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If you’ve struggled with your weight for a long time, you’ve probably asked yourself: Should I try weight loss medication — or do I need surgery? It’s one of the most common questions we hear at Aurora Bariatrics. And the honest answer? It depends on you . There’s no one-size-fits-all approach when it comes to sustainable weight loss. That’s why our team offers both medical and surgical options — with tailored support to help you choose the right path. In this blog, we’ll walk you through the pros and cons of weight loss medication and bariatric surgery , so you can make an informed decision. Understanding the Difference Weight Loss Medications: A Non-Surgical Solution Weight loss medications are often ideal for people who: Are not eligible for surgery based on BMI or health status Want to avoid surgery altogether Need to lose weight before surgery to improve safety Are experiencing weight regain or plateau after bariatric surgery Have conditions like Type 2 diabetes, insulin resistance or PCOS At Aurora, we typically prescribe oral and injectable medications. These work by: Reducing hunger and cravings Slowing digestion to help you feel fuller for longer Improving blood sugar control and insulin sensitivity Other medications may be used based on your unique needs. Bariatric Surgery: A More Permanent Tool Surgical procedures like gastric sleeve or gastric bypass are usually recommended for those with a BMI over 30 , or those who have struggled with weight-related health conditions like: Type 2 diabetes Obstructive sleep apnoea High blood pressure Fertility issues Surgery works by physically altering your digestive system, reducing food intake, changing appetite hormones, and improving metabolism.  Comparing the Two