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The Middle East and North African Chapter (IFSO-MENAC)
Khaled Gawdat
Growth, Leadership, and Regional Impact of the IFSO MENA Chapter
The Middle East and North African (MENA) region is a geographic bridge between Africa and Asia
that, while not a single geographic entity, shares a unified cultural identity through similar languages,
religions, and traditions. The International Federation for the Surgery of Obesity Middle East and
North African Chapter (IFSO-MENAC) is the youngest chapter in IFSO, founded in 2017, and
currently includes 12 member countries. Although geographically part of the broader region, Israel,
South Africa, and Turkey remain members of the European Chapter.
Origins and Precursor Societies (1999-2016)
The foundational idea for a regional chapter began in 1999 when the Egyptian Society for Bariatric
Surgery (ESBS), led by metabolic bariatric surgery (MBS) pioneer Professor Khaled Gawdat, and the
Kuwaiti Society for Bariatric Surgery, led by then-Minister of Health Dr. Mohammad AlJarallah, joined
IFSO as national societies. Because many countries in the region lacked surgery societies beyond
the scope of general surgery, they were unable to join IFSO directly. To resolve this, the Egyptian and
Kuwaiti societies applied to create a Pan Arab society affiliated with IFSO, ensuring that practitioners
of MBS across the entire region could unite under one umbrella.
The IFSO Executive Board and General Council approved these applications. Over the following
years, as IFSO expanded globally, other nations in the region joined, including the United Arab
Emirates (2008), Saudi Arabia (2009), Lebanon (2012), Jordan (2015), and Iraq (2019). Initially, these
countries joined the IFSO-APC or IFSO-EC until a dedicated regional framework could be
established.
Working toward united representation, two distinct precursor societies were formed: (1) the Gulf
Obesity Surgery Society (GOSS): Formed during a 2012 meeting in Dubai, GOSS included the Gulf
countries (Saudi Arabia, Kuwait, United Arab Emirates, Qatar, Bahrain, and Oman), with Mohammad
AlJarallah serving as its first president. Their inaugural conference was held in Kuwait in 2013. And,
(2) the Pan Arab Society for Metabolic and Bariatric Surgery (PASMBS): Formed in 2015 for the
remaining MENA countries (Egypt, Lebanon, Jordan, Iraq, and Libya), with Khaled Gawdat serving as
its first president. PASMBS held its first conference in Cairo in 2016.
Establishment and Early Leadership (2016-2018)
In a landmark meeting in November, 2016, in Cairo, held during the ESBS meeting, GOSS and
PASMBS agreed to join forces to apply for the IFSO-MENA Chapter. The IFSO General Council
formally approved the application in 2017. Initially formed by six countries—Kuwait, the United Arab
Emirates, and Saudi Arabia from GOSS; and Egypt, Lebanon, and Jordan from PASMBS—the chapter
later expanded to include Libya, Iraq, Tunisia, Bahrain, Oman, and Pakistan. Formal elections to
appoint the Executive Board and Officers of the MENAC were held in Dubai in December 2017.
From April 12-13, 2019, the 1st IFSO-MENAC meeting was held in Kuwait City, Kuwait (Salman Al
Sabah, President); October 30-31, 2020, the 2nd meeting was convened as a virtual congress due to
COVID-19 (Waleed Bukhari, President); the 3rd meeting, May 11-14, 2022, was held in Al Khobar,
Saudi Arabia (Prof. Mirza Gari, President); and the 4th, December 12-14, 2024, in Cairo, Egypt
(Khaled Gawdat, President).
that bariatric surgery is metabolic surgery, and metabolic surgery
resolves, or markedly improves, a plethora of physiological
diseases, e.g. type 2 diabetes and hyperlipidemia. Coinciding
with his presidency, Professor Buchwald published the first of
several highly cited MBS meta-analyses that demonstrated the
systemic benefits of MBS on obesity-associated conditions.
Beyond his IFSO presidency, Buchwald helped to guide the
organization’s long-term strategy as Chair of the Board of
Trustees.
08 - Arthur Garrido 2004-2005 Brazil
Professor Garrido is considered a pioneer of MBS in Brazil, where
his career has spanned more than 7,000 operations for obesity. He
founded the Brazilian Society of Bariatric Surgery (now the
Brazilian Society of Bariatric and Metabolic Surgery [SBCBM]) and
served as its first president. During his IFSO presidency, Garrido
expanded its membership significantly by fully integrating the
Latin American MBS societies into the organization. He launched
the First Latin American Symposium in Iguazu Falls in 2005, laying
the foundation for the creation and formal bylaws of the Latin
American Chapter of IFSO (IFSO-LAC). Garrido augmented IFSO’s
focus on a multidisciplinary framework, bringing more internists,
nutritionists, psychologists, and physical therapists into the IFSO
academic fold to aid in optimizing obesity treatment over the long
term. In addition to his IFSO presidency, he served the
organization as treasurer, and sat on its Board of Trustees. He
received the IFSO Lifetime Membership Award in recognition of
his contributions to the field. Garrido’s influence as a mentor to
generations of Brazilian and Latin American surgeons endures in
an award established in his name, presented annually at the
Brazilian Congress of Bariatric and Metabolic Surgery.

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