Your pre-surgery tests can be done near Cary, and results ordered through our Miami clinic come back within 48 hours. Dr. Reza Keshavarzi, a board-certified bariatric surgeon in South Miami, guides you from a complimentary consultation through your first year of follow-up.
Each pair is one of our own patients, photographed before surgery and again after weight loss. Results vary from patient to patient.
Bariatric surgery, 1 of 6
Bariatric surgery reduces the size of the stomach. Some procedures also reroute part of the digestive tract. Smaller meals leave you satisfied, and hunger tends to ease. Dr. K uses minimally invasive techniques, working through small incisions.
Because testing can happen close to home, the main trip is for surgery itself. Raleigh-Durham International Airport is about 13 minutes from Cary via N Harrison Ave and I-40. Nonstop flights reach Miami International in about 2 hours, and our office is about 17 minutes (12 miles) from MIA.
Weight loss surgery covers several different procedures. Dr. K provides surgical, endoscopic and nonsurgical choices, so your recommendation is shaped by your health and not by one preferred method.
| Procedure | Approach | How It Works | Often Suits |
|---|---|---|---|
| Gastric Sleeve | Surgical | Removes most of the stomach, leaving a narrow sleeve that holds less food and produces less of the hormone that drives hunger. | Adults with obesity and related conditions such as type 2 diabetes or sleep apnea. |
| Low BMI "Mini Sleeve" | Surgical | A sleeve gastrectomy planned for patients carrying less excess weight. | Patients with a BMI of 25 to 30. |
| Teen Gastric Sleeve | Surgical | A sleeve gastrectomy with care planned around a body that is still growing. | Adolescents aged 14 to 17. |
| Gastric Bypass | Surgical | Creates a small stomach pouch and reroutes part of the small intestine, limiting both how much you eat and how much you absorb. | Patients with more weight to lose, severe reflux or harder-to-control diabetes. |
| Endoscopic Sleeve Gastroplasty | Endoscopic | Stitches the stomach smaller from the inside with an endoscope passed through the mouth, with no external incisions. | Patients who want a smaller stomach without surgery. |
| ORBERA Gastric Balloon | Endoscopic | A temporary balloon placed in the stomach so you feel full sooner while new habits take hold. | Patients who want a nonsurgical start. |
| Medical Weight Loss | Nonsurgical | Personalized plans from our weight loss specialists that can include weight loss injections. | Patients not ready for a procedure, or who want support before or after one. |
Your weight alone does not decide whether surgery is right. Dr. K considers how your weight has changed over time, any related health conditions, the approaches you have tried before and how prepared you feel for the new way of eating after surgery.
For some patients, the best start is something else, like getting a health condition under control. Medical weight loss or an endoscopic procedure may come first.

Dr. Keshavarzi, whom patients call Dr. K, is a board-certified bariatric surgeon and lead surgeon at Miami VIP Surgery. He performs the surgical and endoscopic procedures above and directs our medical weight loss program.
He earned his medical degree with High Distinction from the University of Kentucky College of Medicine after graduating Summa Cum Laude from the University of Louisville. He completed his surgical residency at Jackson Memorial Hospital and a fellowship in laparoscopic, bariatric and robotic surgery at Jackson South Medical Center.
Reviews describe Dr. K giving patients his personal cell number and checking in after they got home. That kind of access matters when you are healing back in Cary, near Research Triangle Park, a 2-hour flight from Miami.
Share your history, goals and questions with Dr. K. Consultations can be virtual, so this step happens from home before you book any flight.
You will need medical clearances and an upper endoscopy, known as an EGD. Complete them with us or at an outside facility closer to home. Results ordered through our Miami clinic come back within 48 hours.
You start a pre-surgery diet, and any weight loss injections stop at least two weeks before your operation. Our team helps at every step, and dates often open within the same month once testing is done.
Dr. K performs your procedure and visits you during your hospital stay. Our team lets you know how long to remain in the Miami area before you fly home.
Most patients go back to work 4 to 7 days after surgery and avoid lifting anything over 20 pounds while healing. Our website has diet plans for each stage, and Dr. K remains reachable by phone and text.
Your first year of follow-up appointments comes with the gastric sleeve package, so the surgeon who performed your operation keeps watching your progress.
Our gastric sleeve price is published openly, so you can budget before you ever call. Other procedures are priced based on your plan, and we go over that at your consultation.
One price covering:
Patients who find the cost of surgery difficult can ask about a special package that starts at $12,500.
Your consultation with Dr. K is complimentary.
★★★★★4.9 average from 96 Google reviews
"Dr. Keshavarzi explained every detail of the surgery from getting prepared, to the actual day of surgery, and beyond."
Hannah S., Google review
"Dr. Keshavarzi was with us throughout the whole process and was even contacting us once home to see if everything was running smoothly."
Yerandis L., Google review
"From my 1st visit he made me feel at ease with my decision to pursue bariatric surgery."
Yesi, Google review
No. Consultations can be virtual, so you can talk with Dr. K from home in Cary. Your trip to South Miami comes later, for the surgery, after your plan and testing are complete.
Our gastric sleeve package is $14,000. It includes the hospital stay, surgeon's fee, hospital fees and first-year follow-up, and Cherry financing is available. Other procedures are priced at your consultation.
Rarely does one factor rule you out. Dr. K looks at your medical history, the medications you take, your clearances and how ready you are for the eating changes after surgery. When surgery is not the best starting point, medical weight loss or an endoscopic procedure may come first.
You can. The required clearances and upper endoscopy can be done with us or at an outside facility closer to home. Our team explains which tests you need and reviews the results with Dr. K.
That varies with your starting weight, your procedure and how well you stick to the post-surgery diet. Most weight tends to come off in the first months. Dr. K shares a realistic estimate for your procedure during your consultation.
Those injections need to stop at least two weeks before surgery. Dr. K can also help you decide whether medication, surgery or a mix of both suits your goals.
Learn which pre-surgery tests you can finish near home, whether in Cary, Apex or Raleigh. Book a complimentary consultation and find out which procedure fits and when surgery could happen.