Second, Podnos and colleagues have reviewed the literature regarding the complications after laparoscopic gastric bypass (3464 cases). They found that the type and frequency of postoperative complications after laparoscopic and open gastric bypass are different. Laparoscopic operations were associated with a higher frequency of early and late bowel obstruction, gastrointestinal hemorrhage, and stomal stenosis, whereas the open bypass was plagued by iatrogenic splenectomy, wound infection, incisional hernia, and mortality. The authors believe that part of the difference regarding laparoscopy is related to the learning curve of this complex procedure. This article provides an interesting analysis.