415 Bariatric Tourism, NHS Fallout: A Two-Year Review of Post-Operative Complications Following Overseas Bariatric Surgeries

Abstract Introduction The rising demand for bariatric surgery, coupled with long waiting times and strict eligibility criteria in the UK, has led many patients to seek bariatric procedures abroad. While overseas surgery may offer quicker access and lower upfront costs. Patients often face complications, inadequate follow-up, and limited support, while UK surgeons are frequently tasked with managing post-operative care without full surgical details, proper coordination, or clear protocols. This cross-border care gap raises concerns about patient safety, continuity of care, and NHS resource strain. Method We are conducting a retrospective review of adult patients who presented to UK emergency departments over the last two years (2023–2025) with complications following bariatric surgery performed overseas. Results Preliminary results show that patients commonly present with complications such as wound infections, gastric leaks, nutritional deficiencies, internal hernias, and persistent vomiting. In many cases, documentation from the overseas surgical provider was incomplete or entirely absent, complicating diagnosis and management. Delays in appropriate care, unnecessary imaging, and increased hospital stays were frequent. This also raises concern over medico-legal implications and the ethical dilemma of allocating limited NHS resources to manage privately initiated, international procedures. Conclusions Overseas bariatric surgery poses significant challenges for both patients and UK-based healthcare providers. To mitigate these issues, it is essential to Develop national guidance for managing patients returning from overseas bariatric surgery. Educate patients about the risks of medical tourism and encourage pre-travel and post-travel consultations with UK clinicians. Expand NHS bariatric services to reduce the demand for surgery abroad.