| Indications |
Requirements |
| 1. A. BMI>40orBMI >35 with obesity related co-morbidities improved with weight lossand |
Full engagement with Tier 3 or 4 MDT services for 12-24 months including: |
| Dietary and exercise advice |
| Exclusion of underlying disease |
| Assessment and management of co-morbidities |
| B.Failure of non-surgical treatment for 6 months |
Full psychological assessment |
| 2.BMI>50 |
Consideration of risk versus benefit |