Anesthesia for Bariatric Surgery (weight loss surgery) is specifically focused on the associated health problems in morbidly obese patients. Some of these problems include Obstructive Sleep Apnea, difficult airway, pulmonary hypertension, heart failure, poorly-controlled diabetes, and others. In general, patients with morbid obesity have significantly increased risk for anesthesia and surgery compared with other surgical patients. Decreasing this risk, from the anesthesia standpoint, begins with the preoperative anesthesia consultation. Your surgeon may elect to send you to see the anesthesiologist a few weeks prior to your surgery, to assess your specific level of risk. Since weight loss surgery is always elective, great effort is invested in a thorough evaluation prior to your surgery, to make sure your specific health problems are in the best possible shape. All Bariatric surgeries are performed under general anesthesia with an endotracheal tube. In the vast majority of cases, the endotracheal tube is placed into your trachea after the induction of anesthesia (meaning you are completely asleep). In rare instances, if your anesthesiologist has determined that you have a particularly difficult airway, an alternative method of intubation will be discussed with you.