I had the full ruin en y gastric bypass done by Dr. DeLa Torre and his pretty amazing staff in 2011. Seven years ago. They work with Medicaid which is awesome. They do their best to get you in there and get the surgery done for you if you are a good candidate. The only problem is that Columbia Missouri is the only location that they have with no other satellite locations or any other affiliates . This was a huge problem for me when it comes to follow up , post care, specialty care, group sessions , any of that. Especially when I moved further away it’s just not feesible to drive hundreds of miles to go in there for an appointment or to even try to make reoccurring appointments for anything afterwards. Hence that is a big problem. And please make sure that you consider all of your options before you go through such a major painful and life altering surgery. The repercussions of it r not always good. The complications can be so much worse and outweigh the benefits by far. I have been constantly sick. Horribly sick. Then had an ulcer that perforated and a blockage and other complications which created other emergency surgeries that were extremely painful and took a long time to recuperate from. Very traumatizing. And if you can’t get back up there to Columbia to see him then you’re pretty much on your own. And whenever you end up in the emergency room those doctors just don’t understand. I was misdiagnosed so many times and sent home just out of their ignorance of my situation.So my advice is if you do see him make sure that you have a specialist near you that knows every bit about it and all of the follow up care and everything necessary for afterwards that you can continuously see you for the next several years of your life