Bariatric surgery is increasingly used to address clinically severe obesity and associated health conditions. The number of surgeons and centers offering these procedures has dramatically increased. Bariatric surgery is safer and more accessible than ever. The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program accredits centers if they meet certain requirements. The advent of accreditation has coincided with improved safety of bariatric surgery. An estimated 88% of bariatric procedures in the US take place at accredited centers.¹ A plan and an effort to attain long-term follow-up is an accreditation requirement. Unfortunately, maintaining contact with patients in the long term is difficult. Attrition rates in a 2017 publication were 69% at 3 years and increasing over time.² As programs lose contact with patients, it is important that the medical community be aware of issues that bariatric surgery patients may encounter.