Smiling patient pulling down her white t-shirt

Gastric Bypass

Gastric bypass surgery is one of the most popular and reliable procedures for helping patients achieve healthy, sustainable weight loss.

At our practice in Plano, TX, Dr. A. Joseph Cribbins III performs gastric bypass surgery using the Da Vinci® Xi Surgical System.

Ready to learn more about ultra minimally invasive gastric bypass surgery at the Texas Center for Bariatrics & Advanced Surgery?

What Is Gastric Bypass?

Gastric bypass surgery, also known as Roux-en-Y gastric bypass surgery, is a weight loss surgery that both reduces the size of the stomach and reroutes a portion of the small intestine. The surgery works on several levels to induce healthy, natural weight loss:

  • By reducing the size of the stomach, patients feel full after consuming less food (this is known as a restrictive effect).
  • Because a portion of the small intestine is bypassed, fewer calories and nutrients are absorbed (this is known as a malabsorptive effect).
  • The rerouting of the food stream reduces the production of ghrelin, a hormone in the gut that creates sensations of hunger. Less ghrelin production leads to a decrease in appetite and hunger cravings.

When performed by an experienced, board-certified surgeon like Plano's Dr. Cribbins and Dr. Chen, gastric bypass surgery has very low complication rates and can lead to truly life-changing weight loss.

gastric bypass

What Does "Roux-en-Y" Mean?


"Roux-en-Y" is the most common approach to gastric bypass surgery. It gets this name because "Roux" is the name of the surgeon who developed the technique, and because the rearranged small intestine resembles the shape of a letter Y. 

How Gastric Bypass Can Help You

Lose Weight

Gastric bypass surgery leads to healthy, sustainable weight loss. Many patients lose 90 percent or more of their excess weight.

Improve Your Health

Gastric bypass surgery can improve several obesity-related health conditions, including heart disease, GERD, obstructive sleep apnea, erectile dysfunction, fertility, and type 2 diabetes.

Live the Life YOU Want

After a gastric bypass, you will have increased energy, improved health, and greatly boosted confidence, allowing you to go out and live a full, active life. Many patients report feeling more at ease when shopping for clothing and sitting on airplanes after surgery.

One Operation Can Change Your Life

Get Started With A Consultation

If you are ready to overcome YOUR struggle with weight loss, schedule a consultation with Dr. Cribbins and his team at the Texas Center for Bariatrics & Advanced Surgery in Plano, TX.

Dr. Cribbins is currently offering both in-person office visits and virtual consultations. Whether you want to discuss your surgical weight loss options or you want to remove your excess skin after weight loss, we may be able to help.

To request a time that works for you, fill out our online form or give our team a call:

(214) 501-1333

before and after gastric bypass surgery
Bariatric surgery leads to amazing transformations.

Approachable Staff and Confident Care "I would highly recommend this set of doctors."


Art Abraham

Plano, TX


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My wife and I pondered on the thought of weight loss surgery for her. After much research, we decided on Dr. Cribbins. He and his staff made the whole process from start to finish an easy one. My wife completed her surgery yesterday and is at home recovering. We can’t to see what the future holds. Thanks, Dr. Cribbins for everything and your attentive care and successful procedure.

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Cindy Wang

Plano, TX


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Dr. Chen is very knowledgeable and professional. He was very patient and answered all my questions; he really helped me make an informed decision. I was so nervous and he was so friendly and easy to talk to—definitely made me comfortable about my decision to move forward with him! The staff was very friendly and approachable and I felt more at ease with Dr. Chen’s expertise and experience. I definitely recommend him to my friends and family!

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How Bypass Surgery Is Performed

This ultra minimally invasive surgery is performed through five small openings with tiny instruments using the Da Vinci Surgical System.
Dr. Cribbins using Da Vinci Xi machine during bariatric surgery

The Da Vinci Xi System

For Ultra Minimally Invasive Bariatric Surgery

In the early days of bariatric surgery, performing a gastric bypass required large incisions that exposed the organs. Later, surgeons moved on to laparoscopic surgery so they were able to insert cameras and surgical tools through small incisions and perform the surgery without exposing the organs. Now, with advances in technology the next great innovation in bariatric surgery is here: the Da Vinci Xi Surgical System.

Dr. Cribbins of Plano, TX, is at the forefront of innovations in bariatric surgery. He began using the Da Vinci system in 2012, and is highly experienced with this surgical technology. The Da Vinci Xi Surgical System is an array of robotic arms that hold surgical instruments while being precisely controlled by Dr. Cribbins. When he uses it to perform a gastric bypass, he can operate through tiny incisions and make accurate, delicate maneuvers that extend beyond the limits of the human hand. The system provides him with a three-dimensional, high-definition view of the abdominal cavity, so he actually has a better view of your organs than he would with the naked eye.

The cumulative result of using this technology is a faster, safer, surgery with better patient results.

The Benefits

Of Da Vinci Xi Surgery
  • Tiny Incisions
  • Less Scarring
  • Quicker Recovery
  • Enhanced Precision
  • Less Blood Loss
  • Better Results

Ready to Make a Change? Contact Our Bariatric Team in Plano Today

Patients all over the Greater Dallas-Fort Worth area have left traditional laparoscopic procedures in the past and benefited from the Da Vinci Surgical System. You too can have a minimally invasive gastric procedure that leaves you with fewer scars, a faster recovery time, and results that you simply can't achieve with traditional laparoscopic procedures.

If you're ready to commit to a gastric procedure, we want to hear from you. Request a consultation with our form or call our Plano, TX, office:

(214) 501-1333

Benefit From the Latest Tech Leave Traditional Laparoscopic Methods Behind

"[Dr. Cribbins] uses the DaVinci robot to perform this operation and I can say that I see a huge difference in my recovery at the moment compared to it being regular laparoscopic. Now you're having surgery and there will be pain... but whatever dr. cribbins have done made it so much more comfortable... I can truly say this was a pleasant experience and would recommend doctor cribbing to any who would be interested in bariatric weight loss" Jacob Dupra

Our Patient Results Say It All

In practice since 2001, our board-certified surgeon has changed over 16,000 lives in the Greater Dallas-Fort Worth area. Check out our before-and-after gallery to discover just how life-changing weight loss surgery with Dr. Cribbins in Plano, TX, can be.

Choose the Team that Cares  We look forward to meeting you

At the Texas Center for Bariatrics & Advanced Surgery, we're not interested in performing as many surgeries as possible. Our heart and passion for better bariatrics is as big as Texas and that is why people travel the distance to see us. We genuinely care for patients and want them to achieve improved health and a better quality of life through weight loss. At Texas Center, patients are family.

When you meet with Dr. Cribbins or Dr. Chen for an initial consultation at our office in Plano, TX, or through telemedicine in the comfort of your home, our doctor will consider your unique concerns, goals, medical conditions, and more to recommend the most suitable approach to weight loss for you. Medical weight management, for example, might be better than weight loss surgery for some patients. You will feel at ease right away with your doctor's warm and caring personality and can rest assured he will never judge you.

Discover why men and women from across the Dallas-Fort Worth metroplex and all over the United States are glad they chose Drs. Cribbins and Dr. Chen. Request an initial consultation by filling out our form or giving us a call:

(214) 501-1333

Dr. Cribbins in front of the DaVinci Xi Surgical System

We Make Patients Feel Supported "Five stars all around!"


Melissa Garcia

Plano, TX


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From the receptionists to my surgeon Dr. Chen everyone is so heartwarming and professional. I am now 2 weeks post op. And feel GREAT. I am very thankful for everything they have done and will continue to do for me. Plus they have Marty! Which is sooo adorable my son loves him!

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patrick woods

Plano, TX


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Dr Cribbens and his staff have done a great job of explaining everything to me and keeping me updated throughout the entire process. I feel really good about having him do my surgery and I was also referred to him by a family friend. The staff is supportive and knowledgeable and open to any questions or concerns I have. 5 stars all around!

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Care You Can Afford

We're proud to accept most insurances so your bariatric procedure can fit into your budget. If you have out-of-pocket costs, we accept financing through CareCredit®, Prosper Healthcare Lending, and SurgeryPlus.

Gastric Bypass Candidacy

Roux-en-Y gastric bypass surgery is typically only recommended to patients who:

Have Obesity-Related Health Concerns

If your weight has contributed to health concerns such as type 2 diabetes, heart disease, obstructive sleep apnea, or high blood pressure, gastric bypass surgery may be recommended as a treatment.

Are Serious About Weight Loss

Gastric bypass surgery is not reversible and will forever change the way your body responds to food. You should only consider a gastric bypass if you are ready to make significant changes to your lifestyle and diet after the surgery.

Have a BMI over 30

A body mass index over 30 indicates morbid obesity. Overweight patients can benefit greatly from the restrictive and malabsorptive effects of gastric bypass surgery.

Calculate Your BMI

Gastric Bypass Step-by-Step

Dr. Cribbins performs Roux-en-Y gastric bypass surgery at state-of-the-art operating rooms in four award-winning hospitals in the Plano area. Here's what happens during a typical gastric bypass:
Our Plano team performs hundreds of gastric bypass surgeries each year, so you can trust we're a prime choice for your care.
Our Plano team performs hundreds of gastric bypass surgeries each year, so you can trust we're a prime choice for your care.


You will be put under general anesthesia for the duration of the bariatric surgery.


Dr. Cribbins will make tiny incisions in your abdomen. Dr. Cribbins will later use the Da Vinci Xi Surgical System to access your organs through these incisions.

Dividing the Intestine

Using the Da Vinci Xi Surgical System, Dr. Cribbins will divide your small intestine into an upper portion and a lower portion.

Creating the Stomach Pouch

Dr. Cribbins will use the Da Vinci surgical instruments to divide the stomach, creating a small stomach pouch that food will go into.


Dr. Cribbins will connect the lower portion of the small intestine to the stomach pouch, bypassing the larger portion of the stomach and the upper portion of the small intestine. Then, he will reattach the upper portion of the small intestine to a point lower down on the lower portion.

Closing Incisions

Dr. Cribbins will conclude the surgery by closing your incisions with sutures. You will most likely have a hospital stay of 1-3 days before you are cleared to return home and begin your weight loss journey.

Gastric Bypass Recovery

Fortunately, our ultra minimally invasive approach to weight loss surgery results in recovery periods that are shorter and easier than ever before. That being said, a gastric bypass is still a significant change to your body's anatomy, and you should plan to minimize physical activity for 1-2 weeks before you are able to resume your normal routine.

Most patients typically have a hospital stay of one to three nights after gastric bypass surgery. Dr. Cribbins and the hospital staff will do everything they can to ensure that you are as comfortable as possible during your stay.

Upon returning home, you will need to follow a very specific diet as your stomach and intestines heal. You will start with a liquid diet and gradually move on to more solid foods. We will give you very detailed instructions so you know what you are able to eat.

We like to schedule several follow-up appointments at our Plano office for our bariatric patients so we can monitor their health and weight loss.

Gastric Bypass Vs. Gastric Sleeve

In recent years, gastric sleeve surgery, also known as sleeve gastrectomy, has risen in popularity as a weight loss surgery. Sleeve gastrectomy is a more straightforward procedure than the Roux-en-Y gastric bypass: it simply involves reducing the size of the stomach. Here are some comparisons to keep in mind when deciding between the two surgeries:

  • Gastric bypass can result in greater weight loss, so it is typically recommended to patients with higher BMI and suffer from acid reflux.
  • Gastric bypass tends to be more effective at improving health conditions like type 2 diabetes, high blood pressure, or obstructive sleep apnea.
  • Because gastric bypass surgery is more involved, so operative time is slightly longer than gastric sleeve surgery. 

Dr. Cribbins is able to complete both gastric bypass surgery and gastric sleeve surgery with his ultra minimally invasive approach. When you visit our office in Plano, TX, for a consultation, Dr. Cribbins will determine which bariatric surgery is better for you.

gastric sleeve vs. gastric bypass
If you have previously received a gastric sleeve, but are not experiencing the kind of weight loss you had hoped for, we can convert your gastric sleeve into a gastric bypass.

We Care About Our Patients Even After Their Surgery

"Dr. Cribbins, Dr.Chen and their staff are the most amazing group of people I have ever met. Not only do they care immensely for each and every patient that walks through their doors, the support and guidance makes the whole process easier and much less scary. I would choose them a million times over!" Dawn Palmateer
dr joe cribbins and dr edmund chen DAVINCI robotic bariatric surgeons dallas tx

Texas Center for
Bariatrics & Advanced Surgery

Our highly skilled and experienced board-certified surgeons specialize in ultra-minimally invasive general and bariatric surgery. They are affiliated with a number of national associations, including the:

  • American Board of Surgery
  • American Society for Metabolic and Bariatric Surgery (ASMBS)
  • American College of Surgeons (ACS)
  • Fellow American Society for Metabolic and Bariatric Surgery (FASMBS)

To request a consultation, contact us online or call (214) 501-1333 today.

Contact Us Today

This contact form is for appointments only.
For more information or medical concerns, you can reach our office at (214) 501-1333.
If this is a medical emergency, please call 911.

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