The International criteria are:

  1. BMI of 35 - 40 with co-morbid factors
  2. BMI >40: No co-morbid factors needed


Co-morbid factors are:

  1. Diabetes
  2. Hypertension
  3. Cardiac Disease
  4. Sleep Apnea
  5. Diseased joints
  6. Raised cholesterol

Body Mass Index (BMI) Calculator

IMPORTANT: height must contain 2 digits in the second column (cm)




Your BMI is: kg/m2

The body mass index (BMI) is a statistical measure which compares a person's weight and height. Though it does not actually measure the percentage of body fat, it is used to estimate a healthy body weight based on a person's height.

It is the most widely used diagnostic tool to identify weight problems within a population, usually whether individuals are underweight, overweight or obese. (Courtesy: Wikipedia)













For help financing your operation contact:

First Health Finance

0800 212 537



Currently in South Africa there are three operations sanctioned for the management of morbid obesity.


They are:


Morbid obesity is a BMI of 35 and above, calculated by taking your weight, dividing by your height and divide the result again by your height. Alternatively, use our handy calculator on the right hand side of this page.


Our centre currently offers the LSG.


The LAGB is a far lesser operation than the LGB in that you retain your normal physiology (none of your body is removed or replaced); do not have vitamin and metabolic changes and have less operative risk. The results in International series show that by three years the weight losses for both are the same. With the LAGB you have an adjustable band; can still, although should avoid, eat sweet things and enjoy normal social meals, albeit, a far lesser volume than previously.


The LSG is an operation which reduces the stomach volume leading to weight loss and satiety after small meals. Detailed information is available.


An important requirement for the operation is a visit to a psychologist. If you have your own psychologist then I would need to have sight of his/her report. I can also recommend psychologists with whom I have had dealings.

The report, as mentioned, is an integral part of the operation and a theatre date will not be set until the psychologist has given us the "green light".

6 weeks after seeing the psychologist you need to see myself and the anaesthetists.

The reason that there is a 6 week waiting period as that this is the time the psychologist needs to do a full assessment of all the tests you will be exposed to. The psychological assessment is a very important part of the evaluation and a theatre date will not be given until we have the green light from the psychologist. This is in line with the guidelines set for International Accreditation, which our team has, from the International Society of Obesity Surgery (ISOS).

Read an interesting article, written by Clinical Psychologist, Sarah van Niekerk.


Sue Oglivie, a Dietician, works in close collaboration with Dr Brombacher.Newsletter.


Here is a "check list" of  what you need to do or who you need to see before the operation can be performed (click on the links for the relevant contact details):




This website contains all the information you need with regards the operation that I perform. If you have any additional queries, please contact us.



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