• L H Lang, K Parekh, B Y K Tsui, and M Maze.
• Department of Anesthesia and Perioperative Care, University of California, San Francisco, 1001 Potrero Avenue Box 1363, San Francisco, CA 94143, USA.
• Br. Med. Bull. 2017 Dec 1; 124 (1): 135155135-155.

IntroductionThe escalation in the prevalence of obesity throughout the world has led to an upsurge in the number of obese surgical patients to whom perioperative care needs to be delivered.Sources Of DataAfter determining the scope of the review, the authors used PubMed with select phrases encompassing the words in the scope. Both preclinical and clinical reports were considered.Areas Of AgreementThere were no controversies regarding preoperative management and the intraoperative care of the obese surgical patient.Areas Of ControversyIs there a healthy obese state that gives rise to the obesity paradox regarding postoperative complications?Growing PointsThis review considers how to prepare for and manage the obese surgical patient through the entire spectrum, from preoperative assessment to possible postoperative intensive care.Areas Timely For Developing ResearchWhat results in an obese patient developing 'unhealthy' obesity?© The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

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