Welcome to Options at Kaiser Permanente!

Options is Kaiser Permanente’s metabolic and bariatric surgery preparation and support program. It was designed with members and health care professionals to both prepare you for surgery and support you long term.

Exploring Metabolic and Bariatric Surgery

Explore frequently asked questions about metabolic and bariatric surgery at Kaiser Permanente Southern California.

What is metabolic and bariatric surgery?

Metabolic and bariatric surgery includes a variety of surgical procedures that support weight loss and overall health improvement. Learn more about the types of surgeries Kaiser Permanente offers.

How does metabolic and bariatric surgery work?

Surgery is just a tool. Tools are only as effective as you allow them to be. On average, you will see the greatest effects within the first 18 months after surgery. After that, the ability to maintain weight loss will depend on long-term lifestyle changes (sleep, physical activity, healthy eating, and mental health).

Learn more about how surgery works and the different surgeries offered.

What does the metabolic and bariatric surgery journey look like at Kaiser Permanente?

Kaiser Permanente worked with members to design a program that supports you every step of your journey, from thinking about surgery, to deciding, preparing, recovering, and adjusting to life long after surgery.

Learn more about the journey and resources available to you at every stage.

What weight loss programs are available through Kaiser Permanente Center for Healthy Living?

Think about metabolic and bariatric surgery as one option on a larger spectrum of health and wellness tools. Kaiser Permanente Center for Healthy Living offers several different programs aimed at improving overall health and wellness, health condition management, and weight loss.



Our Healthy Balance program is a one-year lifestyle program. For the first 6 months, you’ll work on reaching your goals during 16 weekly group workshops. After that, the program offers monthly phone calls with a personal lifestyle coach to help you stay on track.

Wellness Coaching by Phone offers personalized one-on-one coaching aimed at supporting you with almost any lifestyle change you are working on, such as managing your weight, quitting tobacco, reducing stress, increasing activity, and eating healthier.

The Options program is our metabolic and bariatric surgery preparation and support program. It is just one of the programs offered by Kaiser Permanente Southern California when it comes to your health, wellness, and weight loss journey.

Check out all our programs at the Center for Healthy Living. Your local medical center may also offer additional programs such as cooking or exercise workshops or other lifestyle programs. You can always ask your local care team for details.

Overview of the Program

The Options program has four components, all designed to support you throughout your entire journey.

Overview of Your Journey

Referral to Options orientation
Two ways:
  • Self-referral
  • Referral from primary care/specialist
Eligibility assessment
Enroll in pre-surgery workshops
Referral to surgeon consultation
Pre-sugery lab tests and appointments
Meet with surgeon and discuss
Follow-up appointments
Lifelong support at Kaiser Permanente
Information-gathering stage
on surgery
for surgery
Surgery and recovery
Adjusting to life long after surgery
Wellness Coaching by Phone
Pre-surgery workshops
Support group

Referral to the Options Program Orientation

For your safety, there are a few guidelines to make sure you are eligible for metabolic and bariatric surgery at Kaiser Permanente. Your health care team (primary care doctor or specialist) will be able to assess your eligibility and provide you with the appropriate referral to the Options program orientation.

We encourage members who do not meet the surgical guidelines to consider our other weight management programs!

Top 10 Important Considerations

One of the most important goals of the Options program is to prepare you for a safe and effective surgery if you decide surgery is right for you. Surgery can change your life in a lot of ways, and it’s important to be aware of these up front. We asked Kaiser Permanente members who have had the surgery to share some of the most important decision-making factors when it comes to metabolic and bariatric surgery. Here are the top 10 considerations that came from those conversations.

Pre-Surgery Preparations

Explore some common questions about making a decision and preparing for metabolic and bariatric surgery at Kaiser Permanente Southern California.

What factors should I be considering in my decision?

Surgery can change your life in a lot of ways, and it’s important to be aware of these up front. We asked Kaiser Permanente members who have had the surgery to share some of the most important decision-making factors when it comes to bariatric surgery. We have organized these into the Top 10 Important Considerations for you.

Why is the Options program recommended before surgery?

The Options program is designed to help you make your decision about surgery and prepare for it. The pre-surgery workshops offer a supportive environment to ask questions, learn about the benefits and risks of surgery, and support you in making lifestyle changes to ensure a safe and effective surgery. The support groups offer long-term connection, peer and professional support, and continued skill-building for life.

Our surgeons strongly recommend that you attend Options because it will prepare you for the life-long changes you will need to make after surgery to avoid complications and maintain weight loss.

Our members who have had surgery strongly recommend Options because it:

  • Provides crucial information about bariatric surgery
  • Changes how you view yourself
  • Changes your relationship with food
  • Supports you in making important changes
  • Provides ongoing support
  • Helps you learn to cope with stress
  • Helps you develop a plan for success


“I think the classes before are so helpful. But in the midst of surgery, pain, your body changing, it was a struggle to even figure out what I needed to eat and how to plan for it. Everything you learn in class kinda comes back to you.”

–Margarita, 6 months after having gastric bypass


What resources does the Options program provide?

The Options program pre-surgery workshops break down all you need to know about surgery and provide resources along the way. Explore topic-specific resources throughout this website!

Medical Information

Medical Alert Wallet Card:



Healthy Eating After Metabolic and Bariatric Surgery: Post-Surgery Meal Plan:

Vitamin and Mineral Supplement Guide:

Daily Lifestyle Log:


Physical Activity


Daily Lifestyle Log:


Mental Health and Wellness

Self-Care Apps:

Daily Lifestyle Log:


For more tools, skills, and resources, talk to your doctor about a referral to the Options Orientation.


For more frequently asked questions before and after surgery, explore the FAQ page.