Weight Loss Surgery UK

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Horley
Weight Loss Surgery UK

For weight loss surgery and Allurion balloon based in South East England. Passionate about personal We will tailor the operation to your needs.

We have a complete multidisciplinary team consisting of a dietician, a psychotherapist and several nurse specialists. We pride ourselves in the life long aftercare by our small personal team. We offer the full range of bariatric procedures for weight loss including gastric band, gastric bypass, sleeve gastrectomy and gastric balloon. We know that after care and easy 24/7 accessibility are importan

t - we are easily contactable via www.simonmonkhouse.com. Your long term outcome and happiness are our priority. For testimonials see www.iwantgreatcare.org/doctors/mr-simon-monkhouse

10/03/2025

I’m very pleased to be invited to go live with my bypass patient and now Mounjaro user to provide professional input into her live Q&A at 6.30pm tonight. I have no doubt we will all learn alot- I most excited for hearing the lived experience piece. Try and join us over on

09/03/2025

Coming back after my pause to assess the impact of GLP-1 meds, I have some very clear conclusions…

1. Many patients have good initial success but don’t want to be continuously injecting for life
2. Surgical patients tend to lose more weight so a combination of surgery and meds is likely needed for those over bmi 50
3. Complication rates from surgery are very low and it remains , in expert hands, a procedure where the risks are outweighed by the medical and psychological benefits
4. Medications are ideal for post op regain to get back on track
5. Patients who take meds primarily with no multidisciplinary team looking after their dietetics and mental health, run a huge risk of malnutrition and muscle loss. Many patients forget to eat and feel safe to continue to eat ultra processed foods
6. Medications should be a first port of call for some- if success occurs then likely they will do well with surgery. Poor results with meds may mean poor results with surgery.

Main conclusion- they are not mutually exclusive. Surgery and meds can work in harmony and are both excellent tools to manage the disease of obesity. #

26/02/2025

Feedback means so much. Thank you

24/02/2025

BIG NEWS!! We are back offering our full weight loss surgery service including holistic care with specialist nurse, Sarah , dietitian (.health.dietitian) and psychotherapist ( )

I couldn’t be more excited to resume the service we have poured our hearts ans souls into over the last 11years. I took a pause as I felt it was morally and ethically the right thing to do given the explosion of the GLP-1s such as Mounjaro. My research and clinical explorations lead me to conclude there is a role for medications both pre and post op but they won’t be suitable for everyone or indeed needed by everyone . Today’s report of 82 deaths attributed to medications is also food for thought although percentage wise this is likely very small and there may be other confounding factors ..

Obesity is a disease that needs to be kept in remission . Medication alone is a valid option. Almost certainly for those eligible for surgery and who want surgery , the right route is :
1. A full and thorough consultation exploring all factors
2. An assessment by a skilled dietitian
3. An assessement and plan by a psychology expert
4. Surgery (with pre op medication if bmi over 55)
5. On going help with relationship with food
6. Addition of rescue medication for regain or resistant

Over the next few weeks I’ll be doing some live q&a with the team and patients who have used combination therapy

If you want to start the process and have a consultation you can book in by calling 01306302307 or via my website or linktree in the bio.

Let’s get back to work

12/02/2025

The amazing …

I am beginning to see the bigger picture - obesity is a disease that needs to be kept in remission. There is no cure. But it is possible to keep it in remission. Surgery is not a cure. Medications are not a cure

Lisa demonstrating the combination of surgery for massive weight loss and Mounjaro for resistant weight loss and maintenance. Ladies and gentleman, I think it’s combination therapy of surgery AND meds for those with high bmi to start with is the optimum solution. For those with moderate obesity medication alone may do the trick.

But expect a LONGTERM LIFELONG approach

01/02/2025

Is anyone else’s mind blown by the speed of change in this sector? The pharmaceutical explosion is here and is advancing. Two more of my early morning musings while I assimilate all the information in the pause….

1. Using the cheapest available online Mounjaro price vs the cost of a private bypass in the U.K., it will take over 5years Mounjaro use to equal the cost of surgery . FIVE YEARS

2. The first gastric bypass for obesity was performed in 1960 by Dr Mason. It worked but no one started to understand how it worked until the mid 2000’s and that work is ongoing today . No body should claim that the understanding of obesity is complete. The science of obesity metabolism came AFTER surgery. The pharmaceutical development has come after the understanding and application of the science…. Therefore the potential for the future means even more effective and better drugs.

Surgery- it works and we are only just understanding how

Injections- we are applying the science we know to make a targeted medical approach

27/01/2025

Dear all

Medications have hit the mainstream and are increasing in effectiveness, tolerability and availability. Certainly Mounjaro seems to be very good and in some cases results rival surgery. My contacts within the pharmaceutical industry say the next drug out (coming soon) is even better. This is a pharmaceutical solution to the metabolic problem of obesity and it’s only through understanding the science that we are here now

With this in mind, I’ve decided to take a 3 month pause on new referrals. Patients are rightfully exploring these options as an alternative to surgery or balloons and I think it’s a good idea. Surgery costs continue to rise with the economic situation in the U.K. which is beyond our control

So for all my patients, past present and booked, I’m still here and with my team will continue to provide the service we are so proud of. I won’t be seeing any new patients for 3 months and will reassess how the land lies at that time.

Informed consent by definition means patients are aware of and understand all the alternatives to surgery.

See you in 3 months for an update - ciao for now

I’m immensely proud of what we achieved over the last 11 years but just maybe there is an alternative to surgery that’s just as good …. Time will tell

24/12/2024

Happy Xmas all to our team, past patients , current patients and of course our future ones …. 2025 is the year!

19/12/2024

What did your day 1 post surgery look like? It’s so variable- some patients after or will look and feel like they haven’t had anything done and others will be nauseated, bloated or crampy. These are the extremes- most are somewhere in between

What I say to all is that the first 12 hrs will be ROUGH. And rough looks like nausea, pain, bloating, struggling to drink. Then every 12 hrs after you will exponentially feel better. And most will go home 24-36hrs later feeling well drinking freely. Although keyhole incisions it’s big surgery on the inside

What was your day 1 like? Comment below. Our current day 1 inpatients will likely be interested in your replies!

13/12/2024

Xmas lunch with the best team - proud of our achievements over the year
.mindset.dietitian

Missing Sarah and Sophie who couldn’t make it…

07/12/2024

Just some of my amazing patients at the very special wedding today - Colin (bypass) and Kelly (sleeve)- it was my honour to be part of your magical day alongside Mrs M . pS if anyone needs a wedding singer this guy was absolute incredible- he put in a shift and belted out the most incredible tunes

29/11/2024

Medications are as nearly as effective as surgery at 3 years
Weight regain happens after stopping meds but same is true for anti cholesterol drugs or blood pressure drugs
Evidence shows long term taking meds is safe
Newer meds are coming out soon (affecting 3 hormones - Mounjaro 2 hormones) and they will get cheaper

Bariatric surgery days are numbered?

Address

Spire Gatwick Park Hospital
Horley
RH60BB

Website

https://www.simonmonkhouse.com/

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