In the discussion, the most important thing should be discussed is the Vaspin, which is one of the adipokines and associated with obesity,[26] and LVBG is one of the most frequent and effective treatments for morbid obesity.[27] We investigated the role of serum vaspin level in predicting the amelioration of fatty liver and metabolic disturbance in patients with severe obesity following LVBG. Here, SERPINA12 is linked to morbid obesity.