In an effort to minimize the associated morbidity and mortality with a one stage gastric bypass procedures among patients with super morbid obesity, two stage operation which consist of a sleeve gastrectomy (1st stage) followed by an interval gastric bypass or duodenal switch is a safe alternative. A 50 year old male with super morbid obesity (BMI=65) underwent laparoscopic sleeve gastrectomy. The greater curvature was mobilized proximally to the level of the left crus, the distal greater curvature was mobilized to 5 cm from the pylorus. The greater curvature was transected using multiple firings of linear staplers 60 mm -4.8 mm (over a 40 .Fr bougie) reinforced with absorbable sheets. The patient underwent upper GI study which showed no leak. The patient was discharged on postoperative day 2 on puree diet. Laparoscopic sleeve gastrectomy is a feasible option among super morbid obese patients.