Supporting Evidence



This is a simple grading system of the Surgeon(s) Hospital and the Medical Practice using a ranking system based on the factors that determine safety and effective and durable weight-loss.

The highest possible score is obtained only when a Surgeon(s), Medical Practice and Hospital is Certified and Awarded a Centers of Excellence designation by a trusted non-profit third party certifying organization.

Two of these independent entities exist.



Rate the Doctor and the Hospital according to published statements on safety by the American Medical Association (AMA-ASSN.ORG), American College of Surgeons (FACS.ORG) and the American Society of Bariatric and Metabolic Surgery (ASMBS.ORG) statements on global health care and medical tourism.



Center of Excellence Certifications across the World


The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. Click Here
On April 1, 2012, the American College of Surgeons (ACS) and the American Society for Metabolic and the Bariatric Surgery (ASMBS) combined their respective national bariatric surgery accreditation programs into a single unified program to achieve one national accreditation standard for bariatric surgery centers, the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP).

The Center of Excellence in Metabolic and Bariatric Surgery (COEMBS) and Surgeon of Excellence in Metabolic and Bariatric Surgery (SOEMBS)
The Center of Excellence in Metabolic and Bariatric Surgery (COEMBS) and Surgeon of Excellence in Metabolic and Bariatric Surgery (SOEMBS) programs reflect the specific needs of obese patients and the unique roles and responsibilities of bariatric and metabolic surgery providers. These programs are available to surgeons, hospitals and ambulatory surgery centers in the United States and around the world.

The only certification for Bariatric Hospitals, Medical Practices and Surgeon(s) that Certifies International Centers including Mexico by a recognized organization headquartered in the Unites States is the Surgical Review Corporation (SRCCOE).

The Center of Excellence in Metabolic and Bariatric Surgery (COEMBS) and Surgeon of Excellence in Metabolic and Bariatric Surgery (SOEMBS) Click Here

A Centers of Excellence Certification for Europe Asia and Africa is available through
IFSO - International Federation for the Surgery of Obesity Click Here
IFSO Standards of Excellence Document: Click Here

Only for Hospitals. Non-Bariatric Specific

A Certification available through Joint Commission International (JCI) is available internationally only for the Hospital. Does not review or certify the Surgeon(s) or his practice. This accreditation is NOT Bariatric Specific as they do not provide specific requirements that may be essential in the safe and successful treatment of Bariatric patients undergoing Bariatric Surgery. They do however improve patient safety and quality healthcare through their accreditation by promoting rigorous standards of care and help establish the availability of standards of care and solutions for achieving peak performance.





Detailed Explanation on Centers of Excellence and the importance when traveling outside the United States and Canada for weight-loss surgery.

* Excerpt from Surgical Review website.

The Center of Excellence in Metabolic and Bariatric Surgery™ (COEMBS™) program is a global patient safety and quality improvement program available to all bariatric surgeons and facilities around the world. The COEMBS program also offers the first surgeon-only certification option, which is ideal for surgeons who perform surgeries at multiple hospitals. The COEMBS program reflects the specific needs of obese patients and the unique roles and responsibilities of bariatric and metabolic surgery providers.




Certifications Awarded to Facilities and Surgeons


Truly excellent patient care is the result of both the individual surgeon and the facility where the surgery is performed. The COEMBS designation is therefore awarded to a facility and its associated surgeons who have successfully completed the designation process, which enables patients to distinguish providers who have met the requirements for delivering high-quality perioperative and long-term follow-up care from those who have not.



Comprehensive Requirements

SRC has worked with the world’s leading bariatric and metabolic societies and other stakeholders to develop objective requirements and evaluation processes. A commitment to long-term patient care and success necessitates that the requirements for COEMBS designation be comprehensive, research-based and verified through a rigorous site inspection.

The 10 requirements for COEMBS certification, which have been recognized for their universal applicability, are as follows:



Institutional Commitment to Excellence
Surgeon Dedication and Qualified Call Coverage



Surgical Volume and Outcomes
Clinical Pathways and Standardized Operating Procedures



Designated Medical Director
Bariatric Nurses, Physician Extenders and Program Coordinator



Consultative Services
Patient Support Groups



Appropriate Equipment and Instruments
Long-Term Patient Follow-Up and Outcomes Data





However, when it comes to designating Centers of Excellence for bariatric surgery around the world, one size does not fit all. SRC recognizes that each world region is unique and makes accommodations as appropriate.


Please contact SRC Support if you have questions regarding whether your facility meets the COEMBS requirements.








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