Abstract
Appropriate patient selection is one of the key steps to the success of any bariatric surgery. In 1991, the National Institutes of Health (NIH) put in a consensus statement about the indications for bariatric surgery. Over time, these have been repeatedly revalidated and reinforced. The evidence derived from national databases is helping to refine the criteria for patient selection. However, a significant number of the recommendations made by NIH are based on majority consensus rather than being based on evidence. There are no reliable indicators which predict success of one operation over another in any individual patient neither is there any irreversible absolute contraindication to bariatric surgery. However, certain factors identified during the preoperative patient assessment may influence the type of bariatric operation possible in that patient. For a successful outcome, all individual complicating factors should be dealt with prior to any surgical intervention. The importance of a multidisciplinary team approach to patient selection and management is now well established. In this chapter, we discuss the relevant factors that would affect the suitability of any patient for bariatric surgery.
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