Sleeve gastrectomy
Laparoscopic and robotic sleeve, the most common bariatric procedure.
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216-377-7257 [email protected]Lyndhurst
5035 Mayfield Rd, Suite 100Westlake
25200 Center Ridge Rd, Suite 1100Sleeve gastrectomy, gastric bypass, bariatric revisions, and next-generation endoscopic procedures, performed by a fellowship-trained bariatric surgeon, with same-day outpatient surgery in an accredited ambulatory surgery center for qualifying patients at roughly half of typical hospital pricing.




The Karas advantage
Nearly every bariatric operation in Northeast Ohio is still performed inside a hospital, with an overnight stay and hospital facility pricing attached to it. We built the alternative: an accredited ambulatory surgery center program where medically appropriate patients have surgery in the morning and recover at home the same evening.
It is safer for the right patient, far more efficient, and roughly half the cost of conventional inpatient surgery at area hospitals. Patients who genuinely need inpatient care still get it, at UH Geauga Medical Center or Southwest General, with the same surgeon. Financing is available through CareCredit and Cherry, so that number can be paid in easy monthly installments.
Surgical menu
From the established gold standard to the newest minimally invasive techniques, every procedure is delivered same-day in a cost-effective ambulatory surgery center.
Laparoscopic and robotic-assisted surgery at UH Geauga Medical Center and Southwest General for higher-risk patients who need overnight care.
Surgeon consultations within one week of referral, including hernia repair and anti-reflux surgery, without the 6 to 12 week health-system wait.
Screening and therapeutic endoscopy and colonoscopy at Legacy Surgery Center and Southwest General.
Same-day, by design
Morning surgery, home by evening, in an accredited surgery center built for it. That is not a shortcut. It is what this operation should have looked like all along.Dr. Linden Karas, MD, FACS
Procedures in detail
The most common bariatric operation in the world. About 80% of the stomach is removed, creating a slim, sleeve-shaped pouch that limits how much you can eat and lowers the hunger hormones that work against you. Performed laparoscopically or robotically, and at Karas, discharged the same day.
The gold standard of bariatric surgery for more than 50 years. A small stomach pouch is created and the intestine rerouted, reducing intake and absorption together. Exceptionally durable results, and the strongest option for patients with reflux or type 2 diabetes.
For patients whose prior bariatric procedure needs refinement, weight regain, complications, or results that never arrived. Dr. Karas plans each revision around your anatomy and surgical history, from band removals to sleeve-to-bypass conversions.
A sleeve without a single incision. Using endoscopic suturing through the mouth, the stomach is folded and reduced in volume, a powerful, less-invasive option with faster recovery, for patients who want meaningful results without traditional surgery.
Transoral outlet reduction, an incisionless, endoscopic revision for gastric bypass patients whose outlet has stretched over time. TORe restores the restriction of the original bypass and helps restart weight loss, all in a same-day procedure.
The first swallowable gastric balloon, placed in a brief office visit with no surgery, no endoscopy, and no anesthesia. The balloon passes naturally after about four months, while our full medical program builds the habits that keep the results.
A novel, minimally invasive magnetic duodenoileostomy that uses magnetic anastomosis technology to enhance metabolic results with fewer incisions. Karas is among the first practices in the region to offer it.
Single-anastomosis duodeno-ileostomy with sleeve, the most powerful metabolic operation available, reserved for carefully selected patients who need maximum weight loss and diabetes resolution.
Before any operation
The consultation decides whether surgery is the right answer at all. We look at your history, your anatomy, your medications, and what has already been tried, then recommend the option that fits, surgical or medical.
Every surgical patient also gets the medical program around the operation: nutrition, movement, hormones, sleep, and coaching, so the result holds.
Financing Available
Financing is available for bariatric surgery, the Allurion balloon, Mag-DI and the medical weight loss program. Apply online in minutes, get a decision fast, and pay in monthly installments instead of all at once. Checking your options does not affect your credit score.
See financing options
Promotional financing on purchases of $200 or more, including no interest if paid in full within the promotional period, plus longer plans with fixed monthly payments on larger amounts. Prequalify online with no effect on your credit score. Accepted at Karas Weight Loss and Wellness.
CareCredit financing details →
Monthly payment plans up to 60 months, with 0% APR for qualifying applicants. Apply in about a minute with a soft credit check that does not affect your score. High approval rates, including for patients who have been turned down for a card before.
Cherry payment plan details →Financing is subject to credit approval. Get your written quote at a consultation and the office will help you set up a monthly payment plan. Read the full financing details.
Patient stories
Outcomes from patients treated here in Northeast Ohio, in their own words.
Begin today
Same-day surgery. Comprehensive medical weight loss. Concierge-level care without the wait or the hospital price tag.
Limited time
One visit with Dr. Karas covers the surgical options and the medical weight loss program with GLP-1 medication management, at the Lyndhurst or Westlake office, at no charge.
Or call 216.377.7257Free consultation
Free for new patients at both the Lyndhurst and Westlake offices.
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