You’ve just had gastric sleeve surgery, and you’re likely excited—and maybe a little nervous—about what the next few days will bring. That’s totally normal! The first week is all about healing, getting used to your new stomach, and adjusting your mindset. At VIVE Bariatrics, we want you to feel supported every step of the way, starting with this crucial first week.
Let’s break down exactly what to expect day by day, including what you’ll feel, what you’ll eat, and how to make recovery as smooth as possible.
Day 1: Recovery Begins in the Hospital
What Happens Physically
- You’ll wake up in the recovery room with some grogginess and mild abdominal discomfort.
- It’s common to feel bloated or have gas pains in your shoulders due to the CO₂ used during laparoscopic surgery.
- You’ll be monitored closely—your vital signs, oxygen levels, and incision sites are checked regularly.
Key Points
- You’ll likely begin walking within hours. It helps prevent blood clots and supports healing.
- No food yet—just small sips of water or ice chips as allowed.
- Pain is usually manageable with medication provided by your care team.
Day 2: Going Home (Usually)
Most patients are discharged on Day 2 unless complications arise.
What You’ll Be Doing
- Walking frequently around your home to promote circulation.
- Monitoring your fluid intake—sip slowly but consistently.
- You’ll be on a clear liquid diet: broth, sugar-free gelatin, herbal teas, and electrolyte drinks.
How You’ll Feel
- Fatigue is normal, so rest when needed.
- Mild abdominal soreness and tenderness are common.
- Burping or stomach gurgles may start, signaling your body is adjusting.
Days 3–4: Settling Into Your Routine
You’re home now and starting to adapt to life post-surgery.
Diet Focus
- Continue with clear liquids, but slowly transition into full liquids if approved.
- Think protein shakes (low sugar), strained soups, and lactose-free milk or alternatives.
- Keep sipping water all day—dehydration is a top concern.
Physical Symptoms
- Nausea may come and go but should be mild.
- Bowel movements might not happen yet—don’t worry, your digestive system is slowing down temporarily.
Tips
- Use a timer to sip every 15 minutes.
- Track your water and protein intake.
- Avoid lying down immediately after drinking.
Days 5–7: Progress and Patience
You’re halfway through the first week, and your body is getting the hang of it.
Energy Levels
- You’ll start feeling slightly more energetic, though naps are still your friend.
- Light household tasks or short walks outside are okay if you feel up to it.
Common Experiences
- Your stomach may feel “tight” or full quickly—this is normal.
- Emotional shifts like mood swings or frustration might show up. Healing isn’t just physical.
Milestone
- By Day 7, many patients are cleared to begin pureed foods or continue full liquids depending on healing and tolerance.
What to Eat During the First Week
| Stage | Examples | Important Notes |
|---|---|---|
| Clear Liquids | Water, broth, sugar-free popsicles, herbal tea | Avoid carbonation and caffeine |
| Full Liquids | Protein shakes, lactose-free milk, strained soup | Choose low-sugar, high-protein options |
| Pureed (if allowed) | Blended eggs, mashed avocado, low-fat yogurt | Introduce foods one at a time |
Managing Discomfort
While discomfort is expected, it should never be overwhelming. Common symptoms and solutions:
- Gas pain: Walk often, avoid straws and carbonated drinks.
- Nausea: Sip slowly, avoid temperature extremes in liquids.
- Constipation: Use stool softeners if advised, stay hydrated.
If you experience fever, severe pain, vomiting, or inability to drink fluids—call your doctor immediately.
Mental and Emotional Health
Many people underestimate the emotional side of recovery. You’re undergoing major changes in body and lifestyle.
- Mood swings are normal as hormone levels shift and your routine changes.
- Celebrate small wins: Every sip, every walk, every milestone matters.
- Lean on your support system: Whether it’s friends, family, or your bariatric care team.
Tips for a Successful First Week
- Follow your surgeon’s instructions—no shortcuts.
- Hydration is non-negotiable—aim for 64 oz daily in small sips.
- Take your vitamins and medications as prescribed.
- Rest, but don’t stay inactive. Gentle walking is vital.
- Document your progress. Journaling can help track symptoms and wins.
Conclusion: One Week Closer to Your Health Goals
The first week after gastric sleeve surgery is all about laying the foundation for long-term success. You’ll experience physical shifts, emotional ups and downs, and the beginning of real transformation. With patience, support, and guidance from the team at VIVE Bariatrics, you’re already on your way to a healthier, more vibrant life.
You did it—Week 1 down. Keep going!
