This procedure is almost always done laparoscopically through five small incisions in the abdomen. Laparoscopic surgery usually results in a shorter hospital stay, faster recovery, smaller scars, and less pain than open surgical procedures. The surgical procedure takes 1-2 hours with approximately 1-2 hours in the recovery room following surgery. The Sleeve Gastrectomy procedure does require one night stay in the hospital, but most patients return home the day after the procedure. The first day after surgery, we will get a swallow study with x-rays to evaluate the gastric sleeve.