Background: Obesity and type 2 diabetes mellitus (T2DM) are growing global health concerns and Canada's Indigenous population is at higher lifetime risk of both. Obesity increases the risk for insulin resistance, T2DM, cardiovascular disease and all-cause mortality. Bariatric surgery is an effective method for improvement or cure of all obesity-related comorbidities, including T2DM. The objective of this scoping review was to interrogate the literature and explore the experiences and outcomes of Indigenous people undergoing bariatric surgery. Methods: Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews (PRISMA-ScR) guidelines, we conducted a search of Medline, Scopus, CINAHL and Embase. Two independent reviewers identified all studies exploring the experiences and outcomes of Indigenous patients undergoing bariatric surgery. Included quantitative and qualitative data were evaluated using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) and Critical Appraisal Skills Programme (CASP) approaches, respectively. Results: A total of 92 articles were returned in our search. Thirteen articles were included in our analysis: 4 qualitative studies and 9 quantitative studies. Substantial heterogeneity precluded pooled analysis. Analysis of quantitative data revealed that Indigenous patients underwent fewer bariatric procedures, had poorer clinic attendance (both preoperative and postoperative), similar weight loss outcomes and slightly higher postoperative complication rates. Qualitative data analysis revealed that obese Indigenous patients have a strong desire to improve their health and quality of life with bariatric surgery. Family is a very important support mechanism and motivator for pursuing bariatric surgery; however, nonsurgeon bariatric pathway supports for Indigenous patients are lacking. Conclusion: There is a paucity of literature examining the experiences or outcomes of Indigenous patients undergoing bariatric surgery. Existing literature appears to suggest inequity in access to bariatric surgery for Indigenous patients despite strong motivators for pursuing surgery. To identify and address the gaps in access and health outcomes for Indigenous peoples, more research needs to be conducted in this area.