There are other methods other than transition partition that can be used in patients with metabolic problems and type diabetes. However, although they are successful, they may bring some extra abnormal problems to the patient. For example, we can give examples such as biliopancreatic diversion-duodenal switch surgeries single anastomosis duodenal switch surgeries sadis surgeries, which really have very effective results, very serious improvements in typical diabetes and very serious improvements in metabolic problems, but they constitute a group of patients who need to be followed up very seriously and frequently due to the occurrence of a number of vast disorders in other diseases, in this respect, we prefer Transition more than these surgeries.