Despite the millions of dollars spent yearly by consumers on weight loss programs and dietary supplements, no medical treatment has been demonstrated to sustain a long term weight loss in a significant portion of men or women.
In fact in the 1991 NIH consensus statement concerning obesity, medical treatment was considered ineffective in 95% of patients! While some patients can and do lose weight with diet and exercise, these are very few in number.
The conclusion of this statement was that surgery is the only way to obtain consistent, permanent weight loss for morbidly obese patients.
The surgical treatment of morbid obesity has been the only therapy that has been proven to provide consistent weight loss.
Various options have been performed for the surgical treatment of obesity.
There are several types of bariatric (surgical weight loss) procedures.
Some procedures restrict the amount of food that can be eaten at one time and others bypass segments of the intestines to limit the absorption of calories:
Surgery is indicated for patients with documented failed dietary attempts and who have (1) a BMI of 40 or over and (2) a BMI of 35-40 with significant co-morbidity