The bariatric surgery team at Dr. Sulaiman Al Habib Hospital in Qassim succeeded in performing a laparoscopic gastric sleeve operation for a 23-year-old patient, whose weight exceeded 145 kg and a body mass of 52, and this severe obesity led to several health complications, which made her complain of physical pain. ; Especially in the back area as well as the joints of the knees; Which led to the difficulty of performing daily tasks, walking and movement.