Abstract
We read with interest the review article Surgical management of morbid obesity by Aggarwal et al (vol 69(2), 2008, p. 95) and agree that the exponential rise in obesity fuels the demand for bariatric surgery. A recent audit (January 2008) by the British Obesity Surgery Patient Association of English primary care trust criteria for funding bariatric surgery revealed fifteen primary care trusts required a patient to have a body mass index (BMI) of 50 kg/m2 or more and four primary care trusts required a BMI of at least 60 kg/m2. So for some primary care trusts their patients will have to be considerably larger than the National Institute for Health and Clinical Excellence (2006) clinical guidelines of BMI >40 kg/m2.
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