- BMI ≥ 40
- BMI ≥35 and at least one obesity-related co-morbidity such as type II diabetes (T2DM), hypertension, sleep apnea and other respiratory disorders, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders, or heart disease.
- Aged between 18 and 65 years.
- Inability to achieve a healthy weight loss sustained for a period of time with prior weight loss efforts.
- The motivation and capacity to make the dietary and lifestyle changes needed for a successful long-term outcome from the surgery
- The candidate must not have psychiatric, behavioural or cognitive conditions that impair their capacity to give informed consent or commit to postoperative care plans
It is recommended that surgery be performed by a surgeon with specialized experience/training in bariatric and metabolic surgery, and with a team that has a multidisciplinary experts for follow-up care. This should include a nutritionist, an exercise physiologist and a psychologist.