Response to “Laparoscopic Sleeve Gastrectomy as a Weight Reduction Strategy in Obese Patients After Kidney Transplantation“

We thank Adani et al for their interest in our manuscript and are pleased to have the opportunity to address their comments on the timing of the bariatric surgery in transplant patients (1). We agree entirely that obese patients with end-stage renal disease should ideally undergo bariatric surgery prior to kidney transplantation. However, this is not always possible or compatible with the reality of transplantations for a number of reasons.