People who have bariatric surgery double their chances of marriage or divorce. New research found that never-married patients were over 50% more likely to get married, and married patients were more than twice as likely to get divorced after surgery.
It’s important to note that even with an increase in the divorce rate, most marriages in the study were unchanged, says epidemiologist and lead author Wendy King, PhD. In fact, 81% of couples were still married 5 years after surgery. But where the U.S. population has a divorce rate of 3.5%, bariatric patients in the study had an 8% divorce rate. Likewise, those who’d never been married before the surgery had a marriage rate of 18%, compared to 7% in the U.S. population.
But the continual lifestyle changes can also dramatically impact the rituals of existing relationships, says Goldman, who specializes in bariatric surgery cases. Maybe a couple loved to go out and enjoy an extravagant meal before surgery, or they had ice cream and watched a movie every Friday. The habit changes that come with bariatric surgery can require one partner to focus less on those rituals.
But bariatric surgery isn’t the only thing at play in these relationship changes, according to the study. Interestingly, married patients had a much lower chance of separation or divorce than patients who were unmarried but living together by 5 years after surgery. Similarly, most people who were already separated either got divorced or resumed being married. It’s as if the surgery and lifestyle changes served as a catalyst for people who already had one foot out of the door, Goldman says.
Currently, relationship-specific counseling isn’t required, Goldman says. Most programs do require a psycho-social evaluation before surgery, “but they are quite varied.” And even in programs where relationships are mentioned, there often isn’t a psychologist or licensed mental health professional on the team.
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