Background

Patients following bariatric surgery face behavioral and emotional challenges that impact the entire family, yet this has been understudied, including the role of romantic partners. Prior research from our team suggests that relationship satisfaction declines from post-surgery and decline is associated with higher levels of binge eating, anxiety, and social stress for patients. Aims: This study utilized qualitative methods to understand experiences of patients and partners post-surgery regarding emotional and relationship health. Methods: Five couples in which one partner underwent bariatric surgery at the University of Utah 1.5-3 years prior participated in separate focus groups for patients and partners. Data Analysis: Group content was transcribed and coded using directed content analysis to identify changes in relationship function from pre- to post-surgery, needs, and preferences for support. Findings: Patients and partners report the need for increased partner involvement in pre and post bariatric surgery processes, including education on lifestyle changes, learning how to shop and cook meals that both can enjoy, and strategies to support the patient. Patients and partners report a desire for communication skills to address each other’s needs and goals. Patients and partners expressed enthusiasm about a dyadic intervention for enhancing resilience and well-being as individuals and partners regarding bariatric surgery. Conclusions: The findings expand understanding patient and partner needs post-bariatric surgery and suggest benefits of increased partner involvement and support. Couples experience significant changes after bariatric surgery and are interested in post-surgical relationship support to promote relational, emotional, and physical health.