1) Body weight greater than 100 pounds or 45 kg above ideal weight.2) Body Mass Index /BMI greater than 40 with or without any other medical condition.3) Or BMI greater than 35 with associated comorbidities related to obesity, such as high blood pressure, type 2 diabetes, sleep apnea and gallbladder disease. 4) Documented history of weight loss attempts.5) Must not have bad habits (active alcoholism, active drug addiction) or a major psychiatric disorder. Hope this helps