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The annual number of bariatric surgeries in Canada (excluding Quebec and rural Manitoba) has risen from 78 in 2000–01 to over 1100 procedures in 2002–03, according to the Canadian Institute for Health Information Discharge Abstract Database. Studies have shown that patients initially lose between 35%–60% of baseline body weight and maintain weight reductions of approximately 16% after 8 years.1,2 No prospective, randomized trial has demonstrated a reduction in cardiovascular morbidity and mortality with bariatric surgery, although recent observational data suggest beneficial effects on these outcomes.2,3,4 Bariatric surgery is currently indicated in severely obese individuals with a body mass index (BMI) of 40 kg/m2 or a BMI of 35 kg/m2 in the presence of obesity-related comorbidities.