We provide expert-led care that helps individuals take control of their health and transform their lives through effective, evidence-based weight loss solutions.
Whether through minimally-invasive procedures or personalized medical management, we are committed to guiding every patient toward lasting results with safety and support every step of the way.
Do Weight Loss Right
care that transforms lives
Dr. Alexa Roth is a dual board-certified bariatric surgeon and medical weight loss specialist, recognized as a Master Robotic Surgeon. She is the highest-volume female robotic bariatric surgeon in Idaho and a trusted regional leader in her field.
Educated at Stanford University and a graduate of one of the most respected fellowships in minimally-invasive weight loss surgery, Dr. Roth combines advanced expertise with compassionate, patient-centered care.
Dr. Alexa Roth
Meet Your Provider
surgical weight loss
Weight Loss Solutions
You’ve tried the diets and the quick fixes. But what you really want is freedom—freedom to move with ease, to enjoy time with your family, to wake up energized instead of exhausted. At Achieve Weight Loss, we help you break free from yo-yo dieting and step into a healthier, happier life with solutions backed by science.
For patients with big weight loss goals, Dr. Roth uses the most advanced techniques to maximize precision, safety, and recovery—giving you the strongest foundation for long-term success.
medical weight loss
For patients seeking a non-surgical path, our medical weight loss plans provide personalized, evidence-based strategies that help you shed pounds, improve health, and maintain results.
—TAMMIE C
"Surgery really saved my life. It improved my overall entire health, and it improved my mental state as well because I wasn’t feeling so depressed and down and I could get out and do more things. Not only did it help my physical appearance and health, it helped me mentally get out there and do stuff."
—BOBBI JO W
"From the time you walk into the office, you are welcomed. You don’t have to question anything. If you’re scared, just say something and somebody will help you…It’s like a warm hug, Dr. Roth and her team make me feel like family."
—DAVID B
"In April of 2022 I walked into the office weighing 355 pounds and wearing size 59 pants. Life was uncomfortable. I was 49 and had lost hundreds of pounds over the years. Dr. Roth and the entire team were so kind and welcoming. The help I received before surgery to change my habits and understand the process was fantastic. They set me up for success. I had surgery in August of 2022. The support from Dr. Roth and her team over the last year has been excellent. They want nothing but your success."
—KATHY V
“My life today is so much different. I can run up stairs, I’m not huffing and puffing by the time I get to the top of the stairs anymore. I can breath. When you walk in, the whole team, they’re behind you 100%. They want to see you succeed.”
—KATHY D
I would recommend and have recommended Dr. Roth and her whole team to anyone who asks me where to go for help with weight loss. I have lost 150 lbs and have had a supportive and helpful team from the minute I first walked into the office. I will always be grateful I got to have this team be my team for life.
—TIFFANY W
Dr. Roth is fantastic! I couldn’t be happier!!
—STEVE S
I just recently finished the pre-op preparations and had my surgery this week. Dr. Roth was amazing, surgery was uneventful and 2 days out I feel great. The entire process was wonderful and the entirety of her clinic made me feel like I was heard and not just lazy like other doctors have made me feel. I would highly recommend going thru Dr. Roth if you’re looking at weight loss.
Science-Backed Solutions
104lbs
average weight lost from consult
+5–14yrs
average increase in life expectancy
90%
maintain 50%+ weight loss long-term
For Real, Lasting Change.
We make it easy to start—and even easier to succeed. Let us take care of the plan, so you can focus on feeling better. Find out if you're a candidate for weight loss surgery.
weight loss solutions
surgical Weight Loss
Who It’s For
Patients with weight loss goals greater than 50 pounds, with BMI 30 or higher, and for those seeking to avoid long-term medication use for weight maintenance. A cost-effective and high-performing option for patients with weight-related health conditions or big weight loss goals.
What's Offered
Benefits
Full spectrum of modern weight loss procedures: Sleeve Gastrectomy, Gastric Bypass, Duodenal Switch, SADI
Robotic-assisted surgery for precision, safety, and faster recovery
Most effective treatment for significant, lasting weight loss
Patients typically lose 25–40% of total body weight (63-100 pounds for a 250-pound patient) with excellent long-term maintenance of results
Definitive treatment of weight-related illnesses: high blood pressure, type 2 diabetes, high cholesterol, heart failure, joint pain, sleep apnea, fatty liver, and PCOS
Resolution of acid reflux
Robust preoperative preparation and reliable postoperative support
Extends life expectancy by 5–14 years through improved health
More cost-effective than long-term weight loss medications or ongoing chronic disease care
Medical Weight Loss
Who It’s For
Patients wanting to lose 50 pounds or less, with BMI 27 or higher, or for those who have already had or are working towards weight loss surgery and want to further enhance results.
What's Offered
Benefits
Nutritional counseling and lifestyle coaching
Review of medications and health conditions contributing to weight gain
Initiation of weight loss medications to reduce appetite and improve metabolism
Customized treatment plan with expected results and safe steps
Adds a boost to lifestyle changes with appetite control and improved metabolism
Helps reduce weight-related illnesses: high blood pressure, type 2 diabetes, high cholesterol, heart failure, joint pain, sleep apnea, fatty liver, and PCOS
Typical results: 5–20% of total body weight lost (13–50 pounds for a 250-pound patient)
Non-invasive option with flexibility to transition into surgical treatments if needed
It's about getting your life back.
Keeping up with your kids. Cutting out your medications. Never fearing stairs. Feeling strong, confident, and comfortable in your own skin. We’re here to walk with you every step of the way—with advanced care, real results, and lasting support.
this isn't just about losing weight.
Advanced robotic technology = less pain, faster recovery
Achieve more than weight loss...
why choose Achieve?
104lbs
average weight loss from consult
Ongoing care & support from a compassionate, expert team
Double board-certified in surgery & medical weight management
Expert in complex & revisional procedures
35.7%
average % total body weight loss from consult
1
book consult
our 3-step process
We Make Transformation Simple
We’ll review your health, goals, and coverage options.
2
Personalized Plan
Surgical or medical— We’ll guide you to the right path.
3
Achieve results
Feel better, live longer, and enjoy more freedom.
Your health.
Your confidence.
Your freedom.
It’s all possible with the right surgical plan—learn which procedure is the best fit for you.
