Bariatric surgery has developed in western countries for more than 50 years. With the increase of obese patients in China, the surgical treatment of obesity anf diabetes become acceptable. it is important to review the history of bariatric surgery and summarize suitable procedures for Chinese bariatric surgery including Roux-en-Y gastric bypass, sleeve gastrectomy, and adjustable gastric band. Appropriate procedure selection is made according to the condition of patients and their desire. It is very important to follow up all the patients postoperatively, and achieve the best bariatric outcomes.