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0 years (IQR 2.4-5.7 years), bariatric surgery was associated with a lower risk of mortality (9.2 vs 14.7 per 1,000 person-years; HR 0.63; 95%CI 0.60-0.66), new-onset HF (HR 0.46; 95%CI 0.44-0.49), MI (HR 0.63; 95%CI 0.59-0.68), and stroke (HR 0.71; 95% CI 0.65-0.79) (P 0.001). The benefit of bariatric surgery was evident in patients who were 65 years and older. Using instrumental variable analysis, bariatric surgery was associated with a lower risk of mortality, HF, and MI. Among Medicare beneficiaries with obesity, bariatric sur