In a subset of super-obese patients, the one-stage laparoscopic Roux-en-Y gastric bypass (RYGBP) can be associated with significant morbidity and mortality. We find that the primary limiting factor in the super-obese is the volume of the left lobe of the liver that obscures visualization of the gastroesophageal junction and angle of His. In this video, we describe a method utilizing a staged Roux-en-Y procedure. The patient is a 49 year old male with multiple medical problems, BMI of 65 and an enlarge left lobe of liver. We fashion a modified Roux-en-Y with a low gastrojejunal anastomosis and a larger gastric pouch encompassing the gastric fundus. The low Roux-en-Y anastomosis obviates the need for exposure of the gastro-esophageal junction and angle of His. At the 2nd stage procedure, completion sleeve gastrectomy of the gastric fundus is performed at an interval of 6-12 months after the 1st stage operation. The Laparoscopic Staged Roux-en-Y Gastric Bypass is safe and feasible and is an alternative for patients with high BMI and enlarged left lobe of the liver.