Indications for Metabolic and Bariatric Surgery

Publication Date: October 20, 2022
Last Updated: October 24, 2022

Key Takeaways

Major updates to 1991 National Institutes of Health guidelines for bariatric surgery

  • Metabolic and bariatric surgery (MBS) is recommended for individuals with a body mass index (BMI) ≥35 kg/m2, regardless of presence, absence, or severity of co-morbidities.
  • MBS should be considered for individuals with metabolic disease and BMI of 30-34.9 kg/m2.
  • BMI thresholds should be adjusted in the Asian population such that a BMI ≥25 kg/m2 suggests clinical obesity, and individuals with BMI ≥27.5 kg/m2 should be offered MBS.
  • Long-term results of MBS consistently demonstrate safety and efficacy.
  • Appropriately selected children and adolescents should be considered for MBS.



Indications for Metabolic and Bariatric Surgery

Authoring Organizations