Most of the patients seeking weight loss surgery should have BMI more than 40. The BMI value more than 40 is the first indication for weight loss surgery. In such patients there is immediate need of surgery as this level of obesity is life threatening condition. In these patients there is no other option left with a medical practitioner except weight loss surgery. Because untreated obesity at this level may very early complicate into a severe disease or mortality. If a high risk patient with associated life threatening disease process with a BMI of 35 or above comes to a physician he can advise him weight loss surgery.

If above mentioned condition is not present with the patient then all of the patients should be advised to go for weight loss program and at least give it a try by themselves or under the supervision of an expert. Ruling out severe obesity every patient should try non-surgical weight loss as per rule the non-invasive method is always a better method unless proved otherwise.

Pre-surgery evaluation of the patient condition should not be done by a single person it should involve the people of all concerned specialties of medicine and there documented opinion should be taken before surgery. Patient should be properly informed about the pros and cons of surgery and surgery should be done on a properly motivated patient.

Surgery should be performed by highly skilled and expert surgeon in order to safeguard patient interests and to avoid faulty surgery damages to the patient. The surgery should be done in a properly equipped medical center with facilities of intensive care. As complications of surgery and mortality levels are low at experienced centers.

Surgery is not the last resort of the weight loss road you have to keep eye on the weight condition of your body in order to maintain it by establishing healthy diet habits and also by keeping up with the minimum level of exercising to keep weight gain off. Life long medical surveillance is also required to early note and rectify complications.