Gastric Sleeve — Before & After

Roughly 80% of the stomach is removed, leaving a banana-shaped sleeve.

What is gastric sleeve?

Roughly 80% of the stomach is removed, leaving a banana-shaped sleeve.

Also known as vsg, sleeve gastrectomy.

Gastric Sleeve by topic

Information pages — cost, recovery, surgeons, and more

Gastric Sleeve by recovery timeline

How the result evolves over time

Gastric Sleeve by demographic

Age and gender breakdowns of common candidates

Gastric Sleeve by ethnicity

Anatomical and aesthetic considerations across patient backgrounds

Gastric Sleeve by outcome reality

Range of results — from natural to cautionary

Gastric Sleeve by where it's performed

Regional approaches and aesthetic preferences

Frequently asked

How much weight will I lose with gastric sleeve?

Average 60–70% of excess weight at 1 year, plateauing around 18 months. Long-term (5+ years), 20–30% of patients regain a meaningful portion. Lifestyle adherence is the biggest variable.

Will insurance cover gastric sleeve?

Most US insurers cover with BMI ≥ 40, or BMI ≥ 35 with comorbidities (diabetes, sleep apnea, hypertension). Pre-op psychological evaluation, nutritional counseling, and 3–6 months of supervised weight loss are typical requirements.

What's the difference between sleeve and bypass?

Sleeve removes about 80% of the stomach. Bypass creates a small stomach pouch and reroutes the small intestine. Bypass produces more weight loss long-term and is better for severe GERD, but has higher complication rates and lifelong nutrient malabsorption.

Can a gastric sleeve be reversed?

No — the removed portion of stomach can't be put back. Sleeve can be revised to gastric bypass if needed (for GERD or weight regain), but this adds complications and isn't a true reversal.

What about sagging skin after gastric sleeve?

Significant weight loss leaves significant skin laxity. Most patients consider body contouring procedures (tummy tuck, breast lift, arm lift, thigh lift) 12–18 months after weight stabilizes. Some insurance plans cover panniculectomy when functional.