Experts in Bariatric and Metabolic Disorders

Bariatric surgery, and the lifestyle changes required to achieve your desired outcome, requires a serious commitment on your part. But your commitment also comes with a promise from the Bariatric and Metabolic Interdisciplinary Clinic (BMI Clinic) to do everything we can to help you succeed.  Stanford's Bariatric Surgery Clinic is the first Center of Excellence in Northern California to achieve Level 1A certification by the American College of Surgeons.

Bariatric Surgery Clinic
900 Blake Wilbur Drive
Palo Alto, CA 94304
Phone: 650-736-5800 Getting Here
Maps & Directions
900 Blake Wilbur Drive
Palo Alto, CA 94304
Phone: 650-736-5800 Getting Here

Our Doctors

Care and Treatment of Bariatric and Metabolic Disorders

Keeping Track of Your Pre-surgery Eating

Understand where you get your calories and what your eating habits are is critically important for us to determine which operation is likely to work best for you.

So as part of your pre-op preparation, we require you to keep a food diary for two days.

Downloadable Food Diary

This diary will help you record your food habits, including not only eating but also shopping and preparing food. We suggest that you record this information during a typical week, preferably when your activity and eating habits are as close to normal for you as possible.

Most important, please also be as honest as you can possibly be. It's the only way we can get an accurate assessment of what and how you eat. Along with determining your surgical course of action, we'll also use this information to recommend changes in your behavior, or education about your diet, that will make the operation more successful.

You will not be denied an operation based on your eating habits, so there's no reason for you to be anything less than completely honest as you fill out your food diary. Please be as complete as possible.


  • Prior to your initial nutrition evaluation appointment, print and complete the Bariatric Patient Questionnaire.
  • Please bring this completed form with you on the day of your nutrition evaluation.
  • Date each day
  • Record the time, type of food and approximate quantity of each food, snack or drink you consume throughout the day.
  • Be sure to include soft drinks, coffee, tea and water.
  • Record where you got the meal. For example: home, vending machine, McDonald's, restaurant, etc.

Clinical Trials

Clinical trials are research studies that evaluate a new medical approach, device, drug, or other treatment. As a Stanford Health Care patient, you have access to the latest, advanced clinical trials.

Open trials refer to studies currently accepting participants. Closed trials are not currently enrolling, but may open in the future.

For Patients

A referral from your primary care doctor is required.


Bariatric surgery requirements include:

  • Proof of six months supervised attempts at weight loss with documented weights
  • Psychological evaluation
  • Upper endoscopy
  • Meet with a nutritionist before and after surgery
  • Diagnostic tests completed within six months prior to surgery

Bring or mail ahead of time the results of your diagnostic tests, your completed Patient Questionnaire and Food Diary. You can also receive a copies of forms from our New Patient Coordinator at 650-736-7102.

Tip: We receive hundreds of faxes daily. Please send any information via overnight mail services so that you will have a tracking number and will allow us to securely receive your paperwork, labs and consultations.

International Patients
Phone: +1 650-723-8561

For Health Care Professionals


Phone: 1-866-742-4811
Fax: 650-320-9443
Monday – Friday, 8:30 a.m. – 5 p.m.

Stanford Health Care (formerly Stanford Hospital & Clinics) provides comprehensive services to refer and track patients, as well as provides the latest information and news for physicians and office staff. For help with all referral needs and questions visit Referring Physicians.


Fax a referral form with supporting documentation to 650-320-9443.

Track your patients' progress and communicate with Stanford providers securely online.

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