A laparoscopic gastric sleeve procedure was performed obesity management in a thirty-years-old woman suffering from high brain pressure.

Hydrocephalus with carrying a ventriculoperitoneal shunt in the abdomen, which may complicate any laparoscopic surgery.

The operation was carried out successfully at the Saudi German Hospital - Dammam by Dr. Ahmed Qirat, a bariatric and laparoscopic surgeon consultant.