Weeks 0–2: Walking First
Short, frequent walks begin on the day of surgery to reduce thromboembolism risk and support recovery. Gradually increase duration as tolerated. Avoid lifting more than 5 kg and avoid abdominal strain.
Weeks 2–6: Low-Impact Cardio
Light cycling on a stationary bike, longer walks, and gentle swimming once incisions are fully healed are typically introduced. Listen to pain signals; avoid breath-holding and Valsalva manoeuvres.
Weeks 6–12: Adding Resistance
Bodyweight exercises and light resistance bands are introduced. Adequate protein intake is essential to preserve lean mass during rapid weight loss.
After Month 3: Building Capacity
Most patients can progress to structured resistance training (2–3 sessions/week) plus 150+ minutes/week of moderate cardio. Individual clearance from the surgical team remains important.
References
- ACSM — Exercise Guidelines for Adults with Overweight and Obesity
- Mechanick JI et al., 2019 Perioperative Nutrition Update
Last updated: 28.06.2026 · Medical content: Op.Dr.Gökhan ATEŞ