Postgraduate Department of General and Minimal Access Surgery ,Govt. Medical College Srinagar performed the first laparoscopic bariatric surgery thereby adding new achievement to its domain. A lady aged forty years, with weight of 109kgs,height of 5ft-3 inches with BMI of 42.56,with comorbidities of hypertension, hypothyroidism, and sleep apnea was operated by the team of surgeons and laparoscopic sleeve gastrectomy with cholecystectomy was performed. The surgery was conducted by Dr. Mushtaq Chalkoo, Associate professor and senior laparoscopic gastrointestinal surgeon and the team under the patronage of Prof.Mumtaz din wani. The patient was anesthetised by Prof .Rukhsana Najeeb, Anaesthesiologist and critical care specialist and her team. The Deptt.of surgery and anaesthesia have applauded the team for their efforts of this new venture at GMC Sgr. Principal and Dean Govt. Medical College Srinagar congratulated the operating team for this new beginning. According to Dr.Chalkoo , Sleeve gastrectomy is a restrictive procedure. It greatly reduces the size of stomach and limits the amount of food that can be eaten at one time. It does not cause decreased absorption of nutrients or bypass the intestines. After this surgery patients feel full after eating very small amounts of food. Sleeve gastrectomy may also cause a decrease in appetite. In addition to reducing the size of the stomach, the procedure reduces the amount of the hunger hormone, Ghrelin produced by the stomach. Several studies have documented excellent weight loss up to three years. The average patient will lose 40-50% of their access weight in the first two years after the procedure. Additionally more than 75% of patients will have significant improvement or resolution of major obesity related co-morbidities such as diabetes, hypertension, sleep apnea and hyperlipidaemia following sleeve gastrectomy. The majority of sleeve gastrectomy performed today or completed laparoscopically.this involves making five or six small incisions in the abdomen and performing the procedure using a video camera (laparoscope) and long instruments that are placed through these small incisions.