For many people living with obesity, the decision to have weight loss surgery comes after years of struggle. But it can be incredibly disheartening to finally take that step — only to be told “your BMI is too high for surgery.”
At Blackrock WeightCare, we understand how discouraging that can feel. But with us, the story doesn’t end with no.
We believe that everyone — no matter their starting point — deserves safe, compassionate, and expert care. And for high-BMI patients, that’s exactly what we provide.
Why Some Centres Turn High-BMI Patients Away
Across Europe, many bariatric centres set strict BMI limits for surgery. These limits are often based on resources, equipment, or experience rather than patient potential. Operating on high-BMI patients does require additional expertise, planning, and advanced technology — but it’s absolutely possible when done in the right hands.
Unfortunately, this means many patients are told they can’t have surgery when, in reality, they simply need a team with the right experience to support them safely.
That’s where Blackrock WeightCare comes in.
Europe’s Leading Expertise in Robotic Bariatric Surgery
At the heart of Blackrock WeightCare’s program is Mr William Robb, one of Europe’s highest-volume Robotic Bariatric Surgeon, recognised for his extensive experience in performing complex and high-BMI surgeries — including the SADI-S procedure.
SADI-S (Single Anastomosis Duodenal–Ileal Bypass with Sleeve) is one of the most advanced forms of bariatric surgery available today.
It’s especially effective for patients who have:
- A higher BMI – particularly those with a BMI over 50
- Weight regain after previous surgery – particularly weight regain after previous sleeve gastrectomy
- Metabolic conditions such as diabetes or PCOS
The SADI-S procedure offers two levels of benefit — restriction (by creating a smaller stomach) and malabsorption (by rerouting part of the intestine).
This combination promotes powerful and sustainable weight loss, often leading to significant improvements in diabetes, blood pressure, and hormonal balance.
William Robb has recently built one of the highest volume robotic SADI-S practices in Europe using robotic precision to enhance safety, reduce recovery time, and improve long-term outcomes — even for patients previously considered “too high-risk” elsewhere.
Safety First — Always
Safety is at the centre of everything we do at Blackrock WeightCare.
Our approach includes:
- Comprehensive pre-surgical assessments tailored for high-BMI patients
- State-of-the-art robotic surgical systems to improve precision and reduce complications
- A highly experienced multidisciplinary team including endocrinologists, dietitians, anaesthetists, and specialist nurses
- Close post-operative monitoring to ensure a smooth and supported recovery
We don’t just perform surgery — we create a pathway that allows our patients to heal, progress, and thrive.
A Support System That Lasts
Our care doesn’t end after surgery. Every patient is part of our two-year structured Aftercare Program, which includes:
- Regular follow-up appointments and medical reviews
- Personalised diet and supplement advice from our expert dietitians
- 24/7 clinical access during recovery
- Emotional and lifestyle support
- A dedicated SADI-S WhatsApp community where patients connect, share experiences, and motivate one another
This network of professional and peer support helps ensure that every patient — no matter where they start — has the best chance at long-term success.
A Second Chance at Health — Safely in Ireland
If you’ve been told that your BMI is too high for surgery, or that your case is too complex, please know there are still safe and proven options.
At Blackrock WeightCare, under the care of Mr William Robb, patients across Ireland and Europe have achieved transformative results with advanced procedures such as SADI-S.
If you’d like to learn more about how SADI-S surgery can help you achieve lasting results — even if other centres have said no — you can explore the full procedure and patient information here: Robotic SADI-S at Blackrock WeightCare
Your Health. We Care.
