Bariatric surgery is the most effective and long-lasting treatment of obesity when indicated. It is now the standard of care for severe obesity and related co-morbidities. Laparoscopic gastric bypass and laparoscopic sleeve gastrectomy are the commonest performed procedures. Weight loss surgery not only result in a sustained and effective weight loss but also resolves or mitigates type II diabetes, hypertension, sleep apnea, dyslipidemia, infertility and majority of obesity related medical problems.

Diabetes is a chronic progressive disease virtually affecting every organ of the body. The treatment of diabetes means a life time of medications and injections. In spite of diligent care, diabetes is difficult to control and requires increasing doses of medications. Metabolic surgery for diabetes is now an effective treatment when indicated. Laparoscopic duodeno-jejunal bypass and laparoscopic ileal interposition are commonly performed metabolic procedures. In carefully selected patients this surgery results in resolution or better control of diabetes and its related co-morbidities.