The First Week of the Surgery

• OBJECTIVE: Wound healing and gradually increase physical activity.

1. Constant movement to avoid muscle cramps.
2. Increased ambulation is encouraged. Eg. Walking, standing.
3. Daily walking cumulative of 30 minutes.

• Precautions:

1. Discontinue or decrease activity if experiencing any discomfort from surgical wounds, dizziness, chest pain, low blood sugar.
2. Avoid strenuous activities. (E.g. Carrying heavy objects, sudden movements, twisting or overuse.)
3. Supplement with a pre- and post-workout meal. Not recommended to go to gyms or use exercise machines.

1 Week – 1 Month after the Surgery

• Goal: Wound healing and increasing physical activities gradually.

1. Walk for more than 30 minutes intermittently every day and adjust exercise time according to your physical conditions.
2. Start stretching exercise.

• Precautions:

1. Stop exercising when any of the following occurs: dizziness, chest pain, low blood sugar syndrome, stinging pain or discomfort in the wound.
2. Do NOT carry heavy objects, twist your body swiftly or use excessive force.
3. Working out in fitness centers or using equipment is not recommended.

1 Month – 3 Months after the Surgery                

• OBJECTIVE: Rebuild the lifestyle movement pattern, increase physical activity, and begin aerobic exercises.

1. Increase physical activity, begin a more active lifestyle.
2. Low-to-moderate intensity aerobic exercises, 30-60 minutes, 3-5 times a week; or 150 minutes a week.
3. Aerobic exercises such as walking, indoor/outdoor cycling(short distance), low intensity aerobic.​

• Precautions:

1. Discontinue or decrease activity if there is any discomfort from surgical wounds, dizziness, chest pain, low blood sugar.
2. Slowly increase your exercise duration every week.
3. Not recommended to start weight training or any high intensity exercises.
4. Low-to-moderate intensity should result to slight panting, some soreness and sweating.

3 Months – 6 Months after the Surgery

• OBJECTIVE: Should resume previous exercise habits. Increase aerobic exercises and include basic muscle training.

1. Moderate intensity aerobic exercise, 30-60 minutes, 3-5 times a week; or 150 minutes a week.
2. 2~3days uncontinuous resistance training.
3. Basic aerobic exercises +muscle training and full body stretching.

• Precautions:

1. Perform low impact and low resistance exercises, continue to increase exercise duration every week.
2. Moderate intensity should result to panting, soreness, and sweating.
3. Be mindful of proper posture at all times.
4. Exercise may result in delayed onset muscle soreness.

6 Months – 9 Months after the Surgery

• OBJECTIVE: Improve cardiovascular fitness and build muscle.

1. Moderate intensity aerobic exercise for 60 minutes, 3-5 days per week; or more than 200 minutes per week.
2. 2~3days uncontinuous resistance training.
3. Aerobic exercises +muscle training and full body stretching.

• Precautions:

1. May increase aerobic exercise durations. (E.g. hiking, long distance cycling, etc.)
2. Must begin to increase the intensity of exercise routines.
3. Must begin to include different muscle training exercises and increase resistance beginning at 60-80% of original weight used before surgery.
4. May experience some delayed onset muscle soreness.

9 Months – 1 Year after the Surgery

• OBJECTIVE: Increase cardiovascular fitness, muscle endurance and flexibility.

1. Moderate intensity aerobic exercise, 60 minutes, more than 5 times a week; or 250 minutes a week. 
2. 2~3days uncontinuous resistance training.
3. Advanced aerobic exercises +muscle training and full body stretching.
   

• Precautions:

1. Moderate intensity will result to panting, soreness, and sweating.
2. Intensity of activity should result to some fatigue and soreness 1-2 days later.
3. If ideal rate of weight loss follows the schedule accordingly, other exercise routines may be added, as well as, progress muscle resistance training.
   

12th month

• OBJECTIVE: Maintain regular exercise and improve fitness level.

1. Moderate-to-high intensity aerobic exercise, 60 minutes, more than 5 times a week; or over 250 minutes a week.
2. 2~3days uncontinuous resistance training.

• Precautions

1. You can return to regular exercise routine at this stage, and should you have any questions or concerns, please do not hesitate to contact the fitness trainer. 
2. You may reassess your fitness level and revise exercise program every 2-3 months.