Question:
Do I have to quit smoking in order to have this surgery?

   — tammy G. (posted on March 25, 2003)


March 25, 2003
Tammy.. you don't HAVE to do anything in life. But many surgeons will ask you to quit at least for a time before surgery. If you search the library here under smoking I know you'll find lots more information, much of it from folks who were asking the exact same question. In the end it is all up to you and your surgeon to decide what plan will be best for you. Best of luck in your journey. ~Peace
   — Joscelin

March 25, 2003
Hi! I know that my surgeon requires you to not smoke.She is so strict on that, she even has urine nicotine testing done.Her reasons are for preventive measures.Quitting smoking can help the lungs to be in better shape for surgery...reduces chance for pneumonia.Also helps the body to heal faster.I know another surgeon that won't do the surgery on smokers because he feels that.... why should he potentially save your life just for you to possibly die from smoking related diseases.
   — jennifer A.

March 25, 2003
When I went in for my consult the Dr said just the day before someones surgery was canceled because the anestesologist <sp> would not perform w/out the patient stop smoking for at least 6 wks prior to surger. GRRRRR...well after 2 weeks of weaning my self off of half a pack a day (been smoking for 17 years)...I've been smoke free for 72 hours !! lol It's not easy...I went to the store and almost broke down and bought a pack! I didn't though--I want this too much. Good luck-if I can do it you can too!
   — Robin J.

March 25, 2003
Tammy: My dr asked me if I smoked before I had my WLS and I told him no. I asked why and he told me that you will not heal as fast on the inside if I did. Also I dont know if I would want to go through this surgery if I smoked because after surgery they always checked my O2 levels and had me breath into a machine to make sure to get your lungs working 100%. Also if your breathing is not up to normal it could lead to a longer hospital stay, dont take the chance. This surgery has enough risks so do your self a favor and quite now. (02/19/2003 down 55lbs)
   — tonyskid

March 25, 2003
My doctor will tell you not to come back if you don't quit smoking. With all the liability they have to incur I don't blame him. Do yourself a favor QUIT .
   — MARSHA D.

March 25, 2003
I know that the doctor in my area will not do the surgery on a smoker because as others have said it's his right to do the surgery on you or not. He believes why should he chance your life with the surgery if you cant even do this for yourself. Also it was told to us in our support meeting you are a lot more likely to leak if you are a smoker.
   — Kevin M.

March 25, 2003
Why would you go through this life-saving surgery just to kill yourself with cigarettes? QUIT NOW! JR (and yes, I am an ex-smoker - since 1986)
   — John Rushton

March 25, 2003
Hi Tammy. No lecture - just the facts. I quit smoking in October 1994. Had gastric bypass in December 2001. The first time I coughed I thought my guts had just fallen out on the floor and the pain was beyond description. The nurses tell me that if you smoke, you breathe shallower and the coughing is harder and more frequent. I had hernia repair surgery last week. I took my bariatric pillow with me to the hospital 'cause I knew what the coughing would do to me. Needless to say - I was glad I had it. Personally, I'm with JR. Why risk your life to have this surgery and then continue to smoke? Hardest thing I ever did was quit smoking but if I can do it, anyone can. Please, for your sake and those who care about you, do your best to stop now. Take care and best of luck.
   — Pam S.

March 25, 2003
Lets not forget the higher chance of blood clots. And now that I have said that, I can say that I did not quit smoking before surgery (PLEASE NO BASHING). I turned out just fine, but I was playing with a loaded gun. I thought that I would be fine. I did the same thing for my plastic surgery and that was another story. I now have an area in my stomach that is not healing well (probably due to smoking). I wish I had quit smoking because now I have to deal with this gunky mess and there is a chance that I will need an additional surgery to fix the scar in that area. Good Luck and please try to quit if you can. Sincerely, Mary Beth
   — Beffy W.

March 25, 2003
Smokers get more leaks, thats one great reason to quit according to my surgeon.
   — bob-haller

March 25, 2003
Like another poster said, the WORST feeling in the world, after surgery is COUGHING!!! Quit now and spare yourself! Most surgeons do not want to operate on smokers and there are many reasons why. however, even if you find one that only requires a short smokefree period, I suggest quitting anyway. I agree with the sentiment that the worst people to talk to are reformed whatevers. This is no different. The most vehement answers you will get will be from exsmokers, including me. As an exsmoker (who smoked for many years and LOVED it and quit to help my husband who was having physical problems due to his smoking) of six years I have become very much an antismoking person even though it was quitting smoking that was the contributing factor to my obesity. Even though my quitting led to a weight gain of over 80 lbs that I was unable to lose before surgery, I am a true and zealous advocate of quitting smoking. I did it with Nicorette gum. Friends of mine who smoke tell me that Nicorette is disgusting tasting which always cracks me up since they are puffing on disgusting cigarettes. I tried cold turkey, the patch and zyban and while I had pretty good success with zyban,the addition of nicorette, after I started the zyban, made life so much easier that I quit the zyban and just relied on the nicorette. Your mileage may vary but it is doable. I can tell you that I LOVED to smoke and didn't have many health issues with it (I smoked less than a pack a day) and only quit because my husband was a 3 pack a day smoker who was coughing his guts up every morning. I knew he could only quit if the house was smoke free and I quit for that reason. I didn't WANT to quit (I really loved smoking) and was feeling mean and resentful for a long time and then got enormously heavy in the process. Still, I do not regret quitting smoking at all. I am so much more healthier, happier and the benefits (health, financial, social) are many. I know it is hard, I had many many attempts before I was successful, but once you get a motivating factor (like surgery!) you can do it! Best of luck!
   — susanje

March 25, 2003
HEY SWETIE, I KNOW THIS IS A HARD ONE I WAS A PACK AND A HALF A DAY SMOKER AND TRIED TO QUIT ABOUT SIX WEEKS BEFORE SURGERY. I CUT DOWN TO 2 A DAY AND DIDN'T HAVE ANY THE FEW DAYS BEFORE SURGERY AND HAVENT HAD ANY PROBLEMS I AM NOW THREE WEEKS OUT AND AFTER SURGERY YOU ARE SO CAUGHT UP IN GETTING BETTER YOU FORGET ABOUT IT AND ALSO THE SMELL MADE ME SICK. GOOD LUCK FOR YOUR HEALTH I DO RECOMMEND QUITTING YOUR RECOVERY WILL GO SO MUCH FASTER AND YOU HEAL FASTER
   — PAULA C.

March 26, 2003
Hi Tammy-- My doc won't do the surgery on smokers either, he requires you to quit but I don't know the timeline. That said, whether you have the surgery or not, I would encourage you to quit. My husband is a smoker (has been for about 15-20 years) and I worry what will develop if he doesn't stop soon. And what about this: if you stop smoking and save the money that you used to spend on cigarettes, when you get to goal you will have a ton of money to spend on a new wardrobe for your new bod!!
   — lizinPA

March 26, 2003
Hi , heres my two cents, YES please do this. If you want to breath well, it's a must. I haven't smoked since 7 yrs and stayed smoke free. when I woke up after my op I had problems with each breath I took. even days after op I still couldn't get it together.Oxygen was given 3 times a day. I don't have no lung problems at all. So Yes stop now and just maybe after op you won't want to start again. Hugs
   — Naes Wls J.

March 26, 2003
Hi there. Quitting smoking was the single most difficult thing I have ever done in my life. I smoked1 1/2 - 2 packs a day. I used zyban & nicotine gum. The zyban curbed the addiction & the gum was good for the real hard times. Anyway~ I have been smoke free for 3 months & it is still difficult at times, but I am glad I did it.
   — Cindy D

March 26, 2003
Hi, I didnt have to stop smoking only for 24hrs. and I cheated and smoked one the day of sorgery and then used mouth wash. I was fine. 5mths out down 55 lbs.
   — Paulette G.

March 26, 2003
Iam not a smoker, and never was one before surgery, but the surgeon that I had makes you quit before you have surgery ( not sure how many weeks beforehand, though), and if he finds out that you cheated, he will cancel your surgery. You will want to quit anyway, for the health reasons of course, and because after your surgery youre supposed to cough and deep breathe every so many hours, and that was hard cause I was so sore afterward, so just think what it would be like for a smoker! Good luck to you!
   — Kris T.

March 26, 2003
I haven't been a smoker for very long, just on and off for about a year total..but I can tell you when I went into my doctor's office and was poking around looking at things I found a chart that had a "Smokers" body on it. I don't know if any of you have ever seen it, but it shows what it does to our lungs, our head, heart and everything else in our body. It shows all the diseases you can get (cancer...etc.) It wouldn't have bothered me so much if I didn't have a dad who has brain and lung cancer from smoking. Everything on that paper he has. It's scary. Smoking can cause a lot, but it can also cause our doctor's to call off our surgery.. and i'm even more scared of that. I'm glad to say that i'm six months smoke free. I don't ever intend of going back either.
   — Laydie K.

March 26, 2003
I started quitting one month before my surgery date and was down to almost nothing the day of (although I did have a cig on the way to the hospital - nerves!). The bad thing is that I got pneumonia the day after my surgery - although they didnt find it until day 4. The doctor thought my lungs were "cleaning theirselves out" since he thought I had quit totally one month before. Who's to say if my smoking caused the pneumonia (the doctor said my left lung most likely partially collapsed during the surgery - but they didnt see it at the time - imagine that!). I would defintaly say quit, even if its only for a short time. It can only be to your benefit. Also, think about waking up and trying to recover and then you have to go through ciggarete withdrawls at the same time - and cant even eat to comfort you. Not a pretty picture! Better to go through the withdrawls before the surgery!
   — Jennifer J.

March 26, 2003
My surgeon never told me one way or the other about smoking. BUT when I went to my pulmonologist he basically said this to me. You have two choices here, 1. quit smoking now and come through all of this much healthier or 2. continue to smoke come out of surgery with pneumonia end up on a respirator and possibly die. That was all he said to me period. I smoked my last cigaretter prior to visiting him that day. I have not cheated one time and I have even gone out clubbing with girls and they all smoke and I had no desire at all. My worst times are habit times like getting in the car or after eating.. Other then that I am 7 weeks out and 5 weeks out and doing great.. The only thing about this that bothers me is that I managed to quit smoking first time around and have not been able to stop feeding my face no matter what for 10 years GRRRRR... Good luck and quit smoking... GodSpeed!!! Surgery April 7,2003 Krysti
   — Krysti H.

March 26, 2003
My doctor said I had to quit at least one month prior...I quit in January and my surgery is the end of April. But I have to said that quiting caffeine (diet coke) was MUCH HARDER! That is about to do me in.
   — Dana W.

March 26, 2003
Along with the WLS quitting smoking will be the second best thing you ever did for yourself....I have been smoke free 2.5 years it was tough but well worth it.
   — Sarah S.

March 27, 2003
Quit smoking for the surgery. You are doing the surgery to better your health, quit to make the surgery easier. I have read about half of the posts here but no one has mentioned blood clots. Smoking greatly increases your risk for blood clots which can lead to pulmonary embolism or a stroke and even death. My surgery is in May but I quit smoking in January. I am scared to death of the clots so I wanted to make sure that I did not increase my risk. No cigarette is worth a blood clot.
   — Sara W.




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