 I am a consultant, bariatric and advanced, laparoscopic surgeon at Manipal Hospital, Miller Road. Today I am going to discuss about the obesity. What is obesity? Obesity is nerdy, but obesity is fat accumulation in the body. Diffused even fat is accumulated in the body. Obesity. So how do you quantify obesity? Obesity is quantified in the form of VMI, that is body mass index. So VMI less than 25 is normal weight. VMI 25 to 30 is overweight. More than 30, it comes in obesity. And more than 40, it is modularity. So I want to discuss like obesity is the root cause of many diseases. If you see, it causes 57 diseases in the body. So starting from back to diabetes, high blood pressure, cholesterol, deranged cholesterol, obstructive sleep apnea, polycystic ovarian syndrome, severe knee pain, osteoarthritis, severe back pain and even hypothyroidism and many other health issues. So what happens? When a person comes with obesity and they will land up in all this about metabolic issues. So what happens? We have to address obesity because obesity is a new pandemic which is coming. So what happens is, so those patients who are in the overweight category, that is VMI less than 25 to 30, they are advised to do lifestyle modification, right modification and physical exercise, physical activity and cuddle the carbs and be conscious of what they eat and do some physical activity. So these are the measures which we advise the people who are overweight. So what are the options for the people who are morbidly obese or obese? So obese, still they can try the above measures. But morbidly obese, what happens? Those patients will have associated comorbidities like, high blood pressure, high blood pressure, cholesterol, sleep apnea and all these issues. So what is the thing we have to do? Let them try initially with diet and exercise modifications. If it doesn't work, we can always try to do a surgery called bariatric and metabolic surgery. This surgery helps in getting rid of that extra weight like 30 to 40 kgs minimum and we can stop the medication for type 2 diabetes, blood pressure, cholesterol and we can stop the state of the machine for obstructive sleep apnea. So basically with obesity, by this surgery, we are improving the QL type, that is the quality of life and the patient's quality of life has really improved. We have operated few patients like the patients who are unable to walk and they can't even walk on the door to the chair in our consultation rooms. Now they are walking and the knee pain has really come down for those patients or newer osteoarthritis patients and back pain has come down and those patients who are snoring and having sleep machines for sleep they have come out of the sleeping machines and people who are high medication for diabetes we have stopped the medication and the patients who are resistant diabetes definitely we have not stopped but those people have shifted from insulin to medication and we have stopped the medication for high cholesterol and the blood pressures have come under control and recently people who are coming to us are young females with voicestic ovarian disease and hypothyroidism those patients, they have problem in mencess, they have been in mencess for years together so what happens by this surgery, we are going to reverse the PCOS they reduce the amount of weight and they resume the mencess and those patients, severe PCOS and obese, their infertility is a common issue and even this infertility is addressed because the PCOS is reversed so the quality of their product is increased and they conceive it normally so patients and patients come to us with very high levels also so we do the bariatric surgery and they conceive normally I think this year we have 3 patients who are conceived like this so basically our hospital, Manipal Millar Road Hospital has specialized it is we are addressing obesity at high level so our aim is to build obesity so we do a large number of patients who are obese, comes to us and definitely we are capable of addressing them even with the patients who come with overweight we have some options and the patients who come with morbid obesity we have options here so basically we are giving a 360 degree care here for obesity and Manipal Millar Road