Obesity is considered to be the epidemic of the 21st century. Until now there are no known medical or phar- macological methods to manage obesity in ways that control it and signifi cantly reduce the comorbidities associated with it. Bariatric surgery has become the best alternative for management of obesity. Management of patients undergoing bariatric surgery requires referral centers with multidisciplinary medical groups com- mitted to choice and long term follow-up of these patients. Bariatric surgery continues to be the gold standard for surgical management of morbid obesity.