The AAPS 103rd Annual Meeting 2025

•Bariatric surgery stands out as a highly effective intervention for severe obesity, delivering substantial and sustained weight loss and often resolving associated comorbidities.

•Body contouring surgeries areessential for addressing excess skin and enhancing post-weight loss quality of life.

•This study aims to assess racial disparities in access to bariatric and post-bariatric body contouring surgeries and evaluate associated postoperative outcomes across racial groups in the United States.

Study Design

•Retrospective study

Dataset

•TriNetX United States Collaborative Network

•2013 - 2023

Inclusion Criteria

•18 years of age or older

•Patients eligible for bariatric surgery were identified as:

•Body mass index (BMI) greater than 40 (ICD 10: Z68.4)

•BMI greater than 35 with one comorbidity, such as sleep apnea (ICD 10: G47.3), hypertension (I10), type 2 diabetes mellitus (E11), and heart disease (ICD 10: I51.9)

Data Analysis

•Propensity score matching

•Measures of association, such as risk ratios and odds ratios

243,390 patients eligible for bariatric surgery

174,390 bariatric surgeries performed

1,639 body contouring surgeries performed after bariatric surgery

Average age: 51 (2023)

Gender: Female 66.71% (2023)

•Over the years, increased percentage of patients of diverse races undergoing surgery.

•Despite the increasing diversity of our nation’s population, disparities in access to bariatric surgery and post-bariatric body contouring surgery persist.

•Significant racial disparities were observed in postoperative outcomes forAfrican American and Asian patients.

Future efforts should focus on improving access, addressing social determinants of health, and ensuring consistent postoperative follow-up for all racial and ethnic groups.

The AAPS 103rd Annual Meeting 2025

Racial Differences In Accessibility To Bariatric Surgery And Post Bariatric Body Contouring Surgery

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