Massive weight loss surgery is an entity on its own encompassing all the above procedures. Patient who have successfully lost weight have excess skin around the body and loss of subcutaneous fat around the facial region. The excess skin can be removed and subcutaneous tissue repositioned with surgery. A thorough consultation is mandatory to discuss the pros and cons of treatment. Some patients will require a sequence of surgery therefore, it is important to plan carefully in advance for the health and safety of the patient.