Dr. Bilof began his career as a vascular surgeon where he continuously saw chronically ill patients suffering from type 2 diabetes. Dr. Bilof was frustrated by the overwhelming acceptance of maintaining the comorbidities (eg., obesity) associated with type 2 diabetes and believed there had to be something more doctors could do to help. In 2003, upon the urging of his wife, Dr. Bilof left his successful vascular practice and retrained in general surgery, specializing in bariatrics.  In April 2007, he founded Garden State Bariatrics and began offering lifesaving solutions for individuals with obesity and related diseases.