Surgery is the only treatment for morbid obesity that has been proven to ac
hieve a significant long-term weight loss, The Roux-en-Y gastric bypass pro
cedure has been performed for the treatment of morbid obesity over the past
two decades with excellent results. Wound complications and perioperative
morbidity remain unresolved problems of the procedure. A laparoscopic appro
ach to this procedure has great potential to minimize the complications of
this highly effective technique. We describe a laparoscopically performed R
oux-en-Y gastric bypass in a 28-year-old woman with morbid obesity. The tec
hnique described here preserves the anatomic construct of the operation but
introduces the benefit of the laparoscopic approach.