procedure / current
Sleeve Gastrectomy
Restrictive metabolic surgery
A common bariatric surgery that removes a large portion of the stomach to reduce volume and change appetite signaling. It is one of the most common modern metabolic surgery procedures in the U.S.
Available since2000s modern U.S. practice
Coverage readOften covered by commercial plans and public payers when strict eligibility, documentation, and pre-op requirements are met.
procedure / current
Roux-en-Y Gastric Bypass
Restrictive and malabsorptive metabolic surgery
A classic metabolic surgery combining stomach reduction with intestinal rerouting. It remains one of the most studied bariatric procedures in U.S. practice.
Available sinceModern U.S. bariatric practice since the 1990s
Coverage readFrequently covered for eligible patients but with extensive preauthorization and pre-op documentation requirements.
procedure / limited
Adjustable Gastric Band / LAP-BAND
Restrictive bariatric device procedure
An adjustable band placed around the upper stomach to restrict intake. It remains historically important but is used far less often than sleeve gastrectomy or gastric bypass in current U.S. practice.
Available since2001 U.S. approval era
Coverage readCoverage can exist but utilization is more limited than for leading bariatric procedures.
procedure / current
Duodenal Switch / BPD-DS
Restrictive and strongly malabsorptive metabolic surgery
A high-intensity bariatric procedure that combines sleeve-style stomach reduction with substantial intestinal rerouting. It is powerful but comes with a higher nutritional and follow-up burden.
Available sinceModern U.S. practice since the 1990s / 2000s
Coverage readCoverage may be available for eligible patients, but program availability and surgeon preference vary.
procedure / current
SADI-S
Advanced metabolic surgery
Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy, a newer duodenal-switch-family procedure intended to simplify anatomy while preserving strong metabolic effect.
Available since2010s U.S. specialty practice
Coverage readCoverage depends on plan policy, surgeon availability, and local program acceptance.
procedure / current
Endoscopic Sleeve Gastroplasty
Endoscopic restrictive procedure
A less invasive endoscopic procedure that reduces stomach volume with sutures rather than surgical resection. It sits between medication-only care and full bariatric surgery.
Available since2010s U.S. practice
Coverage readCoverage is less predictable and often weaker than for sleeve gastrectomy or gastric bypass.