As childhood obesity has more than doubled over recent years and more than tripled in adolescents (according to the CDC), bariatric surgery for youth has become increasingly common.[43][44] Society worries that a decline in life expectancy might occur from the increasing levels of obesity.[45] There is an innate moral obligation to provide youth with proper care in order to prevent serious medical complications from obesity and its related diseases. Difficulties and ethical issues arise when making decisions related to obesity treatments for those that are too young or otherwise unable to give consent without adult guidance.[43]