A 45 year old morbidly obese patient weighed 123kgs came to me with a non healing ulcer on his leg . It had been bothering him for a year and half . Root cause for his ulcer being his overweight. He was advised to reduced weight along with special dressings . he managed to reduce 10kilos, ulcer healed within a month but recurred after 6months .On re-examination he was found to have gained more weight (135kgs). I advised him to undergo Bariatric surgery which would be the permanent solution for his problem. He underwent bariatric surgery accordingly following which we placed a Skin graft on his ulcer which healed . Currently he is totally symptom free and weighed 88kgs the last time he consulted me.