their own homes. people who are frail and elderly (score of 4 or 5) have even worse outcomes, with the risk of being discharged to a nursing home rising to twenty times the rate for non-frail elderly people. children surgery on children requires considerations that are not common in adult surgery. children and adolescents are still developing physically and mentally making it difficult for them to make informed decisions and give consent for surgical treatments. bariatric surgery in youth is among the controversial topics related to surgery in children.