Surgical treatment of morbid obesity has witnessed a significant evolution since the advent of laparoscopy. Laparoscopic Sleeve GastrectomyLaparoscopic Sleeve Gastrectomy (LSG) (LSG) was originally intended as a bridging procedure for super obese patients awaiting definitive bariatric intervention, but has evolved into a stand-alone procedureSleeve gastrectomy (SG)to mini/one anastomosis gastric bypassprocedures and historic backgroundencouraged bySleeve gastrectomy (SG)to mini/one anastomosis gastric bypassearly postoperative complicationsearly postoperativeMini/one anastomosis gastric bypass (MGB/OAGB)sleeve gastrectomy toearly postoperative complicationsresultsOne anastomosis gastric bypass (OAGB), bariatric surgery and GERDsleeve gastrectomy toearly postoperative complications and owing to its technical simplicity in performing LSGLaparoscopic Sleeve Gastrectomy (LSG) compared to Roux-en- Y Gastric Bypass (RYGB), it has become the most performed surgery in the world overtaking RYGB. Though early results seem encouraging, long term results show significant weight regain requiring revisional surgery. Dilation is part of the natural history of these operations. To address this issue, the placement of a ring/band around the pouch of the Gastric Bypass (GBP) was proposed to stabilize the size of the reservoir in the GBP operation. This resulted in better and sustained weight loss as compared to the non-banded GBP. The same concept was applied to the LSGLaparoscopic Sleeve Gastrectomy (LSG) by placing a ring/band loosely around the proximal sleeve. This resulted in better and sustained weight loss compared to the non-banded sleeve. In this chapter, we will cover the procedure of performing a banded sleeve, pre-, intra- and post-operative management, outcomes and complications following this procedure.