Table 5. Indications and contraindications for bariatric surgery in children and adolescents.

Indications:
	· Failure of at least 6 months of organized, medically supervised weight loss attempts
	· Ages 13 to 18 for girls, and 14 to 18 for boys
	· BMI ≥40 with presence of severe obesity-related comorbidity
	· BMI ≥50 with less severe obesity-related comorbidities
Contraindications:
	· Substance abuse problem within the preceding year
	· Psychiatric diagnosis that would impair ability to adhere to postoperative dietary or medication regimen (e.g., psychosis)
	· Medically correctable cause of obesity
	· Inability or unwillingness of patient or parent to fully comprehend the surgical procedure and its medical consequences
	· Inability or refusal to participate in lifelong medical surveillance

BMI: body mass index.

Modified and reproduced with permission from reference [404].