Walsall Manor Hospital is an acute general hospital in Walsall, West Midlands managed by the Walsall Healthcare NHS Trust.
Bariatric surgery provides durable weight loss and metabolic benefits. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are increasingly used preoperatively, yet their impact on surgical outcomes is unclear. We assessed whether preoperative GLP-1 therapy improves postoperative (surgery-anchored) weight loss and metabolic outcomes. We retrospectively analysed a prospectively maintained single-centre cohort of adults undergoing primary bariatric surgery (January 2022–December 2023). Preoperative pharmacotherapy comprised GLP-1 RAs during optimisation. Primary outcomes were preoperative and postoperative weight loss, BMI, and
