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Patients who opt for bariatric surgery as a treatment for their morbid obesity have different degrees of obesity from class I-III (WHO classification). Each patient needs to be optimised with a customised approach. All the above patients are thoroughly investigated before scheduling them for a procedure to know what are the optimising factors needed. Let’s start with pre-procedure optimisation. (Authored article by Dr. Jaydeep Palep - Senior consultant Bariatric & GI surgeon (Robotic & Laparoscopy) at P.D. Hinduja Hospital and MRC, Khar)