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There is enough data to support surgery as the best treatment of morbid obese patients with type 2 diabetes mellitus (T2DM). The Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) is the gold standard surgical procedure. However, the sleeve gastrectomy is also being considered among the bariatric community. On June 21th, the 18th National Congress of the Spanish Society of Surgery of Morbid Obesity and its Metabolic Diseases (SECO) was held in Barcelona. On its first day Camilo Boza (Chile), Luigi Angrisani (Italy) and Antonio M. Lacy (Spain) performed 3 simultaneous live surgical procedures for the treatment of T2DM for the entire AIS Community: LRYGB, sleeve gastrectomy and conversion of a sleeve gastrectomy into LRYGB.