The treatment of obesity is entirely possible with conservative approaches including medical or endoscopic methods. Appropriate diet and exercise are key components in medical treatment. The recommended balanced diet should contain an average of 1200 to 2000 calories, depending on the person's lifestyle. Diets with a 500-calorie restriction per day allow a weight loss of close to half a kilo per week. Regular exercise is just as important as diet.

A minimum of 30 to 40 minutes of exercise per day, 3 to 5 days a week is recommended. Although diet and exercise can be effective in some patients, the main problem is continuity. Unfortunately, only 5% to 10% of patients undergoing obesity treatment continue to lose weight.

Endoscopic approaches are basically space-consuming interventions. Among these, the Garren Edwards gastric balloon was manufactured in the USA in 1985 and received FDA approval for the first time. Double-blind studies have shown no effect on either diet or dietary behavior.

Surgical methods should be used to get the best results in the treatment of obesity. However, it should not be forgotten that the surgical treatment of obesity requires the patient to change his/her lifestyle and live a healthier life. The solution is not just bariatric surgery.

As a result, for the first time in 1991, NIH (National Institutes of Health) defined patients who failed to lose weight with diet and exercise methods and whose body mass index was more than 40 as high risk for obesity-related diseases and recommended surgery. Since then, surgical methods have played an important role in the treatment of obesity. Today, an average of 250,000 surgical procedures are performed annually in the USA for the treatment of obesity and the metabolic diseases it causes.