A 50-year-old patient with BMI 42 and uncontrolled hypertension asks about surgical options. Which statement most accurately informs their decision-making?

Because liposuction permanently treats metabolic disease and has fewer risks, it is preferable to bariatric surgery in patients with BMI >40 to control hypertension quickly

Gastric banding is always the best option because it is reversible and has no risk of weight regain or nutritional deficiencies

They meet typical candidacy for bariatric surgery (BMI ≥40); options include sleeve, bypass, and previously banding, each with differing risks (e.g., bypass has higher malabsorption risk and potential dumping syndrome); discuss long-term nutritional monitoring and that liposuction is cosmetic only

Bariatric surgery is contraindicated in the presence of hypertension; only permissive candidates are those without any cardiometabolic comorbidities