The multidisciplinary team of diabetes and obesity, a link between the Pudong Hospital of Fudan University and Duke University, recently performed another minimally invasive surgical treatment for a diabetic patient. Unlike previous patients with significant obesity who received surgical treatment, this diabetic patient weighed 77.5 kg and had a body mass index (weight/height 2) of 29.1 kg/m2. Currently, this figure is found everywhere in China and is already obese in the first degree. In order to treat the diabetes that has plagued her for many years and to avoid future complications in organs such as the heart, brain and blood vessels, eyes or kidneys, and at the same time to lose the abdominal fat and regain her perfect figure, Ms. Gu came to our multidisciplinary diabetes and obesity treatment team. After a rigorous preoperative evaluation and careful preparation, our expert team unanimously decided that the patient was eligible for surgery for diabetes, and on October 14, the surgery was completed as scheduled and successfully. Now just 2 weeks after the surgery, the patient’s fasting blood glucose dropped from 9.9mmol/l in the pre-surgery medication-controlled state to 6.4mmol/l in the normal level, and the insulin and 3 oral hypoglycemic drugs used before the surgery were stopped, while the waist circumference was reduced by 6cm, hip circumference by 4cm, and weight by 6kg. the patient and his family were very satisfied with the treatment results. In recent years, the diabetes and obesity multidisciplinary team of Shanghai Pudong Hospital has introduced the advanced technology and patient management model of minimally invasive surgery in the United States for the treatment of diabetes, and has successfully performed minimally invasive surgery-based comprehensive treatment for many patients. All patients have stopped taking hypoglycemic drugs after surgery and their diabetes has been cured. In addition, the hypertension, hyperlipidemia and fatty liver that were also present in the patients have been cured or improved significantly.