Sustainable results · Napa, CA
Weight loss that actually lasts.
Bariatric surgery is a tool. We build the system around it — nutrition, follow-up, accountability — so the results hold for years, not months.
- Board-certified · 15+ years
- Accepted by most insurance
- Virtual consultations available anywhere
"I've kept the weight off for five years. That's never happened to me before."
— Maria, gastric sleeve, 2020
Why most weight loss fails
Diets work. Until they don't.
The body fights to regain lost weight — slowing metabolism, raising hunger hormones, and pushing you back to where you started. It's not willpower. It's biology. Surgery, done well, changes that biology.
The 4-pillar approach
What makes ours different.
Surgeon-led
Dr. Perryman performs every operation himself — and stays your point of contact through follow-up.
Metabolic-first
We target the hormones that drive hunger and regain — not just stomach volume.
Lifelong support
Nutrition coaching, support groups, and structured follow-up at 1, 3, 6, 12 months and yearly.
Lifestyle-integrated
Built around your life in the Valley — food, family, work, travel — not against it.
The first year
A realistic milestone map.
Month 1
Surgery & liquid phase
Walking same day, home in 1–2 nights.
Month 3
30–40% of goal
Energy returns. Clothes fit differently.
Month 6
60% of goal
Most comorbidities significantly improved.
Month 12
Goal reached
Now: keep it. That's the real work.
Year 3, 5, 10
Outcomes that hold up.
We track every patient long after surgery. Here's what the data actually says about durability.
85%
Of patients within 10 lb of their 1-year goal
72%
Maintaining ≥50% excess weight loss
65%
Sustained metabolic disease remission
Patient stories
In their words.
"Five years out and I still feel like I have my life back. Dr. Perryman didn't just operate — he stayed with me."
"I was nervous about surgery. The team made every step feel like the most normal thing in the world."
"Down 140 lbs. Off insulin. Off my blood pressure meds. I sleep through the night for the first time in a decade."
Accredited. Board-certified. Local.
FACS · FASMBS · ASMBS Center of Excellence standards · Privileges at major regional hospitals.
Talk to Dr. Perryman — free.
No commitment. No pressure. A real conversation about whether surgery is right for you.
Virtual consultations available anywhere · Most major insurance accepted