Unruh KR, Bastawrous AL, Kaplan JA, et al. - Researchers sought to report on the incremental impact of BMI on morbidity and outcomes of colorectal operations. In addition, they examined if laparoscopic and robotic (MIS) approaches reduce this morbidity differently. They created a retrospective cohort of patients undergoing elective colorectal operations in SCOAP. A total of 22,863 elective colorectal operations (mean age 62, 55% female) were conducted at 42 hospitals from 2011 to 2019. Observations revealed correlation of severe obesity with raised conversion rates and worse short-term outcomes after colorectal surgery; a minimally invasive approach partially mitigated this trend. Increasing BMI linked with worse surgical outcomes even with MIS. Robotics linked with lower conversion and better outcomes in obese patients. BMI ≥ 40 tipping point for worse outcomes after risk adjustment. Findings overall yield support for broad application of MIS for colorectal operations in obese patients.