A bariatric clamp comprising: a first elongated portion comprising a first substrate member and a first polymer portion at least partially surrounding the first substrate member; a second elongated portion comprising a second substrate member and a second polymer portion at least partially surrounding the second substrate member; and a bight portion comprising a third polymer portion forming a flexible hinge joining the first and second elongated portions (6402, 6404) at respective proximal ends thereof; characterized in that the first elongated portion includes a first plurality of suture portions each comprising a recess that is an opening through the first substrate member and overlaid by the first polymer portion such that a perimeter of the recess is formed by the first substrate member and the recess is overlaid by the first polymer portion and the recess is configured to facilitate formation of a suture connection with a patient's stomach; wherein the second elongated portion includes a second plurality of suture portions each comprising a recess that is an opening through the second substrate member and overlaid by the second polymer portion such that a perimeter of the recess is formed by the second substrate member and the recess is overlaid by the second polymer portion and the recess is configured to facilitate formation of a suture connection with the patient's stomach; wherein the recess of the first substrate member provides a suture passageway through the first substrate member, and parts of the first polymer portion are disposed within the suture passageway to further form the first plurality of suture portions having said recesses; and wherein the recess of the second substrate member provides a suture passageway through the second substrate member, and parts of the second polymer portion are disposed within the suture passageway to further form the second plurality of suture portions having said recesses. a first elongated portion comprising a first substrate member and a first polymer portion at least partially surrounding the first substrate member; a second elongated portion comprising a second substrate member and a second polymer portion at least partially surrounding the second substrate member; and a bight portion comprising a third polymer portion forming a flexible hinge joining the first and second elongated portions (6402, 6404) at respective proximal ends thereof; characterized in that the first elongated portion includes a first plurality of suture portions each comprising a recess that is an opening through the first substrate member and overlaid by the first polymer portion such that a perimeter of the recess is formed by the first substrate member and the recess is overlaid by the first polymer portion and the recess is configured to facilitate formation of a suture connection with a patient's stomach; wherein the second elongated portion includes a second plurality of suture portions each comprising a recess that is an opening through the second substrate member and overlaid by the second polymer portion such that a perimeter of the recess is formed by the second substrate member and the recess is overlaid by the second polymer portion and the recess is configured to facilitate formation of a suture connection with the patient's stomach; wherein the recess of the first substrate member provides a suture passageway through the first substrate member, and parts of the first polymer portion are disposed within the suture passageway to further form the first plurality of suture portions having said recesses; and wherein the recess of the second substrate member provides a suture passageway through the second substrate member, and parts of the second polymer portion are disposed within the suture passageway to further form the second plurality of suture portions having said recesses.