In particular, the treatment of morbidly obese (advanced) patients is only possible with surgical methods. Because most patients with morbid obesity, which is a type with a high probability of developing serious complications, have low success rates with diet and exercise. In addition, in today’s conditions, surgical treatment is the most effective obesity treatment option.

A multidisciplinary approach must be applied in surgical operations to be applied to morbid obesity patients. After the patients are evaluated by an endocrinologist, dietitian and, if necessary, a psychologist, the decision to operate should be made. Before the operation, an endocrinologist must evaluate whether the patient has a hormonal problem and whether he is suitable for surgery. In addition, preoperative endoscopy is essential for the detection of any pathology in the stomach. The patient receives detailed information on how to feed before and after the operation from the dietitian.

People with serious psychological disorders or excessive alcohol and drug addiction are not suitable for the operation. Family support is of critical importance in such surgeries and family support should be fully shown to the patient.

Since metabolism will change in patients who prefer surgical treatment for obesity, it is not possible to compare them with medical treatments in terms of success. Especially after the sleeve gastrectomy operation, the patient has a serious loss of appetite, and since his stomach will shrink, the amount of food will decrease significantly. Despite all these evaluations, the common opinion of physicians is that diet and sports should always be the first treatment for patients with suitable profiles.

Morbid obesity surgeries are generally in the form of restrictive applications, applications for impaired absorption, or a combination of both. If there is no other obstacle, all surgeries are performed laparoscopically, that is, with the closed method.