Surgery, Obesity Management & Nutritional Support
Sacramento's Only Double Board-Certified Obesity Medicine & Bariatric Surgery Specialist
Welcome to Sacramento Bariatric Medical Associates
Since 2003, Dr. Laura Machado and our caring team have helped thousands of people take control of their health and transform their lives. We offer the region’s most complete bariatric program—surgery, obesity obesity management, and nutritional support—all in one place. Every patient’s journey is personal, so we combine advanced surgical skill with long-term guidance, monthly support groups, and compassionate care at every step. Bariatric surgery can be life-changing—improving weight, health, energy, and confidence—because it addresses the root causes of obesity, not just the symptoms. Here, you’ll find expertise you can trust and a community that walks with you toward a healthier, longer life.
Complete Obesity Treatment. Get started today!
Bariatric surgery is the most effective treatment for the disease of obesity. It is also an effective treatment for Type II diabetes as well as other associated medical conditions.
Post-operative bariatric nutritional support.
This program benefits post surgery patients that don't have a structured aftercare program to help them get to their goals or maintain them afterwards.
What they say
This is what some of our bariatric surgery patients told us about their experience and the result they achieved from our program.
Jennifer Maurer
Gastric Bypass
Donald DePonte
Gastric Bypass
Gigi Haines
Gastric Bypass
Lisa Ross
Gastric Bypass
Luann Ayala Rivers
Gastric Bypass
Cyndie Beltran
Gastric Bypass
Gastric Bypass
Gastric bypass surgery is considered the gold standard procedure for a reason, it works! Gastric bypass combines stomach and intestinal surgery to produce many hormonal and metabolic changes that results in efficient weight loss. This procedure is the best treatment for diabetes.
Sleeve Gastrectomy
The Sleeve Gastrectomy permanently removes approximately 80-85 percent of the stomach. This greatly reduces the volume of food that can be consumed and reduces hunger and cravings. Sleeve gastrectomy is permanent but can be converted to other procedures if necessary.
Lap-Band®
The Laparoscopic Adjustable Gastric Band involves placement of an adjustable band around the upper portion of the stomach, creating a small stomach pouch. The band is gradually adjusted to control hunger and portion sizes. This is the least invasive surgical option that results in gradual weight loss.
Revisional Surgery
Revisional bariatric surgery requires careful evaluation and is approached on an individual basis — evaluating the procedure that was initially performed and its current level of function. Dr. Machado has extensive experience in revisional surgery and has helped many patients get back on track.
Latest Blog Posts
Visible Food, Visible Habits: How Your Home Cues Shape What You Eat
A new study from Ohio State reveals a direct link between how food is displayed in a home and a person’s eating habits. The research found that individuals with obesity tend to have more food, particularly processed snacks, in plain sight. The article presents a number of evidence-based strategies for creating a healthier home environment, such as clearing kitchen counters and storing fresh produce at eye level, which make healthy choices easier without requiring constant willpower.
Genes, Guts, and Body Weight: What Your Microbes Really Have to Do With It
New research reveals how daily habits shape most of your microbiome. Learn what science actually says about the gut-weight connection and practical steps you can take today. While genetics play a small role, the most significant factor is your daily diet. The article highlights that a fiber-rich diet with minimally processed foods and the inclusion of fermented foods are key to promoting a diverse and healthy gut microbiome, which in turn can positively influence metabolism and appetite.
Weight-Loss Surgery and Long-Term Survival: What the Strongest Evidence Shows
Large-scale studies spanning 10-25 years have shown that weight-loss surgery significantly improves long-term survival for appropriately selected patients. The article explains that the survival advantage, which becomes substantial after the first year, is due to the surgery’s ability to resolve obesity-related health problems like type 2 diabetes, high blood pressure, and sleep apnea, thereby reducing the risk of heart attack, stroke, and certain cancers.
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