What condition must be managed before considering bariatric surgery?

Before considering bariatric surgery, it is essential to manage clinically significant depression. Bariatric surgery can significantly impact a patient’s psychological and emotional state, and individuals with untreated or significant mental health conditions, such as depression, may face increased risks of poor surgical outcomes, complications, and the potential for inadequate adherence to postoperative lifestyle changes.

In cases of untreated depression, patients may struggle with motivation, follow-up care, and the necessary behavioral modifications required for long-term success after surgery. Addressing mental health conditions is vital to ensure that patients are fully prepared for the lifestyle changes that accompany surgical weight loss, and to enhance overall outcomes from the procedure.

While the other conditions listed, such as hypothyroidism, seasonal allergies, and high cholesterol, are important to manage, they do not have the same direct psychological implications that can significantly impact the success of bariatric surgery and the patient's overall readiness for such a life-changing intervention.