The neurohumoral signaling systems of the gastrointestinal (GI) tract are considered the most significant of the peripheral inputs controlling both food intake in the short term and energy balance over a longer time course. The importance of the GI tract in the control of energy balance is underscored by the marked beneficial effects of bariatric surgeries for the treatment of obesity. Despite their effectiveness, the mechanisms of bariatric surgery remain to be fully elucidated. Considerable new evidence points to the importance of gut-brain communication, gut barrier function and microbial signaling as three of the most important mechanisms of bariatric surgery-induced weight loss. These mechanisms are reviewed in the present article and the accompanying four papers.International Journal of Obesity Supplements (2016) 6, S3-S5; doi:10.1038/ijosup.2016.2Obesity and its metabolic complications remain one of the most challenging health issues facing society today. The rapidity with which shifts in the average weight of populations have increased since the late 1970s is remarkable. For example, in Canadian adults, rates of obesity have more than doubled from around 10% in the early 1970s to~25% today. 1-3 Similar trends have been seen around the world. These rapid shifts in weight over such a short time suggest that changes in diet, lifestyle and/or other environmental factors have a critical role in the expression of obesity. Although genetic factors may confer vulnerability (or protection) towards obesity, these are not likely to be the dominant cause of obesity in the majority of people.Obesity is ultimately caused by a state of positive energy balance. Whilst energy expenditure is an important determinant of overall energy balance, excessive energy intake is generally regarded as the major determinant of obesity. 4 There are numerous peripheral and central nervous system signaling systems involved in the regulation of food intake and energy balance. Of these, the neurohumoral signaling systems of the gastrointestinal (GI) tract are considered the most significant of the peripheral inputs controlling both food intake in the short term and energy balance over a longer time course. 5,6 Gut-derived signals impact other peripheral organs and tissues, such as the liver and adipose tissue, influencing their functions in ways that may increase or reduce the propensity for obesity. 5 The importance of the GI tract in the control of energy balance is underscored by the marked effects of bariatric surgery. 7,8 Altering the manner and quantity with which food is delivered to the small intestine either by greatly limiting the size of the stomach (as in vertical sleeve gastrectomy) or bypassing the majority of the stomach (as in Roux-en-Y gastric bypass) leads to marked and sustained reductions in body weight. 8,9 Considerable research effort has been expended to determine the mechanisms underlying the remarkable effects of bariatric surgery and the articles that follow this overview review much of the current thinking on th...