Recently 32-year-old Zhao, brought us a good news: her little baby was born! Marriage and childbirth may not be difficult for ordinary people, but for this family, it was a big surprise, bringing new hope to them who had already given up! It is understood that Xiao Zhao originally weighed 210 pounds, had severe polycystic ovary syndrome, and had been married for more than eight years without getting pregnant. Since the laparoscopic gastric sleeve resection in July 2014, three months after the operation, the “period” that had been disordered before came, and eight months after the operation, she became pregnant! Zhao recalled: “I didn’t know at the time, I thought I had polycystic ovary syndrome again after the surgery, so I didn’t even think about it. Later, when she took the morning and afternoon pregnancy test, she saw two bars. Her first reaction was that it was impossible and there must be something wrong with the pregnancy test. Then she bought another one and tested again, but still two bars, thinking that it was the same batch of pregnancy tests, all of them had problems. On the third day, she bought another one and tested again, but still had two bars, so she decided to go to the hospital to check. After going to the hospital, the doctor took the test report and said, ‘You are pregnant. At that time, I still thought how is it possible, eight years, have not been pregnant, have long given up …… “For the whole family, this is a big “unexpected surprise”! The main manifestations of polycystic ovary syndrome are obesity, dense body hair, scanty menstruation, irregular cycles, acne, etc. There are generally elevated androgens, multiple follicles in the ovaries, and other phenomena. It is known that severe polycystic ovary syndrome can lead to infertility. This is the case of Xiao Zhao. In general, patients with polycystic ovary syndrome should first choose to visit a gynecologist or endocrinologist. According to Xiao Zhao, she has been receiving gynecological endocrine treatment for several years, adjusting her menstruation with medication on one hand and exercising to lose weight on the other. However, despite the relief of her menstrual condition, she developed the adverse reaction of drug dependence and stopped menstruating when the medicine stopped. What was more distressing to her was that her weight of 210 pounds seriously affected her daily life, and she had already accepted the fact that she was infertile, and she and her husband had given up the idea of having children for eight years. It is understood that laparoscopic gastric sleeve resection is a type of weight reduction surgery. The technique involves making several small holes in the abdominal wall and removing part of the stomach with special instruments under laparoscopic guidance to reduce the volume of the stomach. Many women often confuse bariatric surgery with liposuction. Zhu Jiangfan said that the current weight loss surgery is all minimally invasive, i.e. laparoscopic techniques. Among them, gastric sleeve resection is less technically difficult, and the surgery is also the easiest and safest. Weight loss surgery allows patients to lose weight while curing other diseases related to obesity such as: diabetes, hypertension, sleep apnea, menstrual disorders, etc. Laparoscopic bariatric surgery not only reduces weight but also has excellent results in polycystic ovary syndrome with obesity. For many people who have not had their periods for a long time, weight loss surgery can restore ovarian ovulation, thus normalizing menstruation and achieving normal pregnancy. Zhu Jiangfan admits that “the fact that menstruation can be restored in a short period of time after weight loss surgery is obviously not due to weight loss. It may be the result of surgery-induced changes in the digestive tract that lead to the restoration of hormonal balance and the decline of androgenic testosterone to normal.” Finally, Zhu Jiangfan again reminded that patients with polycystic ovary syndrome should first be seen by an obstetrics and gynecology specialist, and then consider surgery if long-term treatment has not yielded good results and weight is difficult to control. At present, the surgical treatment of obesity should not only refer to the weight, but also observe the metabolic syndrome accompanying the disease before deciding. Experts also said that there is no uniform opinion on the weight requirement for obesity with polycystic ovary syndrome. As with bariatric surgery for type 2 diabetes, bariatric surgery will have better results for polycystic ovary syndrome with some degree of obesity.