would be the happiest girl in the world because I have literally done something that has been impossible for years in my own head!!!!!!!!

September 7th changed my life…. Who needs a lil motivation?? I know I do at times!! Sometimes you have to look back at how far you have come to appreciate the journey!! I don’t know who needs to hear this but trust the process!! 167 pounds down! #Sept7 #duodenalswitch #throwbackthursday

Christian West - Duodenal Switch Surgery Before and After Photo

Christian W

Duodenal Switch Surgery (BPD/DS) in August 2020

  • Surgery: Duodenal Switch
  • Surgeon: Dr. Christian Rodriguez Lopez
  • Surgery Date: 8/8/2020
  • Height: 5’11’
  • HW: 397 lbs
  • SW: 347 lbs
  • CW: 194 lbs (Nov 30th, 2020)
  • GW: 180 lbs

What a difference 5 months can make… seeing pictures of myself is really the only way I can see the difference- and it helps motivate me for sure! Still, a long way to go, but I’m so happy with the decision I made. ?

Danielle Kats Duodenal Switch Before and After Photo

Danielle K

Duodenal Switch Surgery (BPD/DS) in November 2019

  • Surgery: Duodenal Switch
  • Surgeon: Dr. Christian Rodriguez Lopez
  • Surgery Date: 11/29/2019
  • HW: 234
  • CW: 115

I celebrated my one-year anniversary!

I had DS surgery last year on 11/29/19.

I’m worried I’m getting too thin now, which is never a problem I thought I’d ever had! ??

But it’s changed my life for the better in SO many ways and I wanted to be able to share my joy and gratitude with others! ?

Thank you, Dr. Rodriguez and everyone at MBC!!

Justin Bagwell - Duodenal Switch Surgery Before and After Photo

Justin B

Gastric Sleeve to Duodenal Switch in August 2019

Dr. Rodriguez Lopez August 2019

“I just have to say I owe my life to MBC. Anyone feeling nervous about using them has nothing to worry about. They saved my life and they will yours too if you use the tool they give you. When I “walked” into the hospital I was over 600 lbs. I have lost almost 300 lbs now! I still have a ways to go, but my life is completely different. I was as wide as that car and now I am out of the prison I have been in most of my life. I hope to have some serious skin removal later this year. Thank you, Karla Ochoa, Leili Kohan, Ron Shahram Elli, and all the wonderful drivers, doctors, nurses, and staff at MBC. Thank you for saving my life and continuing to save the lives of so many others…and yes those are the same pants in each photo just different colors!”

Melissa - Duodenal Switch Surgery Before and After Photo

Melissa H

Loop Duodenal Switch (SADi-S) in November 2019

  • Surgery: Single Anastamosis Duodenal Switch (SADi-S)
  • Surgeon: Dr. Christian Rodriguez Lopez

Together we have lost over 233lbs!! We both had our surgeries at MBC! Our journey started at different times, they weren’t the same, our struggles have been different. Together we have made a friendship that is understanding, loving, open, and accepting. We listen to each other’s wins and struggles. We motivate and encourage each other. I am forever grateful for this journey and for our friendship! I know you are someone I can always count on! I know our journeys aren’t over yet, but damn it’s been a crazy ride! #ourjourney #weightloss #wls #wlscommunity #ourstory #friends #greatertogether

Melissa - Duodenal Switch Surgery Before and After Photo

Barbara L

Loop Duodenal Switch (SADi-S) on November 20th, 2020

  • Surgery: Single Anastamosis Duodenal Switch (SADi-S)
  • Surgeon: Dr. Christian Rodriguez Lopez

Guys!!!! I had such Ana amazing experience at the hospital. My doctors and nurses were so amazing. Thank you MBC for taking such good care of me.

Feb 2021 – Down just over 70 pounds. I have gone from a size 14/16 and xl to a size 8 pant and sm/med shirt.

Apr 2021 – Thank you Dr. R for changing my life for good!

Melissa - Duodenal Switch Surgery Before and After Photo

Rose L

Gastric Sleeve to Duodenal Switch Revision on July 2019

  • Surgery: Duodenal Switch
  • Surgeon: Dr. Christian Rodriguez Lopez
  • Age: 38 Height: 5’5
  • SW: 265 lbs.
  • GW: 165 lbs.

I finally found a before photo! And I have reached my goal of 165 ?
Almost at my goal weight of 165. I’m currently 173. I started out at 265. I’m 5’5 and 38. I had the VSG Nov 2016 and revision from VSG to DS July 2019. My only regret was not doing this sooner!! Sorry, I don’t have any before photos I hated having my picture taken.

Melissa - Duodenal Switch Surgery Before and After Photo

Christina B

Duodenal Switch Surgery on Jan 2019

  • Surgery: Duodenal Switch
  • Surgeon: Dr. Christian Rodriguez Lopez
  • HW: 345
  • SW: 327
  • CW: 168
  • GW: 160

Jan 2020 – So a year ago today I changed my life forever. I had DS surgery done by Dr. Rodriguez. 177 pounds gone; almost at goal!! Went from size 26/28, 3x to size 6 m/L. I’m 5 ft. 9 inches.

Duodenal Switch Patient Testimonials

“I had SADI-S with Dr. Rodriguez on Nov. 19th. Everything went well. I met him before the surgery. I actually couldn’t decide between DS and SADI-S and he recommended SADI-S but said he could make the final decision after assessing my guts.”

Julie P, SADi-S Duodenal Switch

“I just had my DS (Sadi-S) on Wednesday – so far so good, but only 3 days out. We’ll see how things progress.”

Cher A, SADi-S Duodenal Switch

“DS has higher loss/maintenance averages. I am 15 months out from SADI-S (modified DS) and I’ve lost 92% of my excess weight.”

Sarah A, Duodenal Switch

Conclusion

Most patients receive sleeve gastrectomy as the first stage and revise to duodenal switch next. This is a good weight loss option for patients who are less disciplined. A good candidate for this procedure is willing to take protein and vitamins permanently.

If you have IBS or severe acid reflux, other surgery options may be better for you. Here are the pros and cons of DS to decide if this a good choice for you.

Cons of the Duodenal Switch Procedure

  • You may throw up blood and feel sick for a day or two after surgery.
  • You get smelly gas and stool called “malodorous.” You can reduce the gas and smell by cutting down on your carb.
  • You need to take bariatric-specific vitamins and mineral supplements as you malabsorb a lot of food you eat, plus fat and protein.

Pros of the Duodenal Switch Procedure

  • It adds years to your life!
  • It improves your quality of life!
  • It resolves type 2 diabetes, sleep apnea, and hypertension.
  • You will have more energy and stamina.