Global Certifications for Surgeons and Centers

  • Joseph Mark Drosdeck
  • Samer G. MattarEmail author


The increasing prevalence of morbid obesity throughout the world presents an opportunity for bariatric surgeons to improve the longevity and quality of life for patients afflicted with this disease and its associated comorbidities. However, this opportunity also challenges the international bariatric community to ensure that bariatric providers have adequate training and resources to provide the best outcomes. Surgeons, for example, must acquire the requisite skill set and experience to perform technically demanding procedures, such as the laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG). Mastery of this procedure requires a significant learning curve, estimated at 75–100 procedures. During this learning curve, complication rates may be significantly higher. Additionally, patient selection, preoperative optimization, and long-term follow-up are crucial for excellent outcomes. In order to maximize safety and establish an effective, standardized training curriculum in the USA, the American Society for Metabolic and Bariatric Surgery (ASMBS) published guidelines for bariatric privileges in 2006. With similar intentions, the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) published guidelines in 2007. Unlike the USA, however, many countries do not have well-established fellowship programs that allow junior surgeons to perform bariatric procedures under the supervision of experienced mentors. Heterogeneity, variability, and inconsistency in bariatric training are therefore among the challenges that must be addressed in order to meet the worldwide demand for skilled bariatric surgeons.


American Society for Metabolic and Bariatric Surgery International Federation for the Surgery of Obesity and Metabolic Disorders Laparoscopic Roux-en-Y gastric bypass Laparoscopic sleeve gastrectomy 



American Society for Metabolic and Bariatric Surgery


International Federation for the Surgery of Obesity and Metabolic Disorders


Laparoscopic Roux-en-Y gastric bypass


Laparoscopic sleeve gastrectomy


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.General SurgeryThe Everett ClinicEverettUSA
  2. 2.Swedish Weight Loss ServicesSwedish Medical CenterSeattleUSA

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