Abstract
In this technical note, a novel rating scale (abdominal integral index) was introduced for assessing the conditions of the working laparoscopic space based on linear measurements to select the optimal one or two-stage surgical treatment for super-obesity. Patients with the same height and similar BMI values had different rating scale scores, reflecting different conditions of laparoscopic bariatric surgery. The rating scale helps surgeons and patients make a safe option for surgery, depending on the experience of the surgeon and technical laparoscopic conditions.