Obesity surgery and serious psychiatric conditions, lessons learned from 5 patients: A case report

Bariatric surgery in patients with severe psychiatric disorders carries substantial risk when not managed within a multidisciplinary framework. Thorough preoperative psychiatric evaluation and continuous postoperative mental health support are essential to optimize outcomes. Surgical candidacy should be based on individualized functional stability rather than diagnosis alone, and such procedures should be limited to specialized centers capable of addressing complex psychiatric and medical needs.