Altieri MS, et al. - Researchers investigated for specific annual surgeon procedural volumes that could be associated with improvement of postoperative outcomes following Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG). Using the SPARCS Administrative database, they included 46,511 laparoscopic bariatric procedures in this study. Analysis revealed a decrease in the risk for any complication and 30-day readmissions following RYGB with increasing RYGB volume up to a specific volume and afterward, it stayed similar (OR 0.97, 95% CI 0.96–0.98 while volume < 247.9 cases/year and OR 0.99, 95% CI 0.98–0.99 while volume < 354.1 cases/year, respectively) while there was a decrease in risk for extended length of stay (LOS) with increasing combined bariatric mean volume up to a specific volume and afterward, it stayed similar (OR 0.9, 95% CI 0.85–0.95 while volume < 62.1 cases/year). They identified similar patterns for extended LOS and complications following SG (OR 0.82, 95% CI 0.72–0.93 while SG volume < 26.3 cases/year and OR 0.94, 95% CI 0.91–0.98 while combined volume < 62.1 cases/year, respectively), while there was a significant increase in 30-day readmission following SG when combined bariatric volume being more than 138 cases/year (OR 1.10, 95% CI 1.00–1.21 while combined volume > 138 cases/year)). These outcomes support the existence of the association of procedure-specific annual surgeons’ volume with bariatric procedure peri-operative outcomes.