Getting to Know
Howard Lederer, MD FACS
General Surgeon and Bariatric Surgeon with Premier Medical Specialists


Howard Lederer, MD’s professional life has been one wonderful step leading to another. As a child, born and raised in Pittsburgh, he learned to love science and developed a strong desire to help others. These interests remained with him, becoming lifelong passions, which led him to attend medical school, learning general surgery and then bariatric surgery.

“Bariatric surgery has given me the opportunity to make a lasting impact on the lives of many people. It’s such a wonderful change, so impressive to see and such a privilege to be part of,” Dr. Lederer reports. As a gifted, highly trained general surgeon and bariatric surgeon, the changes he brings about are positive and profound.

Dr. Lederer attended medical school at the University of Pennsylvania in Philadelphia and completed his general surgical training at Case Western Reserve University Hospitals in Cleveland Ohio. He is a board certified general surgeon, and Fellow of The American College of Surgeons, who completed a year-long fellowship in bariatric surgery at the University of Minnesota. He is among the first fellowship-trained bariatric surgeons in the country.

He served as Chief of Bariatric Surgery at Hennepin County Medical Center in Minneapolis for 14 years. He is a member of the American Society for Metabolic and Bariatric Surgery (ASMBS) as well as the nationally recognized minimally invasive surgery Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) whose mission is “to improve patient care through education, research, innovation and leadership, principally in gastrointestinal and endoscopic surgery.”

His practice is dedicated to minimally invasive bariatric surgery as well as complex and revisional bariatric surgical procedures. Dr. Lederer also offers a broad array of minimally invasive and complex general surgical care.

Dr. Lederer has performed thousands of bariatric procedures in his career. He also has extensive experience in complex general surgery and trauma care.

About Bariatric Surgery
“What bariatric surgery does is: reduce hunger, reduce cravings and induce the patient’s satiety.”
“The greatest disappointment our patients have shared with us after surgery is that they didn’t have it done sooner because it frees them from the confines that kept them imprisoned, affecting their quality of life, even experiencing difficulties associated with everyday living.”
“Bariatric surgery allows patients to enjoy their lives in newer and more free ways, including freedom from food.”

“The majority of patients who seek bariatric surgery weigh about 300 pounds but I have had some weighing 700 pounds.”
“Patients at that point have experienced loss of mobility, so their results are even more dramatic.”
The surgery usually takes about two hours, and provides immediate results for the patient. For the surgeon, it is immediate gratification. “I love it!” he says.

According to ASMBS, bariatric surgery has been shown to be the most effective and durable treatment for morbid obesity.
• Surgery results in significant weight loss and helps prevent, improve or resolve more than 40 obesity-related diseases or conditions including type 2 diabetes, heart disease, obstructive sleep apnea and certain cancers
• Individuals with morbid obesity or BMI≥30 have a 50-100% increased risk of premature death compared to individuals of healthy weight
• Studies show surgery reduces a person’s risk of premature death by 30-40%
• Clinical studies have demonstrated significant improvements in safety, showing that the risk of death is 0.1%, and the overall likelihood of major complications is about 4%

Services Offered by Dr Lederer

  • LRYGBP- Laparoscopic Roux-en-Y Gastric Bypass
  • Complex revisional surgery
  • Second stage of duodenal switch after sleeve gastrectomy
  • Laparoscopic Duodenal Switch
  • Full range of general surgical procedures
  • Laparoscopic Sleeve Gastrectomy
  • Gastric remnant access procedures for ERCP after gastric bypass (combined with GI team)
  • Excess skin removal- panniculectomy
  • Hiatal hernia repair after bariatric procedures to eliminate gastroesophageal reflux
  • Complex abdominal wall reconstruction for various hernia problems
  • Laparoscopic management of pancreatic psuedocysts in the bariatric and non-bariatric patient

The Outcome
- Studies show patients typically lose the most weight one-to-two years after surgery, and maintain substantial weight loss with improvements in obesity-related conditions.
- Patients may lose as much as 60% of excess weight six months after surgery, and 77% of excess weight as early as 12 months after surgery.
- On average, five years after surgery, patients maintain 50% of their excess weight loss.
- As is true of all surgeries, there are risks. Patients are urged to consult with their surgeon about the risks and benefits.

Family Life
Dr. Lederer met and married his wife, Lisa, who was studying to become a RN.

The family moved to the St. Louis area just seven months ago. They currently live in Ballwin, choosing to remain in the Rockwood School District until their 15-year old son graduates from high school.

Their 19-year old daughter is “seeing the world” on a year long trip, Upon her return, she plans to attend the renowned College of Veterinary Medicine at the University of Missouri in Columbia.

As a busy surgeon Dr. Lederer doesn’t have much time to pursue his favorite pastime of playing golf but enjoys it when he can.

He is looking forward to meeting as many Kirkwood-Des Peres Area Chamber of Commerce members as possible, so please introduce yourself to him at an upcoming meeting.

Dr. Lederer is one of the Premier Medical Specialists, a group of experienced physicians. He can be reached at 238.8858. His office is conveniently located at 2315 Dougherty Ferry Road, Suite 109 in the medical office building on the campus of Des Peres Hospital.