Access to assisted reproductive technology and inequities NICE guidelines flag that obesity may impact fertility and recommend providing certain weight loss advice to those women The National Infertility Group for Scotland makes specific recommendations that women with a BMI over 30 should not be offered fertility treatment Respondents to surveys in Canada and the USA reported imposing a BMI cutoff for offering fertility treatments Current intervention and strategy There is minimal literature on the direct effect of lifestyle modification on fertility; however, data show a positive effect may be seen if the weight loss is maintained Medications such as orlistat and GLP‐1 analogues have shown promising effects on fertility by improving ovulation rates and regulating the menstrual cycle respectively Bariatric surgery has shown to improve a patient's cardiovascular and mortality risk profile, as well as ovulation and fertility among women