This video describes our triple-stapled gastric bypass procedure for morbid obesity. The senior author has performed over 1,000 of these procedures. Using this technique, the staple line break-down rate is <2%. Weight loss at 1 to 3 years is 2/3 of excess weight, 60% at 5 years, and mid-50's years 6-9. Mortality is <.055, and anastomotic leak rate is 2.5%