The problem that Jackson, Wilson and company faced is the same problem facing an increasing number of Americans: obesity. More than simply being overweight, many bariatric patients suffer from diabetes, sleep apnea, and other diseases caused by their weight problem. Surgery is a proven way to combat these problems when diet and exercise have failed. Despite an average price tag of $25,000 (which can be covered under health insurance in many cases), Americans are choosing this option more and more frequently. Some 103,200 patients had the surgery performed in 2003, and Georgeann Mallory, executive director for the American Society for Bariatric Surgery (ASBS), expects that number to increase to about 140,000 to 145,000 in 2004.