Pregnancy within the first year after bariatric surgery carries the highest risks due to rapid weight loss and potential malnutrition. Both the American Society for Metabolic and Bariatric Surgery and the American College of Obstetricians and Gynecologists recommend waiting 12-24 months after surgery to become pregnant in order to allow time for adequate nutritional intake and weight stabilization. While bariatric surgery provides benefits like reduced risks of gestational diabetes and hypertension, it can also increase risks of preterm birth, low birth weight, and neonatal intensive care unit admission if pregnancy occurs too soon after surgery before the body has fully adjusted. The recommendation is to postpone pregnancy for at least 12 months after bariatric surgery and