Metabolic & Bariatric Surgery

Assisted Weight Loss
Restart Life with Restored Health

Carrying extra pounds is not a cosmetic issue – obesity is actually a chronic inflammatory DISEASE which will progress over time and lead to earlier death, markedly increase the risk of other major diseases including many cancers, and markedly reduce quality of life.

Obesity and associated diseases lock you into metabolic cycles that keep you trapped and unable to break free.

Intensive diets, exercise, and therapy can have short term results, but most people diagnosed with obesity (BMI >30) regain all the weight and more within a year.

Drugs (pharmaceuticals) have gained popularity but are expensive, can have significant side effects, and promise only short term weight loss of lower magnitude.

Calculate your BMI (body mass index) by using the form below. Enter your weight and height and click the Calculate button to display your BMI result.

Height and Weight



Diet, Exercise, and “Will Power” just don’t work for 95% of people who are already clinically obese

This is NOT a sign of weakness. It is proof that Biology Always Wins.

The 3 BIGGEST LESSONS I have learned

From 20+ years of offering Bariatric Surgery:


Your body reacts to your environment (some of which you control, much you do not) to try to achieve Balance.  Blaming yourself or others for having obesity is “Victim Shaming” and, unfortunately, pervasive in our society.


Surgery is primarily effective because of its effects on Metabolism – your Biology. But it Springboards you to Success in many other ways as well…


“Skinny” people struggle with food as well (my own issue), so true long-lasting health requires not only a healthy weight, but also a healthy relationship with food and our environments.

Empowering you to change your life


Stop punishing yourself for where you are in your life right now.
It’s complicated, and many causes of Obesity are hidden and out of your control.


Partner with Dr. Paciulli and her team to make the changes that are within your reach.


Surgery affects your Biology immediately!
Finally your efforts are rewarded with weight loss and restored health!

“There is NO OTHER medical or surgical treatment (not even the new trendy meds) that can offer the extensive benefits we see from Bariatric Surgery performed in a quality comprehensive program.”

– Dr.P

Benefits of Bariatric Surgery

up to
Migraines 57% resolved
Pseudotumor Cerebri 96% resolved
Dyslipidemia Hypercholesterolemia 63% resolved
Non-Alcoholic Fatty Liver Disease 90% improved fat infiltration
37% resolution of inflammation
20% resolution of fibrosis
Metabolic Syndrome 80% resolved
Type II Diabetes Mellitus 83% resolved
Polycystic Ovarian Syndrome 79% resolution of hirsutism
100% resolution of menstrual dysfunction
Venous Stasis Ulcers 95% resolved
Depression 55% resolved
Obstructive Sleep Apnea 74-98% resolved
Asthma 82% improved or resolved
Cardiovascular Disease 82% risk reduction
High Blood Pressure 52-92% resolved
Reflux Disease 72-98% resolved
Stress Urinary Incontinence 44-88% resolved
Degenerative Joint Disease 41-76% resolved
Gout 77% resolved
Mortality 89% reduction in 5-year mortality
Data from Cleveland Clinic Foundation 2014

Restarting Life with Restored Health

Most Patients say “My only regret? I wish I had done this sooner!”

Interview with Weight Loss Surgery Patient

Interview with Weight Loss Surgery Patient

Reason for undergoing surgery: There were multiple reasons for my decision to undergo weight loss surgery. One of the most significant factors was my conversation with my primary care physician (PCP), who took a realistic and honest approach. He pointed out that while...

Dance to Health

Dance to Health

Get up and dance to your music with a new lease on life! Life is a journey, and mine became very scary when I hit a peak weight of 527lbs and suffered my first pulmonary embolism in 2009. I had a large umbilical hernia for over 20 years, and my primary care physician...

Skinny Nana

Skinny Nana

I moved to NH in 2018 after the death of my father. At that time I was considered “morbidly obese” and I knew I was. I had considered Weight Loss Surgery three times while living in CA. Each time was not the right time. At the time I had moved I was smoking a half...

Dr. Paciulli is widely recognized as a thoughtful and precise surgeon with quality outcomes and excellent patient success rates.  She is also a compassionate and fully present holistic-minded provider. She is among the first group of surgeons in the United States to achieve the “Focused Practice Designation in Metabolic and Bariatric Surgery” issued by the American Board of Surgery in 2022.


“It’s absolutely thrilling to be a part of someone’s transformation to a new healthy life!” –Dr.P