**5. Patient's compliance**

Resolving obesity can be achieved by constructing a management plan between the surgeon and the patient. This plan includes several elements: the surgery,

#### *Revisional Bariatric Surgery DOI: http://dx.doi.org/10.5772/intechopen.106019*

the follow-up appointments, and compliance with the instructions. These elements collectively contribute to weight loss and sustain the loss most of the time. Unfortunately, some patients fail to follow the plan recommended and end up with weight regain. Patients compliant with the follow-up appointment have better outcomes and more sustainability of weight loss. This is true because the surgeon can keep up with the patient's progress, catch any derails from the management plan, and correct any mistakes that might hinder achieving the goals [87].

The managing team should seek the possibility of the patient's noncompliance during the preoperative interview. Any indication of an eating disorder (binge eating and anorexia nervosa) should trigger a referral to a behavioral therapist before surgery. Patients with eating disorders have a high chance of failure if not addressed and managed preoperatively [88]. It is crucial to clarify to the patient that bariatric surgeries are a tool to help in weight loss with excellent efficacy. However, keeping a healthy lifestyle and good dietary habits is vital and should not be undermined.
