The gastric carcinoid only counts for 0.5% of all carcinoids. Diagnostic studies include gastroscopy and biopsy, barium swallow and somatostatin receptor scintigraphy. We report a case of a 47 year old patient with pernicious anemia and high gastrin levels. As a first step the resection lines are defined. The bursa omentalis is opened. The duodenum is prepared using the harmonic scalpel. The gastroepiploic artery is preserved. The duodenum is stapled. A stapler is placed coming from the greater curve to resect the antrum. To bring up a jejunal loop without compromise we divide the omentum majus. The enterotomy and gastrotomy is done using harmonic scalpel. A 45 linear stapler creates the gastro-enterostomy. The remaining defect is closed with silk 2/0. Without tension a BI can be performed also. The patients are discharged on day three. Gastrin levels normalized and the anemia was corrected. Laparoscopic gastric procedures are feasible and safe and should be the method of choice in benign gastric diseases.