Undergoing bariatric surgery is a life-changing step. But the surgery itself is just the beginning—the real journey begins afterward. From recovery to reshaping your habits, the post-operative phase plays a critical role in your long-term success.
In this in-depth guide, Dr. Nikunj Jain, leading bariatric and laparoscopic surgeon at Apollo Hospital Indore, shares expert insights on life after bariatric surgery, covering the recovery timeline, essential diet stages, daily lifestyle changes, challenges, and tips for long-term weight loss and health improvement.
Why Life After Bariatric Surgery Deserves Equal Attention
While bariatric surgery helps patients lose up to 60–80% of excess body weight, maintaining that weight loss requires consistent effort, lifestyle changes, and discipline. Many patients mistakenly believe the surgery alone will fix everything, but true success comes from adapting your life around your new stomach and metabolism.
This blog covers everything you need to know for a successful post-surgery journey.
Recovery Timeline After Bariatric Surgery
Dr. Nikunj Jain emphasizes that recovery varies slightly based on the type of surgery performed—whether it’s a Gastric Bypass, Sleeve Gastrectomy, or Mini Gastric Bypass—but a general timeline looks like this:
Hospital Stay
2 to 3 days after surgery
Pain management and early mobilization start immediately
First 2 Weeks Post-Surgery
Liquid-only diet
Slow and short walks encouraged
Focus on hydration, sipping small amounts of water throughout the day
Week 3 to 4
Transition to pureed foods
Begin multivitamins, calcium, and B12 supplements
Resume desk work or light office duties
1 to 2 Months Post-Surgery
Introduce soft solids
Avoid sugar, fried items, and processed food
Increase walking time to 30–40 minutes daily
3 Months Onward
Shift to a regular bariatric-friendly diet
Exercise becomes a regular part of life
Return to full professional and social routines
Diet After Bariatric Surgery: Stage-Wise Plan
The post-surgery diet isn’t just about weight loss—it’s designed to help your stomach heal, reduce complications, and set the foundation for a healthier lifestyle.
Stage 1: Liquid Diet (Days 1–14)
Clear broths, diluted fruit juices, protein water
1–2 sips every few minutes—hydration is critical
No sugar, no caffeine, no carbonation
Stage 2: Pureed Diet (Week 3–4)
Mashed dal, curd, soft boiled eggs, protein shakes
Monitor tolerance to specific items like spicy food or fibrous veggies
Essential Nutritional Supplements
Post-surgery, your body may not absorb all nutrients efficiently. Dr. Nikunj Jain recommends lifelong supplementation to avoid deficiencies.
Commonly Prescribed Supplements:
Multivitamin with iron
Vitamin B12 (oral or injection)
Calcium with Vitamin D3
Iron (especially for women)
Biotin or zinc (for hair health)
Regular blood tests every 6–12 months help track nutrient levels.
Daily Lifestyle Tips for Long-Term Success
Weight loss surgery works best when paired with consistent healthy habits.
1. Hydration is Key
Drink 1.5–2 liters of water daily
Avoid drinking 30 minutes before and after meals to prevent stomach overfilling
2. Prioritize Protein
Each meal should include a high-protein source
Helps in preserving muscle mass during weight loss
3. Small, Frequent Meals
Eat 5–6 times a day in small quantities
Use a small plate to avoid overeating
4. Chew Thoroughly
Take at least 20–30 seconds to chew each bite
Prevents nausea and promotes satiety
5. Avoid Empty Calories
Say no to sugary drinks, refined carbs, and alcohol
Focus on nutrient-rich foods only
6. Be Physically Active
Start with walking, progress to strength training and cardio
Aim for 150 minutes of physical activity weekly
7. Mental Wellness
Seek therapy or join support groups
Address emotional eating patterns or body image issues
Challenges You May Face After Bariatric Surgery
Hair Loss
Usually temporary, peaks around 3–6 months
Linked to rapid weight loss and nutrient shifts
Nutrient Deficiencies
Especially B12, Iron, and Calcium
Managed through regular supplements
Dumping Syndrome
Common after gastric bypass when sugar is consumed
Causes nausea, bloating, diarrhea
Plateau in Weight Loss
Happens around 6–9 months
Needs dietary reassessment and activity boost
Body Image Concerns
Despite weight loss, loose skin may affect self-image
Plastic surgery or compression garments may help
Support Systems: A Game-Changer
Dr. Nikunj Jain emphasizes the power of community and professional support.
Regular follow-ups with your bariatric team
Dietician consultations every few months
Online and offline bariatric support groups
Sharing experiences to stay motivated
Do’s and Don’ts After Bariatric Surgery
Do’s and Don’ts
Do’s:
Follow your diet plan strictly
Take all supplements
Monitor your weight weekly
Attend every follow-up appointment
Make exercise a habit
Don’ts:
Skip meals or binge eat
Drink water with food
Use smoking or alcohol as coping tools
Rely only on surgery without lifestyle change
How Life Improves After Bariatric Surgery
Thousands of patients under Dr. Nikunj Jain’s care have witnessed a dramatic change in their health and lifestyle:
Diabetes reversal or reduced insulin need
Lower blood pressure and cholesterol
No more snoring or sleep apnea machines
Higher energy levels and stamina
Improved fertility in women with PCOS
Better social confidence and mental health
Frequently Asked Questions
1. Can I eat normally after surgery?
Yes, but in small portions and only healthy food. You’ll need to avoid high-calorie, high-fat, and sugary items.
2. Will I gain weight again?
If you revert to old eating habits, some weight regain can happen. But with healthy living, you can maintain results for life.
3. Can I get pregnant after bariatric surgery?
Yes, and it’s often easier. But wait at least 12–18 months after surgery for safe conception.
4. How do I manage loose skin?
Regular exercise helps. For excess loose skin, consult a plastic surgeon for removal options.
5. How often should I follow up?
At least every 3 months in the first year, and every 6 months thereafter for blood tests and diet review.
Conclusion
conclusion
Life after bariatric surgery is a second chance at health. It’s not always easy—but it’s worth it.
By following the guidance of experts like Dr. Nikunj Jain, staying committed to your diet and exercise plan, and getting the support you need, you can transform your health, appearance, and confidence.
This journey is not just about looking better—it’s about living longer, stronger, and more fulfilled.
In today’s fast-paced world, obesity has become a major health concern. With increasing rates of lifestyle diseases like diabetes, hypertension, sleep apnea, and joint pain, many individuals are exploring surgical options for sustainable weight loss. But the real question remains – Is weight loss surgery right for you?
This comprehensive guide by Dr. Nikunj Jain, a renowned Bariatric and Laparoscopic Surgeon at Apollo Hospital Indore, aims to provide a clear, honest, and informative perspective on who should consider bariatric surgery, what it involves, and what you can expect before and after the procedure.
What Is Weight Loss Surgery?
Weight loss surgery, or bariatric surgery, refers to a group of procedures that alter the digestive system to help individuals lose excess weight. These procedures limit how much you can eat or reduce the absorption of nutrients, or both.
Common types of bariatric surgeries include:
Gastric Bypass (Roux-en-Y)
Sleeve Gastrectomy
Mini Gastric Bypass
Adjustable Gastric Banding (rarely performed now)
Biliopancreatic Diversion with Duodenal Switch
Am I a Candidate for Weight Loss Surgery?
Weight loss surgery is not a cosmetic procedure. It’s a lifesaving intervention designed for those who are severely obese and unable to lose weight through conventional means.
You may be eligible if:
BMI ≥ 40 (extreme obesity)
BMI 35–39.9 with related health conditions: diabetes, hypertension, PCOS, fatty liver, sleep apnea
BMI 30–34.9 with serious obesity-related conditions (select cases)
You’ve tried diet, exercise, and medications without success
Aged 18–65 (exceptions possible)
You’re ready for lifestyle changes and long-term follow-up
Dr. Nikunj Jain emphasizes thorough evaluations before recommending surgery.
Why Consider Bariatric Surgery?
Many ask: “Why not just eat less and exercise more?” For morbidly obese individuals, biology often resists weight loss efforts.
Benefits of bariatric surgery:
Sustained weight loss (60–80% of excess weight)
Type 2 diabetes remission
Improved cholesterol and heart health
Better blood pressure control
Relief from sleep apnea and joint pain
Improved fertility in women with PCOS
Enhanced mental health and quality of life
Types of Weight Loss Surgeries Explained by Dr. Nikunj Jain
1. Gastric Bypass (Roux-en-Y)
Small stomach pouch creation with intestine rerouting
Effective for diabetes and GERD
Requires lifelong supplements
2. Sleeve Gastrectomy
Removes 70–80% of stomach
Reduces hunger hormones
Low maintenance, fewer complications
3. Mini Gastric Bypass
Simpler technique with similar benefits as bypass
Effective for diabetes and weight loss
Pre-Surgery Evaluation Process
Before surgery, expect a comprehensive assessment:
Blood tests
Psychiatric evaluation
Dietician consultation
Cardiac and respiratory clearance
Consent and lifestyle counseling
Risks and Complications – The Honest Truth
At Apollo Hospital Indore, risks are minimized with expert care.
Possible complications:
Infection or bleeding
Dumping syndrome (post-bypass)
Nutritional deficiencies
GERD (more in sleeve gastrectomy)
Ulcers or strictures (rare)
What to Expect After Weight Loss Surgery
Immediately After:
Hospital stay: 2–4 days
Liquid diet → soft diet → low-calorie meals
Return to work: 10–14 days
Long-Term Lifestyle:
Small, protein-rich meals
No sugar or fizzy drinks
Lifelong supplements (especially post-bypass)
Daily activity and mental health care
Regular follow-ups
Success Stories from Indore
Hundreds of patients under Dr. Nikunj Jain’s care have reversed diabetes, avoided CPAP, walked pain-free, and returned to active lives.
Is Weight Loss Surgery Permanent?
Anatomical changes are permanent, but success relies on lifestyle adherence. With commitment, the results last a lifetime.
Myths and Misconceptions – Busted by Dr. Nikunj Jain
“It’s the easy way out” – False. It’s a serious medical decision.
“You can eat anything after surgery” – False. Diet discipline is key.
“It’s dangerous” – In expert hands, it’s as safe as gallbladder surgery.
Cost of Weight Loss Surgery in Indore
Estimated cost: ₹2.5 to ₹4.5 lakh depending on:
Procedure type
Hospital facilities
Length of stay
Insurance vs. self-pay
Apollo Hospital Indore offers EMI plans and insurance support.
Why Choose Dr. Nikunj Jain in Indore?
20+ years of laparoscopic expertise
Bariatric, hernia, GI, and cancer surgery specialist
Practices at Apollo Hospital Indore (NABH accredited)
Multidisciplinary care team
High patient satisfaction and outcomes
Frequently Asked Questions
1. Is there an age limit? Mostly 18–65 years, but flexible depending on health status.
2. Will I have loose skin? It’s possible. Some opt for skin tightening surgery later.
3. Is it covered by insurance? Yes, if medically indicated and pre-approved.
4. Can I regain weight? Only if lifestyle changes are not followed post-surgery.
5. When can I go back to work? Usually within 2 weeks of surgery.
Conclusion: Is It the Right Choice for You?
If you’ve tried everything and still feel stuck in your weight loss journey, bariatric surgery could be your path to freedom. Dr. Nikunj Jain, one of the best bariatric surgeons in Indore, invites you to consult and explore your options openly. It’s time to choose transformation over struggle—and reclaim your health.
Laparoscopic surgery, also known as minimally invasive surgery, has revolutionized modern surgical treatment with faster recovery, smaller incisions, and fewer complications. Whether you’re dealing with gallbladder stones, hernia, appendix, or obesity-related issues, laparoscopic surgery is now the preferred method across India.
If you’re exploring laparoscopic surgery cost in Indore, this comprehensive blog from Dr. Nikunj Jain, one of the leading laparoscopic surgeons in Indore at Apollo Hospital, will guide you through pricing, insurance coverage, benefits, and what to expect from the procedure.
Table of Contents
What is Laparoscopic Surgery?
Laparoscopic surgery uses a small camera (laparoscope) and thin surgical tools inserted through small incisions. The surgeon views the internal organs on a monitor and performs the procedure with precision.
The laparoscopic surgery cost in Indore is significantly lower than in metro cities, while offering the same world-class quality, especially when performed at Apollo Hospital Indore by Dr. Nikunj Jain.
Average Cost in Indore:
Procedure
Approximate Cost (INR)
Laparoscopic Appendectomy
₹45,000 – ₹75,000
Laparoscopic Cholecystectomy
₹50,000 – ₹80,000
Laparoscopic Hernia Repair
₹60,000 – ₹90,000
Diagnostic Laparoscopy
₹30,000 – ₹50,000
Laparoscopic Bariatric Surgery
₹2,50,000 – ₹4,50,000
These packages often include consultation, OT charges, anesthesia, hospital stay, and follow-up care.
Laparoscopic Surgery Cost in India – A Comparative Look
City
Average Laparoscopic Surgery Cost (INR)
Delhi
₹70,000 – ₹1,20,000
Mumbai
₹80,000 – ₹1,30,000
Bangalore
₹70,000 – ₹1,10,000
Indore
₹45,000 – ₹90,000
Laparoscopic Surgery Cost in Bhopal
₹55,000 – ₹1,00,000
Indore remains one of the most affordable cities for laparoscopic surgery, with the added advantage of personalized care and quicker availability of appointments.
Dr. Nikunj Jain – Leading Laparoscopic Surgeon in Indore
Dr. Nikunj Jain, a renowned laparoscopic surgeon in Indore, specializes in advanced GI and bariatric procedures. With years of experience and a track record of safe, high-success surgeries, he is a preferred choice for patients seeking quality treatment with ethical care.
Why Choose Dr. Jain?
Expertise in laparoscopic and robotic surgery
Operates at Apollo Hospital – NABH accredited facility
Minimal complication rates and fast recovery
Transparent pricing with personalized consultation
Multidisciplinary support team (anesthetist, physiotherapist, dietician)
Yes, laparoscopic surgeries are covered by most health insurance policies in India, provided the surgery is deemed medically necessary.
Insurance Coverage Includes:
OT charges
Surgeon’s fees
Hospital stay
Anesthesia
Post-operative care
Apollo Hospital Indore assists with:
Cashless hospitalization
Pre-authorizations
Paperwork support for reimbursement
Laparoscopy Treatment Cost in India: Factors Affecting It
Type of surgery (diagnostic or therapeutic)
Hospital choice and room category
Surgeon’s expertise
Duration of hospital stay
Anesthesia & special equipment used
Patients often save 20–30% of total medical expenses by choosing Indore over bigger metro cities.
Laparoscopic Surgeon Indore – How to Choose the Right One?
Look for:
Years of experience
Specialization in your specific surgery (gallbladder, hernia, appendix, etc.)
Hospital affiliation
Patient reviews and testimonials
Clear communication and transparency
Dr. Nikunj Jain ticks all these boxes, making him one of the top-rated laparoscopic surgeons in Indore.
Patient Testimonials
Pooja T. – Gallbladder Surgery “My laparoscopic gallbladder surgery was done by Dr. Nikunj Jain. Minimal pain, short stay, and great support from Apollo staff.”
Manoj B. – Hernia Repair “I was worried about surgery costs. Dr. Jain explained everything, and Apollo gave me an affordable EMI option. Best decision ever!”
FAQs
Q1: What is the laparoscopic surgery cost in Indore?
It ranges from ₹45,000 to ₹90,000 depending on the procedure and hospital facilities.
Q2: Is laparoscopic surgery safe?
Yes, it’s one of the safest surgical techniques with low complication rates and fast recovery.
Q3: Can I get cashless insurance?
Yes, if your policy covers surgery. Apollo Hospital offers complete support for insurance claims.
Q4: Is laparoscopic surgery painful?
Only mild discomfort is expected post-surgery. Pain is well-managed with medication.
Q5: How soon can I return to work?
Most patients return to work within 1–2 weeks depending on the procedure.
Final Thoughts
If you’re seeking cost-effective, safe, and advanced surgical care, laparoscopic surgery in Indore offers the perfect balance of affordability and expertise. With Dr. Nikunj Jain at Apollo Hospital Indore, patients receive world-class care tailored to their needs.
Whether it’s gallbladder removal, hernia repair, or bariatric surgery, Dr. Jain provides complete guidance, transparent pricing, and outstanding post-op support.
Obesity is not just about excess weight — it’s a serious health condition that affects the heart, liver, joints, fertility, and even mental health. In India, obesity is rising rapidly due to sedentary lifestyles, poor diet, and genetic factors. Fortunately, advanced obesity treatment in Indore offers hope for long-term weight management and better health outcomes.
If you’re searching for obesity treatment cost in Indore, this comprehensive blog by Dr. Nikunj Jain, a leading bariatric and gastrointestinal surgeon at Apollo Hospital Indore, provides clarity on treatment options, pricing, recovery, and much more.
Table of Contents
Understanding Obesity and Its Risks
Obesity is defined as having a Body Mass Index (BMI) of 30 or higher. It increases the risk of:
Type 2 Diabetes
Hypertension
Cardiovascular diseases
Sleep apnea
PCOS and infertility
Fatty liver disease
Depression and low self-esteem
If you’ve struggled with obesity for years and haven’t seen lasting results from diets or exercise, medical or surgical intervention may be the solution.
You should consider medical or surgical treatment if:
Your BMI is 30 or more
You suffer from diabetes, high BP, or sleep apnea
You’ve failed with diet, exercise, and medications
You’re looking for lasting weight loss and health improvement
How to Prepare for Treatment
Consultation with Dr. Nikunj Jain
Medical evaluation (blood tests, ECG, ultrasound)
Psychological and nutritional assessment
Surgery plan (if needed) with complete explanation
Recovery and Results
Post-Surgical Recovery:
Hospital stay: 2–5 days
Resume walking: Day 1 or 2
Liquid diet for 2 weeks
Soft diet after 3 weeks
Return to work: 2–3 weeks
Results:
Weight loss: 60–80% of excess weight in 12–18 months
Diabetes reversal: 70–90%
Improved BP, sleep, mobility, fertility, and confidence
Insurance and EMI Options
Is Obesity Treatment Covered by Insurance?
Yes, many Indian insurance companies now cover obesity treatments like bariatric surgery, if:
BMI >35 or BMI >30 with comorbidities
Proper medical documentation is provided
Apollo Hospital Indore provides:
Cashless hospitalization
Pre-authorization support
EMI and financing options
Testimonials from Indore Patients
Sangeeta V., Indore: “I struggled with obesity and diabetes for 10 years. After my sleeve surgery with Dr. Jain, I lost 40 kg and no longer need insulin.”
Rajesh P., Dewas: “The treatment was affordable, and the support by Apollo staff was excellent. My BP and sugar are now under control.”
FAQs
Q1: What is the average obesity treatment cost in Indore?
Costs range from ₹5,000/month for non-surgical plans to ₹4,50,000 for bariatric surgery.
Q2: Is obesity surgery safe?
Yes, when performed by experts like Dr. Nikunj Jain, bariatric surgery is safe with very low complication rates.
Q3: Will I gain weight again?
With proper post-op care, diet, and follow-ups, long-term weight loss is achievable.
Q4: Can I pay in EMI?
Yes, Apollo offers zero-cost EMI options for eligible patients.
Final Thoughts
Obesity can affect every part of your life — from health to confidence. But with the right treatment, support, and expert care, you can overcome it. If you’re looking for affordable and effective obesity treatment in Indore, Dr. Nikunj Jain at Apollo Hospital Indore is your best choice.
With reasonable costs, world-class facilities, and compassionate care, your weight loss journey starts here.
With the alarming rise in obesity and obesity-related disorders across India, many individuals are seeking long-term, medically supervised weight loss solutions. Gastric sleeve surgery—also known as sleeve gastrectomy—is one of the most effective bariatric procedures for sustainable weight loss and improved health.
If you’re searching for a trusted gastric sleeve specialist, look no further than Dr. Nikunj Jain, a renowned bariatric and gastrointestinal surgeon at Apollo Hospital Indore. With a track record of high success rates and compassionate care, Dr. Jain is recognized among the top gastric sleeve specialist surgeons in India.
This blog covers everything you need to know about the procedure, its cost, eligibility, benefits, and why consulting a qualified sleeve specialist is crucial for your weight loss journey.
Table of Contents
What Is Gastric Sleeve Surgery?
Gastric sleeve surgery or sleeve gastrectomy is a bariatric surgery where approximately 75–80% of the stomach is removed, leaving a narrow, tube-shaped “sleeve” stomach. The procedure:
Restricts the amount of food you can eat
Reduces the hunger hormone ghrelin
Leads to significant weight loss
Improves or resolves obesity-related conditions
It is a minimally invasive surgery usually performed laparoscopically, ensuring quicker recovery and fewer complications.
Who is a Gastric Sleeve Specialist?
A gastric sleeve specialist is a surgeon trained in performing sleeve gastrectomies using advanced surgical methods such as laparoscopy or robotics. They are experts in:
Obesity management and weight loss surgery
Handling patients with comorbidities (diabetes, sleep apnea, PCOS)
Delivering long-term lifestyle support and follow-up care
When choosing a gastric sleeve specialist surgeon, ensure they are experienced, board-certified, and affiliated with a reputed hospital like Apollo Hospital Indore.
Meet Dr. Nikunj Jain – Leading Gastric Sleeve Specialist in India
With years of experience in laparoscopic and bariatric surgery, Dr. Nikunj Jain has become a leading name in obesity treatment. Based at Apollo Hospital Indore, he has helped hundreds of patients regain their health, confidence, and quality of life through gastric sleeve surgery.
Why Choose Dr. Nikunj Jain?
Advanced laparoscopic and robotic surgical skills
High patient satisfaction and success rates
Comprehensive pre-op and post-op support
Ethical, patient-focused approach
Multidisciplinary team for complete obesity care
Gastric Sleeve Surgery in India – Why It’s a Growing Trend
India is rapidly emerging as a global destination for bariatric surgery due to:
Affordable gastric sleeve surgery cost in India
Highly skilled surgeons like Dr. Nikunj Jain
International-quality healthcare infrastructure
Shorter waiting times and personalized care
If you’re searching for sleeve gastrectomy near me, Indore offers exceptional care with reasonable costs and high success rates.
Your BMI is ≥ 35, or ≥ 30 with conditions like diabetes or hypertension
You have failed to lose weight through diet/exercise
You’re between 18–65 years (exceptions may apply)
You are committed to post-operative lifestyle changes
Gastric Sleeve Procedure: Step-by-Step
1. Pre-Op Evaluation
Medical tests (blood, ECG, chest X-ray)
Nutritionist and psychologist evaluation
Informed consent and surgery prep
2. Surgery Day
Performed laparoscopically under general anesthesia
Duration: 1 to 2 hours
Hospital stay: 2–3 days
3. Post-Op Recovery
Start walking same day or next
Liquid diet for 2–3 weeks
Gradual transition to solids
Resume daily activities in 2 weeks
Gastric Specialist vs. Gastric Sleeve Specialist
Patients often search for a gastric specialist doctor or gastric specialist when facing digestion issues. However:
A gastric specialist (gastroenterologist) treats stomach and digestion problems with medication.
A gastric sleeve specialist is a surgical expert who treats obesity and metabolic disorders through surgery.
If your weight problem is causing health complications, it’s time to consult a sleeve specialist like Dr. Nikunj Jain.
Why Apollo Hospital Indore?
NABH-accredited, multispecialty hospital
Advanced laparoscopic surgery units
Round-the-clock critical care and diagnostics
Friendly staff and insurance assistance
Bariatric-friendly ICUs and post-op wards
Patient Transformations
Pooja Sharma, 34 – Lost 38 kg “Dr. Jain helped me change my life. My PCOS is gone, I feel confident, and I can play with my kids again.”
Vivek Mehta, 41 – Controlled Diabetes “After sleeve surgery, my sugar levels normalized, and I’m off insulin. I feel healthy after years.”
FAQs
Q1: How much does gastric sleeve surgery cost in India?
It ranges from ₹2.5 lakh to ₹5 lakh. In Indore, it is more affordable with excellent outcomes.
Q2: Is sleeve gastrectomy permanent?
Yes, it is a permanent procedure and cannot be reversed.
Q3: How soon can I lose weight?
Most patients lose 10–20 kg in the first 2–3 months and 60–70% of excess weight within a year.
Q4: Is it covered by insurance?
Yes, many insurers in India cover it if you meet medical eligibility. Apollo Hospital helps with pre-approvals and cashless claims.
Q5: Is gastric sleeve better than bypass?
Both have advantages. Sleeve is simpler and carries fewer complications, while bypass may be better for diabetic patients. Your gastric sleeve specialist will guide you based on your profile.
Final Words
If you’re looking for a gastric sleeve specialist who blends expertise with empathy, Dr. Nikunj Jain at Apollo Hospital Indore is the trusted name for safe, effective, and affordable bariatric surgery.
Don’t let excess weight compromise your health and happiness. Take your first step toward transformation today.
