The article identifies the main problems that may arise when organizing a bariatric service in a multidisciplinary hospital. The ways of their solution are proposed. Special attention is paid to the problem of the organization and development of bariatric surgery at the legislative level. The problems of technical equipment of hospitals where bariatric operations are performed are described in detail. An important place is given to the need for special training of surgeons, the role of a multidisciplinary approach to the surgical treatment of obese patients. The treatment of a surgical patient consists of several stages: preoperative examination and preparation for surgery; performing bariatric surgery, performing aesthetic operations, lifelong outpatient observation.