Table 1.

Pre-transplant weight-loss strategies.

Lifestyle and nutritional interventions	Bariatric surgery
Lower cost and reduced aggressiveness (all patients eligible)	Best treatment option for severe obesity
Significant weight loss in the short term, but high drop-out rate and weight regain	Long-term results significantly increase impact of dietary interventions
No effect on drug absorption	Malabsorptive procedure could impact the transplant recipient’s immunosuppression dose
No complications described	Uncertainty about effect on kidney function