Weight control challenges many women entering menopause. For some, weight gain is only an assault on their personal image. For others, however, their abdominal obesity more so than their total weight gain significantly increases their risk for type 2 diabetes mellitus and heart disease. Diet and exercise have been the tools for managing weight gain in the past. While effective for some, a more aggressive approach involving bariatric surgery to limit intestinal absorption has been required for those whose body mass index (BMI) places them in the obese category.