Bariatric gastric sleeve surgery was originally designed to be the first part of a two-part weight loss surgery process. Recently, surgeons have used this procedure as a stand-alone solution. This procedure actually removes 60%-85% of the stomach laparoscopically, leaving only a tube or "sleeve" of the stomach remaining. The hunger producing hormone is also removed. Good candidates for this procedure include those who cannot return for mutiple follow up appointments as with gastric banding, or those who have gastric related diseases such as Diabetes.