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Obesity centre Germany

Obesity affects metabolism, hormones, eating behaviour, sleep and the mind all at once. An obesity centre brings these dimensions together in one coordinated treatment process – with a clear indication and structured aftercare.

GermanyNetherlandsMedically reviewed byDr. med. Oliver ScheffelSpecialist in general and bariatric surgeryLast updated:

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Explained in detail

The obesity centre in detail

What defines an obesity centre, who it is for and how treatment at Weight Doctors® works – with videos from the Weight Doctors® Nationalklinik.

Definition

What is an obesity centre?

An obesity centre is a specialised facility that brings together the treatment of pathological excess weight (obesity) across disciplines – from diagnostics through the multimodal programme (MMK) to procedure and aftercare. Instead of individual measures, nutritional medicine, internal medicine, endoscopy, psychology, and exercise and anaesthesia expertise work hand in hand under the responsibility of the chief physician.

As a specialised obesity centre, Weight Doctors® supports you at 17 locations in Germany, Austria and the Netherlands – with a clear indication, transparent goals and structured aftercare. At the Weight Doctors® Nationalklinik in Wertheim, we bring bariatric and endoscopic expertise together under one roof.

“A good obesity centre is not a place where patients are sent from door to door. It is a team that decides together, informs honestly and supports over the long term. At the centre is never a single procedure, but the overall concept – and the person behind it.”

Dr. med. Oliver Scheffel, specialist in general and bariatric surgery
Why a specialised centre

Coordinated action instead of isolated solutions

Obesity calls for a coordinated approach: in the obesity centre, diagnostics, indication and aftercare are managed together – guideline-oriented and close to everyday life.

Nutritional medicine, behavioural medicine, endoscopy, exercise therapy and obesity surgery work hand in hand – plus your personal 360° coach:

YouIndication conferencechief physician’s responsibility
  • Nutritional medicinePlan for everyday life
  • Behavioural medicineEating triggers and motivation
  • EndoscopyGastroscopy, SLEEVE, balloon
  • Exercise therapyActive according to your capacity
  • Bariatric surgeryNationalklinik Wertheim
  • 360° CoachApp, scales, support
One team, one decision: the specialities assess your findings together – you are not sent from door to door.
  1. Clear decisionsAn indication conference under the responsibility of the chief physician determines the pathway – uniform criteria instead of individual opinions.
  2. Continuous case managementA fixed contact person and structured check-ins accompany the course of treatment – without breaks between the specialist departments.
  3. Data-based management3D Bodyscan, laboratory values and app tracking show deviations early; the plan is adjusted flexibly.
  4. Focus on safetyA risk-adapted approach to related conditions, medication and anaesthesia – with the aim of reducing the risk of complications.
Indication

Who is an obesity centre for?

Obesity begins at a body mass index (BMI) of 30. Whether and which treatment comes into question depends, besides the BMI, on related conditions such as high blood pressure, type 2 diabetes or sleep apnoea, on previous attempts to lose weight and on your goals – we clarify this in diagnostics.

For orientation: without a procedure, for example with Weight Doctors® GLP-⁠1 pharmacotherapy or the gastric balloon, treatment is possible even at a lower BMI. Stomach reduction often comes into question from a BMI of 40, or from a BMI of 35 with related conditions, where there is an indication in line with the guidelines. You can calculate your value with the BMI calculator.

  1. BMI from 27GLP-⁠1 with related conditions, gastric balloon depending on model
  2. BMI from 40Medical indication, surgery after MMK
  3. BMI from 50Primary indication: immediate surgery possible
BMI scale according to the WHOCalculate your BMI
The basis of every treatment decision

Where we start: diagnostics – precise, structured, relevant

Thorough diagnostics not only capture the status quo, but also set the measuring points for your further course. The results feed into the indication conference and are the starting point of your MMK treatment plan.

Which path makes sense – conservative including GLP-⁠1, endoscopic without surgery or a bariatric procedure – we clarify only after diagnostics and the indication conference. The focus is on the overall concept, not on a single treatment.

Weight Doctors® endoscopy team during a gastroscopy
  1. Medical history & screeningPrevious history, diets, medication, eating behaviour, sleep, stress and family predisposition.
  2. Laboratory & metabolismBlood sugar/insulin, blood fats, liver, thyroid and others – to identify metabolic patterns.
  3. Related conditionsHigh blood pressure, type 2 diabetes, fatty liver, joint strain, reflux, sleep apnoea.
  4. Psychometrics & behaviourStandardised questionnaires on triggers for eating, impulse control, mood and motivation.
  5. Movement profileEveryday activity, physical capacity, barriers and individual target values.
  6. 3D BodyscanObjective measurement of body composition, circumferences and posture – twice during the course.
Your path through the centre

From first contact to stabilisation

Structured, understandable and always individual – you know which step comes next.

  1. Indication conference & chief physician consultationJoint assessment of the findings: will we first work conservatively, e.g. with GLP-⁠1, or are structural measures medically sensible? Always individual.
  2. 12-month scheduleFrom routines that work in everyday life (weeks 1–4), through adjustment and increasing load, to long-term stabilisation (months 6–12).
  1. Step 1Initial consultationIn person, by telephone or by video – with a transparent initial assessment.
  2. Step 2DiagnosticsMedical history, laboratory and further examinations give your risk profile.
  3. Step 3Indication conferenceJoint assessment: conservative, for example with GLP-⁠1, or a procedure?
  4. Step 4MMK treatment planDiet, exercise, behaviour, sleep and stress become concrete.
  5. Months 1–12AftercareCheck-ups, adjustments and relapse prevention following a fixed 12-month schedule.
Multimodal & close to everyday life

The Weight Doctors® MMK

The multimodal programme (MMK) links medical, nutrition-related and behaviour-related building blocks. Depending on the findings, GLP-⁠1, endoscopic procedures or – where there is a clear indication – bariatric procedures may also come into consideration.

The MMK is a structured 6-month framework of five pillars and accompanying information.

  1. Nutritional adviceFive sessions with a plan that works in everyday life, meal rhythm and implementation.
  2. Activity logDocumented activity over the entire preparation period.
  3. Psychological assessmentBehavioural medicine assessment of eating triggers, motivation and strain.
  4. GastroscopyGastroscopy for assessment before the procedure.
  5. Full blood countComprehensive laboratory check as the basis of the therapy and later aftercare.
  1. Alongside · Medical informed consent discussionThe accompanying information consultation before the procedure.
Endoscopic

Innovative, gentle procedures: stomach reduction without surgery

Endoscopic options without surgery through to bariatrics – always the right one for your situation. With Weight Doctors SLEEVE® using pose® 3.0, the stomach is gathered from the inside with only 6–8 anchors instead of the 14–16 used previously – minimally invasive, as an outpatient and without an incision. Whether this comes into question for you, we clarify after diagnostics. The comparison of procedures below this guide shows all the paths side by side.

Diagram: with the endo sleeve, the stomach is gathered from the inside – nothing is removed, a narrow sleeve remains.

Sleeve – remainsgathered, not removedAnchor pair

  • OutpatientNo hospital stay needed.
  • No incisionsEndoscopic, with no incisions at all.
  • 30–60 minutesShort procedure under twilight sedation or general anaesthesia.
  • Short recoveryAs a rule, back to everyday life after a few days.
Our national obesity centre

The Weight Doctors® Nationalklinik in Wertheim

At the Weight Doctors® Nationalklinik in Wertheim, we bring bariatric and endoscopic expertise together under one roof – with an intermediate care unit and aftercare in the same building. The weight-loss operations take place here.

On request, we arrange the shuttle for arrival and departure, for example from Frankfurt Airport (for an additional charge). In the video, our team takes you on a tour of the clinic.

Safety & quality

What you can rely on

From initial admission through the indication conference to long-term care, we communicate realistically, follow recognised standards and work with clear, documented processes – at all locations.

  1. Guideline-orientedDiagnostics, indication and treatment pathways follow recognised standards.
  2. Structured processesChecklists, preparation, information and clear escalation pathways.
  3. Anaesthesia & monitoringGeneral anaesthesia and monitoring by anaesthetists experienced in obesity medicine, transparently documented.
  4. Realistic communicationResults are individual; what matters is the interplay of concept, cooperation and aftercare.
  5. AccessibilityFixed consultation hours, digital ways of making contact and structured case conferences.
  6. PrivacyGDPR-compliant processing and traceable progress data.
  7. 360° CoachPersonal support from day one – for motivation, structure and suitability for everyday life.
  • GermanyNetherlandsDr. ScheffelSpecialist in general and bariatric surgery
  • GermanyAustriaProf. MillerSpecialist in general and visceral surgery
  • GermanyDr. JohnSpecialist in internal medicine & gastroenterology
  • GermanyPD Dr. WichmannSpecialist in visceral surgery & expert in endobariatrics
  • GermanyNetherlandsDr. JennerSpecialist in visceral surgery / specialised visceral surgery

All specialists

What sets us apart

Our strengths as an obesity centre

What makes the path easier with us – organisationally and medically.

  1. Established routineMore than 60,000 supported treatments give our teams experience and confidence.
  2. Endoscopic to bariatricFrom Weight Doctors SLEEVE® without surgery – with pose® 3.0 and 6–8 instead of the 14–16 anchors used previously – to weight-loss surgery.
  3. 360-degree aftercare12 months with the Weight Doctors® App, Bluetooth smart scale, personal 360° coach and Weight Doctors® Mira (in seven languages).
  4. Nutrition coaching with DGE expertiseWell-founded nutritional support – as a member of the German Nutrition Society (DGE).
  5. Low barriers to accessPersonal patient coordination relieves you of the organisational work: certificates, reports and appointment planning – coordinated and reliable.
  6. Shuttle serviceAt the Weight Doctors® Nationalklinik in Wertheim, we arrange on request the shuttle for arrival and departure, e.g. from Frankfurt Airport (for an additional charge).
  7. Multiple awards97% recommendation rate on ProvenExpert – Top Recommendation five times in a row.

Paying in instalments: how it works

If you would like to spread the costs over a longer period, partial payment through our partner Ideal4Finance is possible. You determine the term yourself. You submit the application together with us in the consultation, by telephone or entirely paperless online – more under Payment in instalments.

The requirement is sufficient creditworthiness. In detail:

  • Main residence in Germany
  • no negative Schufa entries
  • employed or retired, with disposable income
  • Students, trainees and homemakers can enter a second person from the same household as the borrower – a parent, child, spouse or partner

Apply for instalmentsMore on instalments

In comparison

Procedures compared

From the weight-loss injection to endoscopic procedures to surgery – which path suits you is only decided after diagnostics and the indication conference. Here you can see the options at a glance.

We support conservative and endoscopic procedures close to where you live; operations take place at the Weight Doctors® Nationalklinik in Wertheim.

GLP-⁠1 / pharmacotherapy

no procedure

Appetite & satiety regulation via GLP-⁠1 – can reduce the feeling of hunger

Procedurenone (injection)

Anaesthesianone

Stayoutpatient / at home

Reversibleyescan be stopped at any time

Self-pay service

Gastric balloon

temporary

Balloon fills the stomach – can lead to an earlier feeling of fullness

Procedureendoscopic, or swallowable in the case of Allurionno incisions

AnaesthesiaSedation / none (Allurion)

Stayoutpatient

Reversibleyestemporary (6–12 months)

Self-pay service

Weight Doctors SLEEVE®

no surgery

Stomach is gathered endoscopically – approx. 25% residual volume

Procedureendoscopicno incisions

AnaesthesiaTwilight sedation or general anaesthesia

Stayoutpatient

Reversibleto a limited extent

Self-pay service

Gastric sleeve

surgical

Stomach is surgically reduced to a sleeve (~80–85%)

Proceduresurgicalminimally invasive

AnaesthesiaGeneral anaesthesia

StayinpatientNationalklinik Wertheim

Reversibleno

Self-pay service

Gastric bypass

surgical

Stomach reduction + altered nutrient absorption

Proceduresurgicalminimally invasive

AnaesthesiaGeneral anaesthesia

StayinpatientNationalklinik Wertheim

Reversibleto a limited extent

Self-pay service

For which BMI? Guidance, not a decision – that is made by your specialist after diagnostics.
  • GLP-⁠1 / pharmacotherapyfrom BMI ~ 27
  • Gastric balloonBMI ~ 28–35
  • Weight Doctors SLEEVE®BMI ~ 30–40
  • Gastric sleevefrom BMI ~ 35–40
  • Gastric bypassfrom BMI ~ 40
Locations

Our obesity centres

At the head of our network is the Weight Doctors® Nationalklinik in Wertheim – beyond that, you will find an obesity centre near you, everywhere with specialised teams and the same quality standards.

Frequently asked questions

Questions and answers

Your question isn’t listed? Your specialist will take time for it during the consultation.

What is an obesity centre?

A specialised facility that brings together the treatment of pathological excess weight across disciplines – from diagnostics through the multimodal programme (MMK) to procedure and aftercare, under the responsibility of the chief physician.

Who is an obesity centre right for?

For people with obesity, that is, from a BMI of 30 – especially if related conditions such as high blood pressure, type 2 diabetes or sleep apnoea are also present, or if previous attempts to lose weight have not helped in the long term.

How does the initial consultation work?

You talk to us in person at one of our locations, by telephone or by video about your goals, your history and previous attempts to lose weight. Afterwards you know which paths may come into question for you and how things continue up to diagnostics. The initial consultation is no obligation; you can book an appointment online.

Do I have to decide on a treatment straight away?

No. Diagnostics and the indication conference come first. Only then is a strategy set – together with you.

What happens in the indication conference?

Specialists assess your findings together – under the responsibility of the chief physician and according to uniform criteria. We then decide with you whether to treat conservatively first, for example with GLP-⁠1, or whether a procedure is medically sensible.

What does treatment in the obesity centre cost?

That depends on the path. You can find the prices of the treatments under Costs & Prices; paying in instalments is possible through our partner Ideal4Finance, subject to creditworthiness.

Where can I find an obesity centre near me?

Weight Doctors® has 17 obesity centres in Germany, Austria and the Netherlands – from Aachen to Munich, plus Salzburg and Waalre near Eindhoven. The location finder on this page shows the nearest location with the next available appointment.

Where is surgery performed?

Weight-loss operations such as gastric sleeve and gastric bypass take place at the Weight Doctors® Nationalklinik in Wertheim – with an intermediate care unit and aftercare under one roof. Consultation and aftercare are also possible at a location near you.

Are there waiting times or long journeys?

Consultation is possible flexibly – by telephone, by video or on site – and our centres are spread across Germany. The location finder on this page shows the nearest location.

How will I be supported in everyday life?

Through appointments at the centre, the Weight Doctors® App with a connected scale, Weight Doctors® Mira and – if desired – additional coaching offers. Key decisions are made under the responsibility of the chief physician.

How long will I be supported after treatment?

12 months with a fixed schedule: with the Weight Doctors® App and Bluetooth smart scale, your personal 360° coach, Weight Doctors® Mira and regular check-ups. Beyond that, Weight Doctors® MEMBERSHIP supports you on request.

How is progress measured?

Through weight, 3D Bodyscan, laboratory values, activity data and clearly defined interim goals.

Read more

You may also be interested in

All treatments at a glance

Wide range of services
no procedure
Surgery
  1. No procedureWeight Doctors® GLP-⁠1 pharmacotherapyMedication-based, no procedure
  2. No procedureWeight Doctors® 360°Nutrition coaching
  3. No surgeryWeight Doctors® GASTRIC BALLOONTemporary, also swallowable
  4. No surgeryWeight Doctors SLEEVE®Endoscopic, permanent
  5. With surgeryWeight Doctors BARIATRICS®Surgical, minimally invasive
Consultation

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