Laparoscopic Sleeve Gastrectomy is becoming increasingly utilized for staged treatment of morbid obesity and possibly as a primary restrictive procedure. Presented here is transoral extraction of the stomach performed to decrease the risk of infection and hernia at the extraction site. Laparoscopic Sleeve Gastrectomy was performed in a 55 year old male with a history or morbid obesity, CVA, CABG, Barrett's esophagus, HTN, DM, hyperlipidemia. As the sleeve was being formed a fundic remnant was created facilitating creation of a gastrotomy. At this point a gastroscopy was performed and the greater curvature of the stomach was snared via the gastrotomy. The resected stomach was extracted transorally without incident and the gastrotomy was closed with a linear stapler reinforced with bioabsorbable buttress material. Integrity was tested with the endoscope. A Swallow Study on POD #1 did not reveal any evidence of anastomotic leak and the patient was started on bariatric clear liquids. The patient was discharged on POD #3 and was doing well on follow-up 2 weeks later. The ease of this technique and absence of post-operative complications indicate that transoral gastric extraction is feasible and may lead to decreased risk of incisional hernia and infections at the extraction site.