Economic Bariatric surgery in India is offered at internationally accredited hospitals of Goa that too at cost saving budget. Hospitals in Goa are equipped with a tremendous staff of skilled and experienced nurses, technologists and surgeons who are committed to providing the most advanced and compassionate in-patient and out-patient care. It is increasingly attracting patients from U.K. and rest of the world. Goa is an interesting location for getting your health propped up and getting those long postponed surgeries done. You have modern facilities, short waiting times and very affordable prices for Bariatric surgery, hospital services and medicines. On top of that you will probably recover much faster, with a holiday in an exotic location added as a bonus. Bariatric surgery in India at hospitals of Goa is performed by the most experienced surgeons with efficient results. What is Bariatric Surgery? Bariatric surgery is an option to alleviate debilitating diseases caused by morbid obesity. Patients who intend to undergo this surgery must be highly motivated. They must be able to adhere to diet, exercise, and medical guidelines for the rest of their lives aftersurgery. There are several types of Bariatric surgery available, but they fall into three basic categories. Adjustable gastric banding, or vertical banded gastroplasty (VBG), is designed to reduce the size of the stomach with the use of an adjustable silicon band. The weight loss is achieved by limiting the amount of food and liquids the patient can ingest. Indications for Bariatric Surgery Bariatric surgery is an option in severely obese patients, where lifestyle/medication have been evaluated but found not to be effective. Surgery can be combined with other treatments. Referrals are usually made via a specialist obesity management service.There are clear guidelines from NICE about who should be considered for bariatric surgery. Adults • BMI ≥40 kg/m2 OR BMI 35-40 kg/m2 with other significant disease (e.g. type 2 diabetes, high blood pressure) that could be improved by weight loss and: o All appropriate non-surgical measures have failed to achieve or maintain adequate clinically beneficial weight loss for at least 6 months o They are receiving or will receive intensive specialist management o They are generally fit for anaesthesia and surgery o They commit to the need for long-term follow-up • As a first-line option if BMI of >50 kg/m2 and surgical intervention is considered appropriate (and consider orlistat before surgery if the waiting time is long) Young people Surgery is not generally recommended as it is fraught with ethical issues and the potential long-term benefits and complications are not yet known.2 However, NICE suggests that it may be considered in exceptional circumstances, if: • They have achieved or nearly achieved physiological maturity • BMI ≥40 kg/m2 OR 35-40 kg/m2 with other significant disease (e.g. type 2 diabetes, high blood pressure) that could be improved by weight loss • All appropriate non-surgical measures have failed to achieve or maintain adequate clinically beneficial weight loss for at least 6 months2 • They are receiving or will receive intensive specialist management • They are fit for anaesthesia and surgery • They commit to the need for long-term follow-up Bariatric Surgery Procedures • Laparoscopic adjustable gastric banding: places a constricting ring around the stomach, below the gastro-oesphageal junction. The bands incorporate an inflatable balloon which can adjust the size of the ring, to regulate food intake. • Sleeve gastrectomy: most of the stomach is removed, leaving a sleeve-shaped cylinder of stomach with reduced capacity. This procedure is irreversible. • Gastric bypass creates a small gastric pouch (restrictive) joined to the jejunum, bypassing the duodenum and proximal jejunum (malabsorptive). • Biliopancreatic diversion: is a more extensive form of the gast