The conventional way of treating morbid obesity through bariatric surgery has changed as medicine has evolved over the years. In 1973, Dr. Ward Griffen first performed open gastric bypass using a modified version of the Roux-en-Y gastrojejunostomy (Smith et al., 2004). This procedure created a 50 ml gastric pouch incorporating a Roux limb (Smith et al., 2004). However, in 1999, the medical world changed again when a laparoscopic version of Roux-en-Y surgery was adopted after Drs. Wittgrove and Clark performed the first (Smith et al., 2004). Today, the conventional and most commonly performed bariatric surgery is laparoscopic Roux-en-Y gastric bypass; this method is preferred over an open road. In 2005 alone, Weller and Rosati found that more than 75% of gastric bypass surgeries performed that year were laparoscopic surgeries (Banka et al., 2012). According to Suter et al., the laparoscopic option is becoming increasingly attractive due to its lower postoperative complications and faster recovery time compared to open gastric bypass (2003). In addition to having a faster recovery time, laparoscopic surgery tends to result in shorter hospital stays and less blood loss during surgery (Siddiqui et al., 2006). Although the Roux-en-Y gastric bypass procedure is a fairly complicated procedure, skilled surgeons can perform the operation with little to no mortality. The typical laparoscopic Roux-en-Y gastric bypass technique is described as follows. However, there are many variations and many preferences are left to the surgeon's choice, such as the type of stapler used for gastrojejunostomy (circular or linear). There are three main steps in Roux-en-Y bariatric surgery: creation of the gastric pouch, creation...... middle of paper ......, S., Hamad, G., Ramanathan, R. and Gourash, W. (2003). Laparoscopic gastric bypass: current technique. Journal of Laparoendoscopic and Advanced Surgical Techniques, 13(4). Shikora, S.A. (2012). Laproscopic bidirectional jejunojejunostomy anastomosis with a linear stapler. Bariatric Times, 9(6), 8-9. Siddiqui, A., Livingston, E., and Huerta, S. (2006). A comparison of open and laparoscopic Roux-en-Y gastric bypass surgery for morbid and super obesity: a decision analysis model. American Journal of Surgery, 192. Smith, SC, Edwards, CB, Goodman, GN, Halversen, RC, & Simper, SC (2004). Open vs. laparoscopic Roux-en-Y gastric bypass: comparison of operative morbidity and mortality. Obesity Surgery, 14, 73-76. Suter, M., Giusti, V., Heraief, E., Zysset, F. and Calmes, JM (2003). Roux-en-Y laparoscopic gastric bypass. Surgical endoscopy, 17, 603-609.