TABLE 2.

Criteria for Bariatric Surgery

Adolescents Being Considered for Bariatric Surgery Should:
Have failed ≥6 months of organized attempts at weight management, as determined by their primary care provider
Have attained or nearly attained physiologic maturity
Be very severely obese (BMI ≥ 40) with serious obesity-related comorbidities or have a BMI of ≥ 50 with less severe comorbidities
Demonstrate commitment to comprehensive medical and psychologic evaluations both before and after surgery
Agree to avoid pregnancy for at least 1 year postoperatively
Be capable of and willing to adhere to nutritional guidelines postoperatively
Provide informed assent to surgical treatment
Demonstrate decisional capacity
Have a supportive family environment