Obesity Surgery and Kidney Transplant for Patients With Obesity and Renal Failure

Inclusion Criteria: * Body mass index 40-55 kg/m2 * Age less than 60 years * Available support person * Adequate insurance * All other criteria required for renal transplantation Exclusion Criteria: * Schizophrenia * Bipolar disorder * Crohn's disease * Human Immunodeficiency Virus * Cirrhosis * Prior weight loss surgery * Prior mesh hernia repair * Prior anti-reflux surgery * Inability to walk 200 feet * Significant coronary disease * Significant lung disease - Fixed expiratory volume 1 less than 75% or on oxygen * Addiction to alcohol or drugs * Inability to quit smoking * Jehovah's witness * Non-compliance with dialysis regimen * Previous renal transplant * Non-English speaking