The practice's most popular procedures are in bold.
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Duodenal Switch
Years Performed: 10 Approx Cost with this Doctor:
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Developed the Laparoscopic technique and currently have the world's largest experience with over 800 patients having had the procedure done totally laparoscopically. Our technique can now be viewed on Youtube!
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Gastric Banding Surgery
Years Performed: 10 Approx Cost with this Doctor:
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We offer both the LapBand and the RealizeBand. Our numerous satellite locations make it convenient for patients to undergo their adjustments. Ideal Candidate:
BMI of 40 or higher
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Gastric Bypass Surgery
Years Performed: 10 Approx Cost with this Doctor:
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Ten year experience with no leaks since 2003 and excess weight loss of 84%. Ideal Candidate:
BMI of 40 or higher
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Gastroplasty
Years Performed: 10 Approx Cost with this Doctor:
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The Vertical Sleeve Gastrectomy is rapidly becoming one of the most sought after procedures. It is an excellent alternative to the gastric banding procedures and has weight loss similar to the other stapling procedures but without an intestinal bypass We now have the world's largest experience(more than 1300 patients). This procedure has a very high level of patient satisfaction due to the sensation of early fullness, lasting fullness and minimal hunger. It is an excellent option for patient
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Laparoscopic Gastric Bypass Surgery
Years Performed: 10 Approx Cost with this Doctor:
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Ten year experience with no leaks since 2003 and % excess weight loss of 84%. Ideal Candidate:
BMI of 40 or higher
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Laparoscopic Roux-en-Y Gastric Bypass
Years Performed: 10 Approx Cost with this Doctor:
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Ten year experience with no leaks since 2003 and % excess weight loss of 84%. Ideal Candidate:
BMI of 40 or higher
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Laparoscopic Vertical Sleeve Gastrectomy
Years Performed: 10 Approx Cost with this Doctor:
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The Vertical Sleeve Gastrectomy is rapidly becoming one of the most sought after procedures. It is an excellent alternative to the gastric banding procedures and has weight loss similar to the other stapling procedures but without an intestinal bypass We now have the world's largest experience(more than 1300 patients). This procedure has a very high level of patient satisfaction due to the sensation of early fullness, lasting fullness and minimal hunger. It is an excellent option for patient
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Lapband (Laparoscopic Gastric Banding)
Years Performed: 10 Approx Cost with this Doctor:
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Dr. Jossart was involved in the FDA trials in 1998. Our practice has been offering adjustable gastric banding since formal FDA approval in 2001. Ideal Candidate:
BMI of 40 or higher
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LSG
Years Performed: 10 Approx Cost with this Doctor:
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The Vertical Sleeve Gastrectomy is rapidly becoming one of the most sought after procedures. It is an excellent alternative to the gastric banding procedures and has weight loss similar to the other stapling procedures but without an intestinal bypass We now have the world's largest experience(more than 1300 patients). This procedure has a very high level of patient satisfaction due to the sensation of early fullness, lasting fullness and minimal hunger. It is an excellent option for patient
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Realize™ Adjustable Gastric Band
Years Performed: 2 Approx Cost with this Doctor:
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We have been placing the RealizeBand since FDA approval in 2007. Ideal Candidate:
BMI of 40 or higher
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Revision Surgery
Years Performed: 10 Approx Cost with this Doctor:
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We perform several revisions each month for all types of prior weight loss surgery. Please call for more information.
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Robotic Gastric Bypass Surgery
Years Performed: 1 Approx Cost with this Doctor:
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Initially, we were early adopters of this technology but quickly realized it required more incisions, larger incisions, more operative time and did not offer a technical advantage.
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Years Performed: 10 Approx Cost with this Doctor:
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The Vertical Sleeve Gastrectomy is rapidly becoming one of the most sought after procedures. It is an excellent alternative to the gastric banding procedures and has weight loss similar to the other stapling procedures but without an intestinal bypass We now have the world's largest experience(more than 1300 patients). This procedure has a very high level of patient satisfaction due to the sensation of early fullness, lasting fullness and minimal hunger. It is an excellent option for patient
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Years Performed: 10 Approx Cost with this Doctor:
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Our program is comprehensive. We offer medical and surgical weight loss care to interested patients.
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* The national average fees do not include cost of anesthetics or surgical facility. Be sure to ask your doctor about additonal fees. Costs will vary from city to city throughout the United States.
Associated with the American Society for Bariatric Surgery
Associated with the American Society of Bariatric Physicians
Board Certified by the American Board of Surgery
Associated with the American College of Surgeons
Better Care. Better Surgeons. Better Results.
Find out why so many patients prefer Laparoscopic Associates of San Francisco. Experienced Surgeons, all procedures available, Registered Dietitian, Licensed Therapist, Insurance Experts
No waiting lists!
Competitive self pay packages!
Dr. Jossart and Dr. Cirangle focus on providing you with the best operation, done safely and then helping you get to goal weight with great aftercare.
My weight has been between 148 and 150lbs for about 6 months now, and before that, i was was about 10lbs higher for 6 months. My surgery weight was 315 and my highest was 348. I run 4-5 days per week for a total of 20-30 miles per week and have completed 4 half marathons in the last year and a half.
My life has changed so completely and I am very grateful to you for the life you gave me a chance at. It took losing all this weight to realize exactly what you meant when you said that if you don't change your lifestyle that I could gain weight back. My life is officially completely different than it was before.
Losing weight has certainly not fixed all my problems, but I am so amazed at the things it has fixed.
Thank you so much for what you do. And for your honesty. I didn't need a surgeon who would sugar coat things, or make me feel "warm and fuzzy", I needed someone who be honest with me (without making me feel inferior) and I appreciate your honesty more than I can adequately express in words.
-Leslie Freeman, Patient
Over the past 10 years, fellowship-trained Dr. Jossart and Dr. Cirangle have been committed to providing a wide range of weight-loss surgeries using advanced laparoscopic techniques. You'll find the whole staff is commited to providing you with the personalized care you deserve.
As a Center of Excellence, you'll be provided with the best surgical weight-loss solutions available, as well as a total care support system. This includes:
Personalized physician care
Safest options for Bariatric surgery
Superior aftercare program and resources
Most weight loss surgery options
Smaller scars, quicker recovery
Devoted to providing you with truly specialized care, a Laparoscopic Associates surgeon will evaluate your specific weight-condition, address any of your concerns, and discuss the different bariatric surgeries that may be right for you.
Top Benefits:
10 years of experience in over 3,000 patients with all procedures, including revisions.
World's largest experience of Laparoscopic Vertical Sleeve Gastrectomies(1300 patients) and Laparoscopic Duodenal Switches(800 patients)
Comprehensive aftercare program with Dietitian, therapist, nurses and Physician led support groups
Satellite clinics throughout Northern California and Hawaii make it convenient for patient follow up.
Many patients travel from other states to have their surgery in San Francisco knowing that they will get the best operation, done correctly and safely! Telephone consultations always available
Some of our most asked about procedures:Lapband (Laparoscopic Gastric Banding), Sleeve Gastrectomy Surgery, Laparoscopic Roux-en-Y Gastric Bypass, Duodenal Switch, Laparoscopic Vertical Sleeve Gastrectomy.
(866) 371-3315
for more information.
My weight has been between 148 and 150lbs for about 6 months now, and before that, i was was about 10lbs higher for 6 months. My surgery weight was 315 and my highest was 348. I run 4-5 days per week for a total of 20-30 miles per week and have completed 4 half marathons in the last year and a half. 
