Name: John Pilcher, MD
Last name: Pilcher
Began aesthetic medicine in: 1995
Years experience: 28
Primary Specialty: Bariatric Surgeon
Business: Sage Bariatric Institute
Address: 9618 Huebner Rd.
Address suite: Ste. 202
City: San Antonio
State: Texas
Zip Code: 78240
Country: US
Consulting Fees: -1$
Consultation note: At initial consultation, patients meet with their Surgeon, practice Dietician, and Insurance Coordinator
Has Sponsored Offer : No
Clinical Privileges:
- Cumberland Surgical Hospital, Foundation Surgical Hospital, Christus Alamo Heights, Methodist Specialty &
- Transplant Hospital, Northeast Baptist Hospital
Education:
- Medical: MD, University of Virginia, 1990
Postdoc Training:
- Residency: General Surgery, University of Virginia, 1995
GPS coordinates on map: 29.425,-98.49369812
Primary location:
Location name: San Antonio
State: TX
Country: US
Map point: 29.425,-98.49369812
Treatments:
- Gastric Bypass
- Gastric Sleeve Surgery
RealSelf Info
Rating: 5.0
Profile views: 521
Answer count: 11
Review count: 5
Star rating: 2.0473720558371
Profile created: May 13, 2015
Profile modified: Oct 2, 2019
Profile photo modified: Feb 21, 2020
Profile promotion: No
Profile inactive: No
Premier status: Free
Tier: Free-Claimed
RealCare Promise: No
Directory link: Bariatric Surgeon, Board Certified in General Surgery
RealSelf’s PRO: No
Doctor Designation Start Time: Feb 6, 2017
Doctor Designation End Time: Jan 1, 2033
Locations
- San Antonio, TX, US. GPS coordinates: 29.425,-98.49369812
Latest ratings of treatments
- Gastric Bypass (Sep 2017) – Overall rating: 5/5
- Gastric Bypass (Sep 2023) – Overall rating: 5/5
- Gastric Bypass (Jun 2019) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
- Sleeve Gastrectomy (Sep 2017) – Overall rating: 5/5
- Sleeve Gastrectomy (Sep 2023) – Overall rating: 5/5
- Gastric Bypass (Jun 2019) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
- Gastric Bypass (Sep 2017) – Overall rating: 5/5
- Gastric Bypass (Jun 2019) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
- Gastric Bypass (Sep 2017) – Overall rating: 5/5
- Gastric Bypass (Sep 2017) – Overall rating: 5/5
- Sleeve Gastrectomy (Sep 2017) – Overall rating: 5/5
- Sleeve Gastrectomy (Sep 2017) – Overall rating: 5/5
- Gastric Bypass (Oct 2017) – Overall rating: 5/5
- Gastric Bypass (Aug 2017) – Overall rating: 5/5
- Sleeve Gastrectomy (Aug 2017) – Overall rating: 5/5
- Sleeve Gastrectomy (Aug 2017) – Overall rating: 5/5
Doctor’s answers
Question
Answer Header & Date
Answer Snippet
Am 23 years old, 5ft 1, and my weight is 20 stone 5lbs. I have tried everything to lose weight, never
Might be time to try “Plan C”
May 11, 2017
May 11, 2017
Fiona,
Your are a young person with a serious weight issue. You’ve written (appropriately) that you’ve tried everything to lose weight, and I’m going to assume that includes diet (“Plan A”) and exercise to the best of your ability (“Plan B”).
In the context of serious metabolic obesity disease, it’s common for diet and exercise to have little effect that lasts. Medically and logically, when these interventions don’t work and you still have the problem, it is reasonable to move on…
Your are a young person with a serious weight issue. You’ve written (appropriately) that you’ve tried everything to lose weight, and I’m going to assume that includes diet (“Plan A”) and exercise to the best of your ability (“Plan B”).
In the context of serious metabolic obesity disease, it’s common for diet and exercise to have little effect that lasts. Medically and logically, when these interventions don’t work and you still have the problem, it is reasonable to move on…
Is gastric bypass surgery right for me?
Bariatric surgery is definitely appropriate to consider
May 11, 2017
May 11, 2017
Kaceety,
You’re too young to have your joints destroyed by your weight! Also, you may not feel it but I’m certain that your other organ systems are under strain from the weight as well (heart, lungs, liver, pancreas, etc.) It sounds like you’ve already tried to lose weight with non-surgical interventions; if those had worked then it would have been a good place to stop but since they did not work it is completely sensible to try a more intense therapy like bariatric surgery.
I…
You’re too young to have your joints destroyed by your weight! Also, you may not feel it but I’m certain that your other organ systems are under strain from the weight as well (heart, lungs, liver, pancreas, etc.) It sounds like you’ve already tried to lose weight with non-surgical interventions; if those had worked then it would have been a good place to stop but since they did not work it is completely sensible to try a more intense therapy like bariatric surgery.
I…
Can I have a gastric bypass?
Going from Band to Gastric Bypass
Apr 23, 2017
Apr 23, 2017
Yes, revising from Band to Gastric Bypass is likely to be medically appropriate.
In fact, you’re not alone. Many people have Bands that work for a few years and then quit working, or never help with significant weight loss at all.
Your odds will be best with a surgeon who has plenty of experience with revision surgery, since the Band inevitably creates scar that distorts the anatomy and gives a higher chance of complications.
Best of luck,John Pilcher, MDSan Antonio
In fact, you’re not alone. Many people have Bands that work for a few years and then quit working, or never help with significant weight loss at all.
Your odds will be best with a surgeon who has plenty of experience with revision surgery, since the Band inevitably creates scar that distorts the anatomy and gives a higher chance of complications.
Best of luck,John Pilcher, MDSan Antonio
I’m 45 years old and 5’7″ and had the gastric bypass in 1998. Can I have the gastric sleeve since I ga
You can definitely get help from an experienced surgeon
Mar 31, 2017
Mar 31, 2017
Connie,
You aren’t alone with this problem. Bariatric surgery can be a powerful tool to get control of the metabolic obesity disease, but unfortunately there is no intervention that will fully cure the problem. You would definitely be helped by engaging with an experienced bariatric program in your area; typically the team will check your anatomy as well as your metabolism and discuss options from there.
Frankly, revision from gastric bypass to Sleeve is not usually a very…
You aren’t alone with this problem. Bariatric surgery can be a powerful tool to get control of the metabolic obesity disease, but unfortunately there is no intervention that will fully cure the problem. You would definitely be helped by engaging with an experienced bariatric program in your area; typically the team will check your anatomy as well as your metabolism and discuss options from there.
Frankly, revision from gastric bypass to Sleeve is not usually a very…
VSG gastric sleeve weight loss surgery. Am I a good candidate?
Yes, younger people have great outcomes with surgery
Mar 31, 2017
Mar 31, 2017
The information you’ve given about your height and weight indicate that you’re in a range where Sleeve IS a worthwhile intervention for your weight and your health.
And, younger people have advantages in bariatric surgery. Younger people have lower risk of surgery, and they have a better chance of getting back to actually normal health with the help of surgery.
Best of luck!
Dr JP
And, younger people have advantages in bariatric surgery. Younger people have lower risk of surgery, and they have a better chance of getting back to actually normal health with the help of surgery.
Best of luck!
Dr JP
Am I too big for bypass surgery?
You seem to be an appropriate candidate
Mar 15, 2017
Mar 15, 2017
Although you’re larger than some people who undergo bariatric surgery, it’s not too late for you. Based on your description, you absolutely are an appropriate candidate for surgery. Connect with an experienced surgeon, and follow their preparation plan to get the lowest risk.
Best of luck!
Had hernia surgery with mesh. Would I be eligible for any bariatric weight loss surgery?
Bariatric Surgery is still OK after mesh hernia repair
Mar 15, 2017
Mar 15, 2017
Yes,
You can still have gastric bypass after a mesh hernia repair. It certainly will be smart to let your surgeon know about this history so they don’t run into it by surprise. The scar tissue left from the mesh may add a bit of time to your surgery but it should not markedly affect the operation or recovery.
Umbilical hernia repair is usually on the small side for the mesh patch; sometimes a larger hernia repair can require substantial changes in the usual surgical technique.
You can still have gastric bypass after a mesh hernia repair. It certainly will be smart to let your surgeon know about this history so they don’t run into it by surprise. The scar tissue left from the mesh may add a bit of time to your surgery but it should not markedly affect the operation or recovery.
Umbilical hernia repair is usually on the small side for the mesh patch; sometimes a larger hernia repair can require substantial changes in the usual surgical technique.
Last updated on 12/26/2023