An obese person will be a candidate for surgery if:

  > > Has a BMI >40.

  > > Has a BMI >35 and also suffers from significant medical problems (Diabetes Mellitus,
        hypertension, arthritis, sleep apnoea etc.).

  > > Is motivated.

  > > Poses an acceptable surgical risk.

  > > Understands and accepts that the surgery is only the beginning of a life-long
        commitment.

  > > Surgery will be considered after the patient has unsuccessfully undergone medical
        diets; has been under the care of a dietician and a psychologist and feels that further
        attempts at diets will be unsuccessful i.e. a candidate for surgery must have first tried
        and failed less invasive treatment options.

The

"balloon"

is for those who need to lose only a small amount of weight or in order to become candidates for the other surgical options, because weight loss will reduce the surgical risk. It is left in place only for 6 months after which it is removed.

The

"banding procedure"

is for patients who need to lose weight as they are morbidly obese. Discipline is necessary. If they are not disciplined they can "trick" the band by eating or drinking high calorie milkshakes, drinks, alcohol, chocolates etc. It is safer for the patients who pose a very high operative risk.

The

"bypass"

is the procedure for people who need to lose weight; the sweet eaters and the undisciplined. It is the most successful procedure but is associated with higher rate of complications.