Jay A. Graham ,Juan P. Rocca ,Julia Torabi,Nidal Muhdi,Yoshifumi Miura, Gastric Bypass Prior to Simultaneous Pancreas-Kidney Transplantation for Optimization of Diabetic Management Surgery Case Reports 2020 2733-225X http://dx.doi.org/10.31487/j.JSCR.2020.01.04 https://www.sciencerepository.org/gastric-bypass-prior-to-simultaneous-pancreas-kidney_JSCR-2020-1-104 Abstract: Morbid obesity is a relative contraindication for abdominal organ transplantation. Obese patients present technical challenges intra-operatively and are at increased risk of post-operative complications. Bariatric surgery has been shown to be more effective than conventional weight loss strategies in morbidly obese patients, however, current literature is limited to the kidney transplant population. Here were present a case report of a patient with morbid obesity who underwent a laparoscopic Roux-en-Y gastric bypass prior to simultaneous pancreas kidney transplantation.Keywords: Simultaneous Pancreas-Kidney, transplantation, bariatric surgery, obesity, diabetes