Bariatric Surgery in Richmond, VIC

Both Wegovy and Mounjaro require a prescription from an Australian doctor. Options: 1) Your GP (most will prescribe with appropriate clinical indication), 2) Endocrinologist or weight loss specialist (referral usually needed), 3) Telehealth platforms like Juniper or Pilot (online consultation, medication delivered). Cost privately: $400-$600/month for the medication plus consultation fees. Wegovy was recommended for PBS listing November 2025 but only for cardiovascular obesity — most patients pay private prices.

Average results from clinical trials: Wegovy (semaglutide) 15% body weight loss over 68 weeks. Mounjaro (tirzepatide) 21% body weight loss over 72 weeks — currently the most effective. Real-world results often slightly lower (12-18%) due to dose adjustments and duration. Important: weight loss plateaus around 12-18 months, and most regain 30-50% of lost weight within a year if medication is stopped without lifestyle changes.

Most common: nausea, vomiting, diarrhoea or constipation, fatigue, mild headaches. These typically improve over 2-4 weeks as your body adjusts. Less common but serious: pancreatitis (1 in 1,000), gallbladder issues, severe dehydration. Long-term safety data beyond 5 years is still emerging. Discuss with your prescriber if you have personal or family history of pancreatic issues, thyroid cancer (specifically MTC), or severe gastrointestinal disease.

Surgery: greater weight loss (25-35% body weight), more durable results, $15-25k one-off cost, requires lifelong vitamin supplementation, surgical risks. GLP-1s: 15-21% body weight loss, requires ongoing medication ($5-8k/year), regain on stopping, fewer initial risks. Generally surgery wins for BMI 40+ or severe weight-related disease; GLP-1s win for BMI 27-35 or those wanting to avoid surgery. A weight loss specialist can recommend based on your specific situation.

Gastric sleeve $18-25k, gastric bypass $20-30k all-inclusive in private hospitals. Private health insurance with appropriate hospital cover typically pays $5-10k of this, leaving $8-18k out-of-pocket. Public hospital bariatric surgery exists in some states for BMI 40+ but waitlists are 2-5 years. Cost includes surgeon, anaesthetist, hospital, and usually post-op follow-up. Doesn't include pre-op dietitian/psych assessments ($1,000-$2,500).

Australian telehealth platforms (Juniper, Pilot, Mosh) operate under TGA and AHPRA regulation with Australian-licensed prescribers. Safety profile is similar to in-person clinics. Concerns include: less thorough physical assessment than in-person, difficulty contacting prescriber for urgent issues, and tendency to focus on medication over holistic lifestyle change. Best for: motivated patients in good general health who prefer convenience. Not ideal for complex medical histories.

Yes, in most cases. Studies show people regain 30-50% of lost weight within 12 months of stopping GLP-1 medication if no other intervention is made. Best practice is to view GLP-1s as a long-term medication (like blood pressure medication) rather than a temporary intervention. Strong lifestyle changes during medication use (sustainable diet, regular exercise, behaviour change) reduce regain. Some users transition from weekly to fortnightly dosing as a maintenance strategy.

Most patients spend 1-2 nights in hospital, return to desk work in 2 weeks, and resume normal activity in 4-6 weeks. Liquid diet for 2 weeks post-surgery, pureed diet for weeks 3-4, soft foods week 5-6, normal foods from week 6+. Most weight loss occurs in months 1-12 post-surgery, with maintenance from month 18+. You'll need lifelong vitamin supplementation, annual blood tests, and ongoing dietitian support for best long-term outcomes.