This report provides a critical evaluation of Mr. C's health condition, based on the provided case study. Mr. C, a 32-year-old, is obese and considering bariatric surgery. The report analyzes his clinical manifestations, including a BMI of 44.9, hypertension, dyspnea, diabetes, and elevated cholesterol, creatinine, and BUN levels. It identifies potential health risks such as heart problems and renal failure, emphasizing the need for interventions. The report discusses the staging of end-stage renal disease (ESRD) and contributing factors. It also explores ESRD prevention strategies, the importance of diet and lifestyle changes, and the benefits of a multidisciplinary approach involving physicians, nutritionists, nurses, and physical trainers. The conclusion summarizes Mr. C's conditions and the importance of preventive measures to avoid ESRD.