Do current body mass index criteria for obesity surgery reflect cardiovascular risk?

Cardiovascular risk factors are markedly increased for many individuals with a body mass index >30 kg/m2. Massively obese individuals might have better CVD risk profiles than less obese individuals. The discrepancy is related, in part, to body conformation. The criteria for obesity surgery should be changed to lower BMIs than are currently used if patients have risk factors for CVD.