Psychological Evaluation of the Post Bariatric Patient
Michael C. Cheung, Brian J. Allan, Vishnu Chahwala, Nestor de la Cruz-Muñoz

- Many patients experience complex emotions about their new body after weight loss, including concerns about excess skin and adjusting to a new self-image. This chapter guides providers on evaluating and supporting patients through these transitions.
- Before body contouring surgery, a psychological evaluation ensures realistic expectations, stable mental health, and adequate support systems.
- Dr. de la Cruz-Muñoz contributed three chapters to this textbook, reflecting his comprehensive approach to bariatric patient care.
- This demonstrates that Dr. de la Cruz-Muñoz takes emotional and psychological aspects of weight loss seriously, not just physical results.
This book chapter provides a comprehensive review of the psychological evaluation process for patients who have undergone bariatric surgery and are seeking body contouring or reconstructive procedures. Topics include body image concerns following massive weight loss, the psychological impact of excess skin, screening for psychiatric conditions, assessment of realistic expectations, evaluation of coping mechanisms, and the role of the multidisciplinary team in ensuring psychological readiness for additional procedures.
Cheung MC, Allan BJ, Chahwala V, de la Cruz-Muñoz N. Psychological Evaluation of the Post Bariatric Patient. In: Thaller SR, ed. Cosmetic Surgery After Massive Weight Loss. London: JP Medical Ltd; 2012.






