What is Gastric Sleeve Recovery Time Like?

Weight-loss surgery begins lifetime of healthy living

A young woman who underwent gastric sleeve surgery celebrates her success during recovery.

Weight-loss surgery begins lifetime of healthy living

You can expect to lose a lot of weight with bariatric surgery, but it is not a quick fix.  


Gastric sleeve surgery, also known as laparoscopic sleeve gastrectomy, is the most common weight loss procedure. It makes the stomach smaller, creating a narrow “sleeve.” This limits how much food you can eat and helps with long-term weight loss.  


While the procedure can be life-changing, success depends on a strong commitment to healthy eating and lifestyle changes. Recovery starts in the hospital and continues at home.  


“Each person recovers at a different pace,” says Mark Takata, MD, a bariatric surgeon at Scripps Clinic. “Being well-informed and prepared will help reduce the risk of complications and ease your recovery from laparoscopic sleeve gastrectomy.”  

Who is a candidate for gastric sleeve surgery?  

Bariatric procedures help severely obese patients lose a significant amount of weight. They can also improve health conditions related to obesity.  


Candidates must have a Body Mass Index (BMI) of 35 or higher. They can also qualify with a BMI of 30-34.9 if they have obesity-related conditions. They must be willing to commit to long-term care and lifestyle changes.

How does gastric sleeve surgery work? 

Gastric sleeve surgery involves the removal of up to 80 percent of the stomach, leaving a tube-like pouch that holds less food. It also reduces hunger hormones, helping to keep your appetite in check. 


“You will feel full more quickly, have better appetite control and naturally not eat as much,” Dr. Takata says.  


The procedure usually takes one to two hours. It is done laparoscopically, using small incisions. This minimally invasive method allows for faster recovery, less pain, fewer complications and better cosmetic results. 

What is gastric sleeve recovery like?  

Most patients stay in the hospital for one day after surgery. This period is crucial for initial recovery and monitoring. 


As with any surgery, gastric sleeve has potential risks, such as leaks that can lead to infection. “These risks are very low,” Dr. Takata says. “Your care team will help you deal with any side effects, such as nausea and constipation.”  


Patients are usually monitored for:  


  • Pain control  
  • Fluid intake tolerance  
  • Mobility  
  • Early signs of complications like bleeding or leakage

Gastric sleeve recovery at home  

Diet plays a critical role in recovery. Patients follow a staged diet after surgery, starting in the hospital and later at home.  


“You’ll drink only clear liquids and protein drinks during the first five days to a week,” Dr. Takata says. “Over the next few weeks you’ll gradually progress to pureed, soft and then solid foods as your stomach heals.” 


At the same time, patients must manage their activity level carefully. They should avoid overdoing it to protect their surgical site. Early activities often include light walking.


“We encourage patients to walk and stay hydrated during their recovery from sleeve gastrectomy,” Dr. Takata says. “Patients may resume more vigorous activities after four to six weeks. They must also follow a specific diet.”  


Before leaving the hospital, patients receive recovery instructions that contain guidance on activity levels, nutrition and potential warning signs. Following this plan helps reduce complications and supports a smoother recovery.  


In the weeks ahead, patients may notice quick weight loss and emotional changes. These feelings are normal. They are largely due to hormonal shifts, a new body image and changes in eating habits. Seeking support from counselors, friends, or support groups can be helpful. 


Most patients take three to four weeks off work. This depends on their job and how well they recover. 

Managing side effects  

Managing side effects is an important part of recovery after gastric sleeve surgery. Common issues include nausea, which can be eased by staying hydrated and eating slowly. Proper nutrition can help manage hair loss, which is common due to rapid weight loss and other changes. 


Although complications are rare, patients should watch for signs like persistent pain, fever or infection and contact their health care provider immediately if they notice any concerning symptoms to ensure a smooth recovery. 

Ensuring long-term weight loss  

To achieve and keep long-term weight loss after bariatric surgery, patients must make lasting lifestyle changes. This means following a healthy bariatric diet and staying active. Staying committed to these changes is important for keeping weight off and improving health. 


In the first few months after surgery, patients usually have frequent follow-up appointments. These visits help track progress, check nutrition and support emotional health. Most people lose weight quickly, especially in the first three to six months. 


“You will feel good about losing weight. Just remember this is a lifelong commitment to eating right and exercising,” Dr. Takata says.  

Tips for long-term weight-loss

  • Follow a balanced diet designed for your new nutritional needs  
  • Incorporate daily physical activity that you enjoy and can sustain long term  
  • Attend all follow-up visits to monitor your progress and make any adjustment to your care plan 
  • Connect with support groups or a bariatric counselor to stay motivated and manage emotional changes. 
  • Adopt a growth mindset to stay positive through challenges and setbacks 

 

After surgery, some patients may have loose skin, particularly if they lose weight quickly. Exercise can improve muscle tone and help skin elasticity, but it might not remove sagging skin. For better results, cosmetic procedures like body contouring or a tummy tuck can be done. Many of these procedures are done as outpatient treatments. 


“As you continue your transformation, celebrate every milestone. This journey is not just about losing weight. It’s about building a healthier future,” Dr. Takata says.