Indications for Bariatric Surgery

  • Jin Sun Kim
  • Ann M. RogersEmail author


In the United States, current indications for bariatric surgery are based on the 1991 NIH Consensus Development Conference Panel’s published guidelines. While indications for such surgery have broadened since that time, the basic guidelines state that a patient should be ≥18 years of age, should have tried nonsurgical means of weight loss for at least 5 years, should not have any significant untreated psychological diagnoses, should not have causes for weight gain that are unlikely to be eliminated after surgery, and should have no severe underlying medical conditions that would make it unsafe to undergo a major operation. Patients should also have a body mass index ≥40 or ≥35 with at least one severe weight-related medical condition.


Bariatric surgery Indications Morbid obesity Guidelines Metabolic surgery Surgical weight loss NIH consensus 


  1. 1.
    Burguera B, Agusti A, Arner P, et al. Critical assessment of the current guidelines for the management and treatment of morbidly obese patients. J Endocrinol Investig. 2007;30:844.CrossRefGoogle Scholar
  2. 2.
    Borisenko O, Colpan Z, Dillemans B, et al. Clinical indications, utilization, and funding of bariatric surgery in Europe. Obes Surg. 2015;25:1408–16.CrossRefGoogle Scholar
  3. 3.
    NIH conference. Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Ann Int Med. 1991;115:956–61.Google Scholar
  4. 4.
    Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity (Silver Spring, Md). 2013;21(1):S1–27. Scholar
  5. 5.
    Michalsky M, Reichard K, Inge T. ASMBS pediatric committee best practice guidelines. Surg Obes Relat Dis. 2012;8:1–7.CrossRefGoogle Scholar
  6. 6.
    Lee WJ, Almalki O. Recent advancements in bariatric/metabolic surgery. Ann Gastroenterol Surg. 2017;1:171–9.CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Pennsylvania State University College of MedicineHersheyUSA
  2. 2.Department of SurgeryPenn State Milton S. Hershey Medical CenterHersheyUSA

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