In recent years surgery led to cure obesity has had a major rebound, all in favor of the large number of obese patients it was impossible to reach your ideal weight. All this very well and is so much so that over the past approximately 10 years they have developed different techniques in each period have been effective and have undoubtedly helped thousands of patients who have practiced, among them we can refer to: adjustable gastric banding: surgical procedure that involves placing a bracelet-shaped device at the proximal third of stomach, and has the feature of being adjustable, its results have been very good but in our experience we have seen the need to begin to withdraw in patients who have had up to three years, why? a Being an adjustable device at the time that disrupts, patients have begun to gain weight again, by being placed too near the esophagus, the major complaints of patients is the return of this food to what is in many cases to behave as reflux disease, which affects the quality of life of patients, in some cases requiring the removal of the device, to be a foreign body is always the possibility that erode the stomach , reaching the light of this, or can slide, which has brought us almost to abandon their placement. Another procedure that is very much in vogue today and is often performed very stric GA SLEEVE, O Sleeve Gastrectomy procedure being carried out for about six years around the world, involves cutting the stomach vertically, turning the stomach into a sleeve of a much smaller volume capacity of the original volume, leading to a lower intake of food volume, results in the short time that has been doing has been very good, but as in this case aforementioned already beginning to see why patients still do not meet three years after surgery and have started again to increase their weight as well to mention that there is a procedure that be little difficulty in its implementation, opportunistic surgeons to know the criteria to indicate this procedure is done without regard or respect to criteria, any obese patient passing through consultation. .