Why a “Free Consultation” Isn’t Always a Good Sign in Weight-Loss Surgery

Thinking about weight-loss (bariatric) surgery? It’s natural to want the best care at the best price. You may even see clinics advertising “free consultations.” While that can sound appealing, in bariatric surgery it isn’t always a positive signal.

This isn’t to say every free consult is bad. It’s to help you understand what might be behind the offer—and what to look for so your safety and long-term results come first.

What a proper bariatric consultation should include

A first appointment shouldn’t be a quick sales chat. It’s a structured medical assessment that typically covers:

  • Your medical history, medications, previous surgeries and BMI

  • Lifestyle, eating patterns and weight-loss attempts to date

  • Screening for conditions that affect safety (e.g., reflux, sleep apnoea, diabetes)

  • Your readiness for surgery, including mental health considerations

  • A clear explanation of each option (gastric sleeve, bypass, balloons and non-surgical pathways), realistic outcomes, risks, and aftercare

  • A plan for nutrition, supplements and follow-up

This takes time and specialist input—usually from a surgeon and a multidisciplinary team (dietitian, psychologist, GP collaboration). If that process is skipped or rushed, you may not receive the tailored advice needed to make a safe decision.

The hidden cost of “free”

“Free consultation” is often a marketing hook. Common issues we hear from patients who attended no-cost consults elsewhere include:

  • Extremely brief, non-specific appointments with little personal assessment

  • Pressure to book surgery quickly without exploring alternatives

  • Important costs appearing later (hospital, anaesthetist, devices, aftercare)

  • Little discussion of complications or the lifelong commitment required after surgery

In other words, free up-front can become costly down the track—financially and medically.

Bariatric surgery is not a quick sale

Weight-loss surgery is major surgery with lifelong dietary, medical and psychological implications. You deserve a surgeon who takes the time to assess whether surgery is right for you—not a “free trial” approach that prioritises sign-ups over suitability.

Red flags to watch for

  • A consult that lasts only a few minutes

  • No discussion of your medical history or medications

  • No access to a dietitian or psychologist

  • “One-size-fits-all” advice (everyone gets the same procedure)

  • Vague or incomplete fee information

  • High-pressure tactics or “limited time” discounts

What to look for instead

  • ✅ Comprehensive, paid consultation with a qualified bariatric surgeon

  • ✅ Access to a multidisciplinary team

  • ✅ Transparent explanation of all options—including non-surgical pathways

  • ✅ Clear, written information about risks, outcomes, costs and follow-up

  • ✅ A plan for long-term aftercare, nutrition and monitoring

Our approach at Mastakov Surgery (Brisbane, Gold Coast & Hervey Bay)

At Dr Mikhail Mastakov Surgery, your first appointment is an in-depth medical consultation—not a sales pitch. We take the time to understand your health, goals and lifestyle, then map out the safest and most effective pathway for you, whether that involves surgery or a non-surgical program.

What your comprehensive consultation typically includes

  • Surgeon-led clinical assessment and review of investigations

  • Discussion of procedures such as [gastric sleeve], [gastric bypass] and revision options

  • Personalised risk/benefit profile and expected results

  • Nutrition and behavioural planning with our team

  • Written outline of fees and Medicare/private health fund considerations

  • Time for your questions—no pressure, no rush

Because your long-term success matters more than a quick sign-up.

FAQs

Are free consultations ever appropriate?
Sometimes clinics run no-gap information sessions or eligibility screenings. These can be useful introductions, but they don’t replace a full, surgeon-led medical consultation before surgery.

How much does a bariatric consult cost?
Fees vary by practice and are usually partly refundable through Medicare when referred by your GP. We provide full transparency around surgeon, hospital and device costs before you commit.

Can I claim the consult on Medicare or my health fund?
With a GP referral, Medicare rebates often apply to the surgical consultation. Your private health fund may contribute to hospital costs if you hold appropriate cover. We explain all pathways during your appointment.

What should I bring to my first appointment?
Your GP referral, medication list, prior test results, any relevant letters/reports, and a list of questions or goals.

Ready to take the next step?

Book a comprehensive consultation with Dr Mastakov in Brisbane the Gold Coast or Hervey Bay to discuss safe, evidence-based options tailored to you.