Referral Criteria Goal: Reduce Obesity Related Health Complications Many people in the medical field consider bariatric surgery to be a "life-saving" procedure. However, like all surgery, there are risks. So, it shouldn't be considered "cosmetic surgery." It is intended to lengthen lives by reducing obesity-related health complications. Our surgeons follow strict guidelines to determine whether a patient is an appropriate candidate for the operation. The point: to be certain the risk of not having surgery outweighs the risk of potential complications from having surgery. 100 pounds or more over ideal body weight Body Mass Index (BMI) of 40 or more Body Mass Index (BMI) of 35 or more and experiencing obesity-related health conditions, such as high blood pressure or diabetes Proven failure to maintain healthy weight with conventional programs and medically supervised dieting High risk of obesity-related health conditions Other Criteria History of obesity Documented prior attempts at weight loss through conventional, non-surgical means No uncontrolled disorder or disease that may cause weight gain No untreated psychiatric or eating disorder No substance abuse Between the ages of 18 and 65 Ages 65 and older are considered on an individual basis See also points to consider.