Bariatric Surgery
Obesity is a disease and leads to serious short term and long term problems
Bariatric surgery helps control and even reverse these complications

Usually recommended if

BMI >37.5 without presence of any obesity related co-morbidities or
BMI > 32.5 with the presence of type 2 Diabetes / any obesity related co-morbidities
Patients motivated to lose weight and commitment to long term follow up
Patient should have attempted conservative methods of weight loss and failed