Arjuna Ranatunga’s post-surgery transformation sparks curiosity: Does bariatric surgery always lead to su - The Times of India

Former Sri Lankan cricket captain Arjuna Ranatunga recently surprised cricket fans with his noticeable transformation after undergoing bariatric surgery. A picture shared by former Union Minister and Congress MP Shashi Tharoor on X showed a much slimmer Ranatunga, leaving many fans struggling to recognise the legendary cricketer.Sharing the photograph from Colombo, Tharoor wrote, “Cricket fans might have some difficulty in recognising this former Sri Lankan cricket captain who called on me in Colombo. Yes, this is the new, svelte, post-bariatric surgery @ArjunaRanatunga!”Tharoor also shared Ranatunga’s experience after surgery, saying the former captain could now play charity matches and bat for three hours, whereas earlier he struggled to get through even three overs.The transformation has once again raised curiosity about bariatric surgery and whether every person who undergoes the procedure experiences such a dramatic change.Doctors explain that while bariatric surgery can lead to significant weight loss, the results are not identical for everyone. The amount of weight lost depends on several factors, including the type of surgery, starting weight, age, metabolism, lifestyle habits and long-term follow-up.Bariatric surgery is not just about losing weightBariatric surgery is a group of procedures designed to help people with obesity achieve weight loss and improve related health conditions. These procedures work by changing the digestive system, either by reducing the stomach size, modifying food intake or affecting how the body absorbs nutrients.Common procedures include sleeve gastrectomy, gastric bypass and adjustable gastric band surgery.However, experts say bariatric surgery should not be viewed as a cosmetic procedure meant only to achieve a slimmer appearance.Dr Aparna Govil Bhasker, Bariatric, Laparoscopic and Hernia Surgeon, MetaHeal Clinic, Mumbai, explained, “Bariatric surgery is undoubtedly a major turning point in a life, but it is important to remember that its primary aim is not merely weight loss and the achievement of a slim appearance. It is about the restoration of health and enhancement of the quality of life,” she said.Why does weight loss vary after bariatric surgery?A dramatic transformation like Ranatunga’s may make people believe that bariatric surgery always results in massive weight loss. But doctors say the reality is much more individual.Some people lose a significant amount of weight within months, while others experience gradual changes over a longer period.Several factors influence the outcome:Starting body weight before surgeryType of bariatric procedureAge and muscle massMetabolic healthEating patterns after surgeryPhysical activity levelsFollowing dietary and medical recommendationsDr Bhasker explained that every patient’s body responds differently after surgery.Bariatric surgery can improve health beyond the weighing scaleFor many people, the biggest benefits of bariatric surgery are not limited to the number on the weighing machine.Obesity can affect several areas of life. People living with severe obesity may experience diabetes, high blood pressure, sleep apnoea, joint pain and fatty liver disease. Many also struggle with reduced confidence, social isolation and emotional stress because of weight-related stigma.Dr Shashank Shah, Bariatric Surgeon, Apollo Spectra Hospital Pune, explained that bariatric surgery can help people rebuild their health and daily lives.“Bariatric surgery is often mistaken for only a way to burn fat, but it really helps people to get a new and healthier life,” he said.“Those dealing with obesity may also suffer from multiple health problems, that are diabetes, hypertension, sleep apnoea, musculoskeletal pain, and liver disease,” Dr Shah added.He explained that the benefits often extend beyond weight reduction.“Patients get many other advantages, such as better mobility, higher energy levels, easier breathing, better sleep, and greater independence with daily activities through weight loss,” he said.For many patients, improved health can also bring emotional changes.“Many of them can get back into their confidence, become sociable, and pursue new goals in life. Many resume or start leisure activities, go travelling effortlessly, do their share in family activities, and generally have a better quality of life,” Dr Shah said.Is bariatric surgery a quick solution for obesity?Bariatric surgery can be life-changing, but doctors emphasise that it is not a shortcut or an instant solution. The procedure is usually considered for people with severe obesity, especially when diet, exercise and other weight-management methods have not provided enough improvement or when obesity has caused health complications.Before recommending surgery, doctors evaluate a person’s overall health, medical history, BMI and previous weight-loss efforts.Dr Shah stressed that surgery works best when combined with long-term lifestyle changes.“Bariatric surgery is a medical intervention, not a miraculous quick remedy for weight loss,” he said.Patients need to follow a nutritious diet, stay physically active, attend regular check-ups and continue medical follow-ups to maintain the benefits.Medical experts consultedThis article includes expert inputs shared with TOI Health by:Dr Shashank shah, Bariatric Surgeon, Apollo spectra Hospital Pune.Inputs were used to explain how bariatric surgery works, why weight-loss results differ from person to person, and why medical guidance and lifestyle changes remain essential for long-term health benefits.