The aim of this paper is to investigate through professionals at Nämndemansgården, a treatment home for alcohol and drugabuse, how they look at the underlying aspects of a large patient group which is seen in treatment after they have undergone bariatric surgery. We also want to find out if, and if so, how to work desirably with this group of patients. Nämndemansgården´s professionals testify that this patient group is a recurring phenomenon in abuse and addiction care. We therefore consider it important to highlight the current patient group, as we can gain more insight into and understanding of the emergence of this group. This is believed to be of importance to both social work and society at large, as well as for treatment facilities, but perhaps most of all for the individuals themselves. Through the paper we have concluded that most of the individuals in the patient group have a so-called addictive personality and their abuse/addiction is based on the concept of disease. Due to this the patient is struggling with an uncontrollable and overwhelming craving to use their drug for assorted reasons, whether it is a substance or a behaviour. It is therefore common for this patient group to change an abuse/addiction to another and that food and alcohol in this context may be close to exchanging one another. Furthermore, we have been able to see that there is a great need to work preventively in diverse ways with patients that are going to do a weight-reducing surgery, and that this does not always seem to be well-functioning today. In conclusion, when it comes to desirable treatments for the patient group, some of the professionals at Nämndemansgården consider that their current treatment plan adequately covers the patient group concerned. However, they see the possibility to be able to work more targeted during the patient´s post-treatment. On the other hand, others believe that it would be beneficial to specifically design the treatment for individuals who have undergone bariatric surgery, already in an initial stage of the treatment process.