Obesity is a chronic health condition and is closely associated with Type 2 Diabetes Mellitus (T2DM). In Central Australia and Alice Springs Hospital clinicians have complex barriers when trying to prevent and treat these conditions. The aim of this presentation is to emphasise the lack of equity to dedicated bariatric services with a focus on multidisciplinary teams and bariatric surgery in Central Australia compared to metropolitan centres. Indigenous Australians make up 20.6% of the patients living in Alice Springs and 85.6% of the people living in the remote communities who are serviced by Alice Springs Hospital. In 2018, 76.8% of Australia’s Indigenous population were found to be overweight or obese. In addition, 39.5% of the Indigenous Australians in Central Australia were found to suffer from T2DM. This is the highest rates recorded internationally. The high rates of obesity and T2DM have resulted in the highest rates of End-stage Renal Disease and lower limb amputations in Australia. Barriers which clinicians and patients face in Central Australia include a lack of allied health support, remote clients, associated costs with the Very Low Energy Diet (VLED) and no publicly funded bariatric surgery program in the Norther Territory. There are also cultural considerations when treating Indigenous Australians such as language barriers, poor health literacy, poverty, different ideas of food concepts and the involvement of family instead of the individual for health improvement strategies. This presentation further discusses these barriers and the impact they have on the patients in Central Australia.