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necdotally, lower leg skin changes in morbidly obese people appear much improved with weight loss following bariatric surgery. The objective of this study was to compare prevalence of lower leg symptoms in obese patients awaiting, and those who have had, bariatric surgery. Many results establish the high prevalence of lower leg skin changes in morbidly obese patients, which is significantly lower in those who have undergone bariatric surgery, possibly due to improved underlying venous stasis from decreased intra-abdominal pressure and weight. Decreased popliteal vein compression from weight loss, and weight reduction itself may also be contributing factors. This suggests a role for bariatric surgery in the potentially cost-effective treatment of lower leg symptoms in the morbidly obese.