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

• A. 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
• B. Gastric banding is always the best option because it is reversible and has no risk of weight regain or nutritional deficiencies
• C. 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
• D. Bariatric surgery is contraindicated in the presence of hypertension; only permissive candidates are those without any cardiometabolic comorbidities

Answer: (C)