title: Post-bariatric surgery reconstruction: patient myths, perceptions, cost, and attainability strategies.
abstract: BACKGROUND
  A discrepancy exists between patient perceptions of post-bariatric surgery reconstruction and cost, value, and ultimate attainability. The authors investigated prospective gastric bypass patients to identify misconceptions and strategies to aid in the attainability of post-bariatric surgery reconstruction.
  
  
  METHODS
  One hundred seventy-six prospective gastric bypass patients were surveyed for perceptions of plastic surgery, a "club" concept integrating plastic surgical/bariatric teams, and payment strategies. Cost comparisons were set up for comparison with major consumer purchases. Outcome measures were assessed by univariate analyses.
  
  
  RESULTS
  One hundred seventy-four patients (139 women and 35 men; mean age, 42.3 years; mean body mass index, 49.3) completed the survey; 65.9 percent expressed an interest in plastic surgery (women were more interested than men) (p < 0.05); 73.1 percent wanted their plastic surgeon affiliated with the bariatric surgeon/team; 47 percent wanted to meet the plastic surgeon before their gastric bypass; and 14.4 percent equated the cost of a total body lift to the cost of a new car versus 31.9 percent for a trip to Disneyworld, 23.8 percent for a television, and 16.3 percent for a radio. Estimated costs for plastic surgery were undervalued by 60 percent. Sixty percent were interested in a club with a monthly fee that would go toward future plastic surgery. Other payment strategies were less popular. None of the independent variables predicted the degree of interest in any particular plan.
  
  
  CONCLUSIONS
  Future gastric bypass patients, particularly women, are a unique population with common misconceptions regarding post-bariatric surgery reconstruction. Early patient education and financial awareness, in combination with preexisting or newly created bariatric centers, may improve attainability for this population.
authors.affiliation: Rochester, N.Y. From the Division of Plastic Surgery, University of Rochester.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Gusenoff
authors.forename: Ralph P
authors.initials: RP
authors.lastname: Pennino
authors.forename: Susan
authors.initials: S
authors.lastname: Messing
authors.forename: William E
authors.initials: WE
authors.lastname: O'Malley
authors.forename: Thad J
authors.initials: TJ
authors.lastname: Boss
authors.forename: Howard N
authors.initials: HN
authors.lastname: Langstein
mesh_terms: D000328:Adult; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration; D005260:Female; D015390:Gastric Bypass / Q000191:economics; D006801:Humans; D008297:Male; D009765:Obesity / Q000150:complications / Q000601:surgery*; D010348:Patient Care Team; D010353:Patient Education as Topic; D019651:Plastic Surgery Procedures / Q000191:economics