The first thing you need to do is to make sure that you have a large stomach, which can be an obstacle to weight loss! In order to lose weight, the first thing you have to do is to make the stomach that has been stretched out by food slim down. So how many ways to lose weight surgically? Weight loss surgery “sleeve gastrectomy”, also known as laparoscopic gastric reduction surgery, the principle of gastric reduction surgery is to use the laparoscope to cut out the large curve of the stomach vertically, so that the stomach forms a small gastric sac of about 150cc, which can accommodate about 4-5 ounces of food. It has the advantage of not requiring the placement of foreign objects in the body and the procedure is remarkably effective for weight loss. Method: 2-6 cm of the sinus above the pylorus is preserved in the direction of the greater curvature of the stomach, and the larger part of the stomach is removed along the long axis of the stomach, and the entire fundus is removed, leaving a “banana-shaped” stomach with a volume of about 60-80 ml. Principle: To reduce the volume of the stomach and decrease the secretion of hormones that stimulate the production of hunger. Advantages: It does not change the physiological state of the gastrointestinal tract and does not interfere with the normal process of digestion and absorption of food. Evaluation: Sleeve gastrectomy has good therapeutic effect on type 2 diabetes, and is a widely used surgery for weight loss and diabetes in Europe at present. Bariatric surgery “gastric bypass” Gastric bypass surgery refers to a series of similar surgical procedures for the treatment of obesity, the common features of which are: the surgery first divides the stomach into two parts, the smaller upper part and the larger lower part, then truncates the small intestine, rearranges the position of the small intestine, changes the route of food through the digestive tract, slows down the gastric This changes the pathway of food through the digestive tract, slows the rate of emptying, shortens the small intestine, and reduces absorption. By 2005 surgeons had developed several different alignment options, forming several branches of gastric bypass surgery. According to 2008 data from the National Center for Health, gastric bypass surgery has replaced gastric reduction surgery as the most popular bariatric procedure in the United States since 2000, with approximately 100,000 cases performed each year. Bariatric surgery “gastric diversion” Gastric diversion surgery was first performed by Austrian surgeon Theodor Billroth in 1885 to treat patients with gastric cancer, and evolved into a bariatric procedure in the 1950’s. In 1995, Pories completed a 14-year clinical study of 146 obese diabetic patients. After decades of development and improvement, in March 2011, the International Diabetes Federation issued a statement recommending surgery for patients with type 2 diabetes in the early stages of the disease. The Chinese Medical Association Diabetes Branch officially included surgery for diabetes in the Chinese Diabetes Prevention and Control Guidelines in 2011, and gastric diversion surgery became a new hope for patients with type 2 diabetes. Weight loss surgery can reduce 60-80% of your excess weight, and if your post-operative diet and exercise habits are well coordinated with the support and assistance of a professional health manager, the results will be even better.