Mr X come to see me for his weight problem since young, which has disturbed him, restricted his exercise due to knee pain. Initially, he was quite worry about this weight loss surgery as he had never undergo any form of surgery before. After several consultations and understanding the pro and cons of this procedure, he decided for sleeve gastrectomy where 80-90 prercent sof his tomach would be removed and the remnant stomach would be fashioned as a long and slim gastric tube. He discharged well after 2nd day surgery and was fully compliant with post- bariatric surgery dietary plan. He advanced well with the dietry progress and also made consistent effort for exersice in order to achieve optimal weight lost. I am happy for his weight lost journey and he has becomes more confidence and handsome too !