Benito E, Gómez-Martin JM, Vega-Piñero B, et al. - Researchers conducted this unicenter cohort study to analyze fertility and gestational outcomes in women with polycystic ovary syndrome (PCOS) following bariatric surgery. For this analysis, 216 premenopausal women were screened for PCOS prior to bariatric surgery. From 2005 to 2015, all participants had bariatric surgery. Pregnancy rates for women seeking fertility were 95.2% in PCOS and 76.9% in controls and live birth rates were 81.0% and 69.2%, respectively. The time after surgery to reach the first pregnancy was 34 ± 28 months in women with PCOS, and 32 ± 25 months in controls. There were rare maternal and neonatal complications, with no differences between groups. Pregnancy and fertility rates were high in very obese women with PCOS after bariatric surgery, with few maternal and neonatal complications.