“…The PWS patients underwent further genetic evaluation for confirmation of the condition with DNA methylation analysis on chromosome 15, with no further genetic testing [17-19]. All patients were managed under the standardized pediatric bariatric surgery pathway implemented at the College of Medicine, King Saud University, which is a multidisciplinary model encompassing pediatric endocrinology, bariatric surgery, nutrition, nursing, psychology, and health education services with detailed outpatient, preoperative, intraoperative, and postoperative protocols [20]. Ethical approval from the Institutional Review Board of King Saud University was granted for this management methodology.…”