减重代谢外科进入中国已有30余年，迅速发展。可以预测的是，在未来的发展道路上也将面临诸多机遇与挑战——无论是经典术式的变迁，手术安全性的保证，新术式的勇敢探求和不良术式的果断摒弃，手术规范化的落实，还是基础与临床科研的突破，都意味着更多的付出。随着代谢综合征发病率的持续攀升，以及人们对健康需求的不断提高，这种机遇与挑战尤为显著，减重代谢外科手术也将在战胜肥胖及代谢性疾病中扮演至关重要的角色。“,”Bariatric and metabolic surgery has been in China for more than 30 years, which has developed rapidly. However, it can be predicted that there will be many opportunities and challenges in the future development of bariatric and metabolic surgery, including the replacement of classic surgical methods, the guarantee of surgical safety, the brave exploration of new surgical methods, the decisive abandonment of bad surgical methods, the implementation of surgical standardization, and the breakthrough of basic and clinical research all mean more efforts. With the continuous rise of the incidence rate of metabolic syndrome and the continuous improvement of people′s health needs, these opportunities and challenges are particularly significant. Bariatric and metabolic surgery will also play a crucial role in overcoming obesity and metabolic diseases.