With the reaffirmation of metabolic surgery for effective treatment of type 2 diabetes in the Chinese Diabetes Prevention and Control Guidelines (2017 edition), weight loss metabolic surgery has become a more preferable treatment for diabetes than traditional internal medicine. Is every diabetic patient suitable for surgical treatment? In China, the basic conditions of diabetic patients are different from those of Western populations, mainly in that Chinese diabetic patients are not as obese as their Western counterparts, Chinese diabetic control is worse, Chinese patients are less compliant, and Chinese diabetic patients have more abdominal obesity and more serious complications, so they cannot follow the Western indications for surgery. So, which Chinese diabetic patients are suitable for surgical treatment? Physicians and surgeons in mainland China as well as in Taiwan and other Asian countries have conducted relentless exploration and research, which is now combined with the publication of the Chinese 2014 guidelines for the surgical treatment of obesity and diabetes and summarized in the literature as follows: For Chinese diabetic patients, if your weight meets the criteria for obesity (BMI = weight kg / height m squared) > 30 and you have poor glycemic control, it is recommended that you Surgery, 85% of patients will recover completely, get rid of glucose-lowering drugs and will improve blood lipids, blood pressure and other complications. If your BMI is >25 and your islet function is good and your blood sugar is not well controlled, then you are also recommended to undergo surgery, of course your doctor will evaluate your islet cell function before surgery, and as for those patients whose BMI is above 35 it is even more strongly recommended that you undergo surgery immediately. After more than 10 years of development of bariatric surgery in China, the number of cases receiving bariatric surgery for obesity and type 2 diabetes is now increasing year by year, showing a good development trend. Since the establishment of our hospital in 2008, more than 1300 surgical cases have been completed, with a success rate of 99% and an efficiency rate of more than 95%. However, different surgical centers differ in the post-operative follow-up guidance in addition to the results. The mature medical team and professional technology are the primary conditions in addition, and the limiting role of surgery alone is far from enough. In order to guarantee the long-term results of post-operative patients and rebuild healthy living and eating habits. Our hospital has established the first and largest health management department in China, consisting of more than 20 professionals such as health managers, nutritionists and psychological counselors. Based on the big data of more than 1,000 cases, we tailor each patient’s post-operative recovery plan and provide long-term professional nutritional assessment and health management for obese and diabetic patients, as well as individualized counseling education, nutritional survey evaluation and dietary guidance to ensure each We provide long-term professional nutritional assessment and health management for obese and diabetic patients, as well as individualized counseling education, nutritional survey evaluation and dietary guidance to ensure the safety and long-term results of each patient.