A Sleeve Gastrectomy is a restrictive procedure, which limits the amount of food you can eat by reducing the size of your stomach. During this procedure a thin vertical sleeve of the stomach is created using a stapling device. This sleeve will typically hold between 50 and 150 ml, or is about the size of a skinny banana. The excised portion of the stomach is removed. Because there is no bypass, digestion remains the same with no malabsorption taking place. One must take small bites and chew well to avoid discomfort and/or vomiting. This surgery has a high resolution of type 2 diabetes, hypertension, high cholesterol and sleep apnea. Approximate excess weight loss is 60% over one to two years. This surgery is laparoscopic and irreversible. Complications and risks will be discussed in detail at the consultation with the surgeon.