Mrs. Desai 45 yrs was referred to us for opinion by a renown doctor of Surat. She has been a known case of type 2 diabetes mellitus and hypertension since 12 years. Her BMI was 37 and had morbid obesity. So thus she was a patient of Metabolic Syndrome. The issue with her was that her sugars were uncontrolled and now not even responding to medication and Insulin Injections. Also she had an umbilical hernia. Patient was advised Laparoscopic sleeve Gastrectomy with laparoscopic cholecystecomy with Umbilical hernia repair. Patient came for follow-up on 7th day and is off her Insulin injection with only 1 medication each for Diabetes and Hypertension which hopefully will also stop as time progress with the weightloss. The pictures show the retrieved specimen of Remnant Stomach , gall bladder and the omentum from umbilical hernia.The X ray shows the new stomach without any fundus part of stomach. Total fundal excision is imperative for excellent sugar control. Pa...