The prevalence of obesity and type 2 diabetes mellitus (T2DM) has been increasing rapidly in China during the past decades. China now has the largest number of obesity and T2DM patients in the world. A great deal of clinical evidences indicate that laparoscopic Roux-en-Y gastric bypass surgery (LRYGB) is able to significantly reduce the body weight of morbidly obese patients, improve T2DM and other obesity related co-morbidities. LRYGB has more than 14 years of history in China. However, there is still not a relevant procedural guideline for this procedure. For this reason, the Chinese Society for Metabolic and Bariatric Surgery (CSMBS) initiated the first edition of the The Procedural Guideline for Laparoscopic Roux-en-Y Gastric Bypass, in order to standardize laparoscopic Roux-en-Y gastric bypass surgical procedure, and to provide reference for surgeons practicing in the field.