Introduction: Adolescent bariatric surgery in modern pediatric practice

Millions of American teenagers are affected by severe obesity, many of whom develop significant comorbidities before adulthood. Bariatric surgery is an essential and effective option, even in the age of GLP-1 receptor agonists. Adolescents are not simply smaller adults; physiologic responses and psychosocial needs differ fundamentally. This special issue includes contributions from surgeons and researchers who have established MBSAQIP-accredited programs. By sharing institutional experiences, we hope to expand access and improve outcomes for adolescents with severe obesity.