Biliopancreatic treatment is the removal of the different part of the stomach leaving the pylorus intact. The pylorus is the valve that controls the food drainage from the stomach. The biliopancreatic diversion with duodenal switch combines sleeve gastrectomy with a duodenal switch to achieve maximum weight loss. Super obese patient benefits the greatest from this procedure as it produces a higher mean excess weight loss. The weight loss procedure is a surgical technique to attain maximum benefit and minimal morbidity. Since the body does not absorb many nutrients, the patient is exposed to higher risk of health problems, and that is why the treatment is considered more complicated than Duodenal Switch Surgery.