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Why Choose Flagler Health+?
  • Our comprehensive program includes access to Nutritionists, Exercise Physiologists, Psychologists, GI Specialists, Pulmonologists, Cardiologists, Endocrinologists, Plastic Surgeons plus spiritual and emotional support groups.
  • Flagler Health+ Surgical Specialists offers a robust Metabolic Weight Loss program with a full team of experts to help guide you through this life-changing journey.
  • Let the Flagler Health+ Surgical Specialists Bariatric team help you overcome your obstacles. With world-renowned bariatric surgeon Dr. Robert T. Marema serving as medical director, we can help you defeat obesity once and for all.

Metabolic & Surgical Weight Loss

See If Our Comprehensive Program Can Help You

The National Institute of Health (NIH) considers you a good candidate for surgery if:

  • If you’ve tried and failed with dieting
  • If your Body Mass Index (BMI) is 40 or greater
  • If you have a BMI of 35 or greater and have serious health conditions associated with your obesity, such as diabetes, hypertension, depression, heart disease, or sleep apnea
  • If you are more than 100 lbs. over “ideal” weight

Nationally recognized for clinical excellence, Flagler Hospital understands that special needs come with having bariatric surgery. That is why we provide patients with access to nutritionists, exercise physiologists, psychologists, GI specialists, pulmonologists, cardiologists, endocrinologists, plastic surgeons, spiritual counseling, and emotional support groups. These programs, experts, and groups are all vital components of your post-operative success. We’ll help you make healthier habits a part of your new winning lifestyle.

Schedule a Consultation Today


Our Services

  • Gastric Bypass
    Not only does gastric bypass generate weight loss, but it has also been recognized to resolve type 2 diabetes long before any weight loss even takes place. A gastric bypass patient will typically lose 75% of their excess body weight in the first 18 months, which is maintained long-term. In most cases, our gastric bypass procedures can be achieved through minimally invasive laparoscopic methods.
  • Sleeve Gastrectomy
    In Sleeve Gastrectomy, the stomach is divided lengthwise and a narrow, banana-shaped tube (sleeve) is created by removing 80% or more of the stomach. The gastric tube is much smaller than the stomach's natural size, thus restricting the amount of food that can be eaten at a given time. The remainder of the stomach is removed and, since no bypass is created, absorption of nutrients remains normal. The procedure takes about 30 minutes and has been reported to produce a loss of 50% or more of excess weight.

Patient Testimonials

I would recommend Dr. Marema and his team for two reasons - their knowledge and their compassion. I believe that Dr. Marema, having been a bariatric patient himself, understands where you're coming from and understands the challenges.


Meet Our Team

  • Robert Marema photo
    Nationally recognized as one of the most respected surgeons in bariatric medicine, Dr. Marema has performed over 13,000 bariatric procedures. He is a graduate of the University of Miami School of Medicine, and has served as a member of many reputable organizations including the American Medical Association, Florida Medical Association, Fellow of the American College of Surgery and a Diplomat of the American Board of Surgery among others. His specializes in both open and laparoscopic surgery procedures as well as adjustable gastric banding. Being a successful bariatric patient himself has given Dr. Marema the unique understanding of the process from that perspective, and allows him to be informative, and thorough with patients as they navigate through bariatric medical options.
  • Whitney Marema photo
    Whitney Marema, APRN is a family nurse practitioner who practices in the specialty of bariatric medicine. She has been a bariatric nurse for 21 years, achieving the first-ever certification for bariatric nurses. Since becoming a nurse practitioner in 2018, she remained in this specialty field, which is her passion. She believes in treating the "whole person" in her approach to wellness and health, understanding that the physical aspect is only one piece of the puzzle. In addition to counseling patients before and after weight loss surgery, she is involved with non-surgical weightloss and has trained other health professionals and bariatric programs in the field of obesity and its management.
  • Lisa Easterling photo
    Lisa Easterling serves as the Bariatric Program Coordinator for the Flagler Hospital Bariatric Surgery Center. In this capacity, Lisa helps navigate patients through this transformational journey and collaborates with surgeons, nursing leadership, counselors, dieticians and concierge staff, to ensure every patient's unique needs are met. She is a bariatric certified nurse who has cared for patients in the Medical/Surgical floors, ICCU, Outpatient Surgery and the Emergency Care Center. She also has spent time in Nursing Informatics and served as a Nursing Educator.

Meet Dr. Marema


Our Location

  • picture of Flagler Hospital
    Flagler Hospital
    400 Health Park Blvd.
    Suite 5002
    St. Augustine, FL 32086
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Awards & Accreditations

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  • mbsaqip