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According to international accepted criteria, the indications for obesity surgery are BMI > 40 kg/m2 or BMI>35 with pronounced co-morbidities. It is also requires several failed non-surgical attempts at weight reduction under the guidance of a physician over a period of one year and the absence of surgical contraindication or concomitant disease. Nevertheless, limits to the indication for surgery continue to be changing. For example, diabetes specialists suggest that a BMI of 32 kg/m2 in patients with type 2 diabetes as an indication for surgery.