Our Affiliate System

We are building one organization with affiliates in two regions. Our parent company, now known as Prisma Health, supports both affiliates with overall direction and leadership as we continue to align. We will soon share one brand across the entire organization to better reflect this. The rebranded Palmetto Health-USC Medical Group will continue to operate as a joint venture between the Midlands affiliate and the USC School of Medicine.

Learn more
We are becoming Prisma Health in early 2019

Who is Eligible?

Helpful Links

Bariatric Solutions — adult bariatric surgery program
Nutrition Solutions — nutrition resource center for weight loss patients
Obesity Help — online support group for weight loss surgery patients
Obesity Action Coalition

Unfortunately, not every adolescent that is overweight is a candidate for weight loss surgery. Certain “rules” have been established to identify patients that can have teenage obesity surgery as a treatment for their weight.

These rules say that adolescents desiring bariatric surgery for morbid obesity must:

  • Completed greater than 6 months of organized attempts at weight management with the assistance of a multidisciplinary weight-loss program (as determined by their primary care provider)
  • Have attained physiologic maturity (Tanner 4 or 5, final or near-final height)
  • Have attained skeletal maturity (age 14 in girls; age 15 in boys) confirmed with bone age radiographic evidence of > 95% of adult stature
  • Be very severely obese (BMI > 40) with serious obesity-related comorbidities, or have a BMI > 50 with less severe comorbidities. BMI and Growth Chart Percentile Calculator
  • Demonstrate commitment to comprehensive medical and psychological evaluations before and after surgery
  • Agree to avoid pregnancy for at least 1 year postoperatively
  • Be capable and willing to adhere to nutritional guidelines postoperatively

Demonstrate decisional capacity

  1. Provide informed assent to the surgical procedure
  2. Have a supportive family environment

Adolescents who should not be considered for surgical treatment of morbid obesity include those who:

  • Have a medically correctable cause of obesity
  • Have a substance abuse problem within the previous year
  • Have a psychiatric, medical, or cognitive condition that would impair their ability to follow pre- and postoperative nutritional recommendations
    • Are pregnant, or plan to become pregnant in the immediate future
    • Have parents that are unable to understand the consequences of this surgical procedure and the need for lifelong postoperative surveillance