The American Medical Association (Chicago) sparked a great deal of controversy in 2013 by officially recognizing obesity as a disease. That seemingly simple distinction may have played a significant part in attracting new device-based approaches for weight loss, making the market for such technology more competitive than ever. Medical Device Daily reported on the competitiveness of the space on Monday (Medical Device Daily, July 20, 2015) and this second part of that story explores the regulatory and reimbursement hurdles that have historically plagued the sector.