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Criteria to be fulfilled prior to considering bariatric surgery in children
| Tanner stage 4 or 5 along with adult or near adult height |
| BMI ≥40 kg/m2 or ≥35 kg/m2 with significant comorbidities |
| Failure to respond to a formal intensive lifestyle modification with or without pharmacotherapy |
| Absence of untreated psychiatric illness |
| Presence of a stable family unit is required |
