It is common practice to recommend nutritional supplementation, such as multi-vitamins and iron, following bariatric surgery for all patients. However, evidence is scarce regarding specific recommendations for pregnant women. We did not identify any randomized studies assessing this question of efficacy of management strategies. Studies evaluating pregnancy following laparoscopic adjustable gastric banding or gastric bypass have shown minimal nutritional adverse events; however, most of these studies monitored and ensured that the women complied with vitamin supplementation. Some case reports/case series stated that the patients who had nutritional deficiencies did not take the recommended supplements. Regarding laparoscopic adjustable.