GUIDELINES IFSO-APC Consensus Statements 2011 Kazunori Kasama & Wilfred Mui & Wei Jei Lee & Muffazal Lakdawala & Takeshi Naitoh & Yosuke Seki & Akira Sasaki & Go Wakabayashi & Iwao Sasaki & Isao Kawamura & Lilian Kow & Harry Frydenberg & Anton Chen & Mahendra Narwaria & Pradeep Chowbey Published online: 26 February 2012 # Springer Science+Business Media, LLC 2012 Abstract Associations of BMI with body composition and health outcomes may differ between Asian and European populations. Asian populations have also been shown to have an elevated risk of type 2 diabetes, hypertension, and hyper- lipidemia at a relatively low level of BMI. New surgical indication for Asian patients should be discussed by the expert of this field. Forty-four bariatric experts in Asia-Pacific and other regions were chosen to have a voting privilege for IFSO-APC Consensus at the 2nd IFSO-APC Congress. A computerized audience-response voting system was used to analyze the agreement with the sentence of the consensus. Of all delegates, 95% agreed with the necessity of the establish- ment of IFSO-APC consensus statements, and 98% agreed with the necessity of a new indication for Asian patients. IFSO-APC Consensus statements 2011 & Bariatric surgery should be considered for the treatment of obesity for acceptable Asian candidates with BMI ≥ 35 with or without co-morbidities & Bariatric/GI metabolic surgery should be considered for the treatment of T2DM or metabolic syndrome for patients who are inadequately controlled by lifestyle alternations and medical treatment for acceptable Asian candidates with BMI ≥ 30 & The surgical approach may be considered as a non- primary alternative to treat inadequately controlled T2DM, or metabolic syndrome, for suitable Asian can- didates with BMI ≥ 27.5. K. Kasama (*) : Y. Seki Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo, Japan e-mail: surgery@beige.ocn.ne.jp W. Mui Hong Kong Bariatric and Metabolic Institute, Hong Kong, China W. J. Lee Department of Surgery, Min-Sheng General Hospital, Taoyuan, Taiwan M. Lakdawala Center for Obesity and Diabetes Support, Mumbai, India T. Naitoh : I. Sasaki Department of Surgery, Tohoku University Hospital, Sendai, Japan A. Sasaki : G. Wakabayashi Department of Surgery, Iwate Medical University School of Medicine, Morioka, Japan I. Kawamura Department of Surgery, Toho University Sakura Medical Center, Chiba, Japan L. Kow Department of General and Digestive Surgery, Flinders Medical Centre and Adelaide Bariatric Centre, Adelaide, Australia H. Frydenberg Epwarth Center of Bariatric Surgery, Melbourne, Australia A. Chen Department of Surgery, Khoo Teck Puat Hospital, Singapore, Singapore M. Narwaria Asian Institute of Gastroenterology Surgery, Ahmedabad, India P. Chowbey Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Super-Speciality Hospital, New Delhi, India OBES SURG (2012) 22:677–684 DOI 10.1007/s11695-012-0610-7