Obesity and its complications, including metabolic dysfunction-associated steatohepatitis, are now major drivers of liver transplantation (LT) worldwide. Therefore, transplant surgeons are increasingly encountering patients who have undergone bariatric surgery prior to LT. Past reports suggested bariatric surgery does not adversely affect LT outcomes such as perioperative complications or survival. However, emerging evidence indicates a nuanced reality. Chang et al recently published a study in