a) (b) Fig. 1. (a) Top and bottom views of the top monopole layer. (b) Top and bottom views of the finite sized metasurface layer with a metallic backing. The optimized dimensions are Gx = 62mm, Gy = 42mm, Ax = 39mm, Ay = 30mm, d1 = 1.5mm, Mw = 12mm, Ml = 21.8mm, tp = 1.15mm, msw = 4mm, msl = 11.3mm, gndl = 10mm, L1 = 16.86mm, L2 = 5.1mm, W1 = 9.75mm, W2 = 16mm, g1 = 2.15mm, and g2 = 2.49mm. The substrate material is Rogers RO3003 ( r=3, tan=0.0013).Abstract-This paper presents a low-profile metasurfaceenabled wearable antenna operating in the newly released medical wireless body-are network (MBAN) band from 2.36 to 2.40 GHz for off-body communications. The performance of the antenna was made possible by the introduction of a properly designed anisotropic metasurface which consists of only a 2 by 2 array of I-shaped resonating elements. Together with the finitesized metallic ground plane on the back of the metasurface, it provides a +90° reflection phase band to achieve the desired impedance matching for the planar monopole feed above the metasurface. The integrated antenna was fabricated and characterized, showing a strong correspondence between simulated and measured results. The resulting antenna has a remarkably low profile of only one-fiftieth of the operating wavelength, all while achieving a 5.5% -10 dB impedance bandwidth from 2.30 to 2.43 GHz, a gain of around 6.2 dBi, and a font-to-back ratio higher than 23 dB, thus making it a promising candidate for incorporation into various wearable systems.Index Terms-anisotropic metasurface, medical body-area network, wearable antennas.