Fig. 1
Gastric sleeve
Home the same day, for most
Gastric Sleeve Surgery in Toronto
About 80% of the stomach is removed through five small incisions, leaving a narrow sleeve. Two bariatric surgeons operate together, most patients go home the same day, and six years of aftercare come with it.
- How
- Laparoscopic, through five small incisions
- Who operates
- Two bariatric surgeons, together
- Stay
- Home the same day, for most
- Time off work
- 1 to 3 weeks, for most
- Price
- $13,900, taxes included
- 5small incisions5 to 15 mm each
- ~80%of the stomach removedincluding the fundus
- 2surgeons at every sleeveRoyal College-certified
- 72months of aftercare360 Complete Care
Watch the surgery, one step at a time
Scroll, and the 3D model follows the operation as your surgeon explains it at a consultation: from your stomach today to the new sleeve. Scroll back to see any step again.
Fig. 2, Gastric sleeve - 01
Your stomach today
A J-shaped muscular bag. The upper dome, the fundus, makes most of the hunger hormone ghrelin.
- 02
Five small incisions
Under general anesthesia, five ports of 5 to 15 mm are placed in the upper abdomen. No large cut.
- 03
A camera looks inside
A laparoscope lights and magnifies the stomach on a screen, so two surgeons work with precision.
- 04
Stapling along a guide
A soft tube (bougie) shapes the new sleeve. A linear stapler cuts and seals along it in several firings.
- 05
About 80% is removed
The outer part, including the fundus, is removed through a port. The staple line is checked for leaks.
- 06
The new sleeve
A narrow tube that holds far less. Food still passes the natural way, through the pylorus. Most patients go home the same day.
A simplified 3D illustration for education, built from anatomical proportions. Your surgeon explains what applies to you.
Three things to know
What a sleeve changes, and what stays the same.
- 01
Two surgeons, together
Every gastric sleeve at 360 Sleeve is performed by two bariatric surgeons in the same operating room, from the first incision to the last stitch.
- 02
Smaller, same route
The sleeve holds far less, so you feel full sooner. Food still passes the natural way, through the pylorus into the intestine. Nothing is rerouted.
- 03
Less of the hunger hormone
The upper dome of the stomach, the fundus, makes most of the hunger hormone ghrelin. It is part of what is removed, which is why many people notice less hunger.
Is a sleeve for me?
A sleeve is commonly discussed for adults who fit one of these descriptions. Your surgeon makes the decision with you, after a full consultation.
- A BMI of 35 or moreWith or without a weight-related condition.
- A BMI of 30 to 35 with type 2 diabetesOr another weight-related condition, such as sleep apnea or high blood pressure.
- Ready for a new way of eatingSmaller meals, protein first and daily vitamins, with your dietitian beside you.
Usually not the first choice when you have
- Severe acid refluxA sleeve can make reflux worse, so another procedure may suit you better.About SADI-S
- An earlier weight-loss surgeryA revision plan starts from your history.About revision
- You would rather avoid incisionsESG makes the stomach smaller from the inside.About ESG
Based on the 2022 indications of the American Society for Metabolic and Bariatric Surgery and the International Federation for the Surgery of Obesity.
Your journey, in five stages
From the first conversation to year six. The same care team walks it with you.
Six years of 360 Complete Care- Weeks before
Free consultation
In person in North York or online. Meet your surgeon, ask everything and leave with a clear plan and price.
- Two weeks before
Getting ready
Bloodwork and pre-op checks, then a short pre-op diet guided by your dietitian. Meal replacements are included if you need them.
- Day 0
Surgery day
Two bariatric surgeons operate together. A recovery nurse stays with you for the first hours, and most patients go home the same day.
- Weeks 1 to 8
Healing and eating stages
Five stages from clear fluids to regular meals. Most people are back at work in 1 to 3 weeks. Your nurse and dietitian check in at each step.
- Years 1 to 6
Six years of care
Bloodwork at 6 months and then every year, the 360 SmartTrack scale and app, and a place in 360 Community.
360 SleeveGastric sleeve, all-in price
- Two bariatric surgeonsBoth in the operating room for your whole surgeryIncluded
- AnesthesiaBy the anesthesia team, with monitoring throughoutIncluded
- The surgical facilityOperating room, recovery room and your recovery nurseIncluded
- 360 Complete Care, 72 monthsFollow-ups, bloodwork, SmartTrack and 360 CommunityIncluded
- Meal replacements, two weeksFor your pre-op diet, if you need themIncluded
- TaxesIncluded in the priceIncluded
Total, taxes included$13,900
One price, nothing hidden
Your price is set at your consultation and covers everything on the list, including six years of aftercare. Surgery at 360 Sleeve is private, so OHIP does not cover it.
$448a month at an example 9.9% APR
Financing through Beautifi or Medicard, 6 months to 6 years, no prepayment fees. The lender sets your rate after approval.
The people with you, before and after
Four Royal College-certified surgeons, a care team that knows your name, and a community of people who chose the same path.
Your care team
Yolanda AlbinoSurgical Care Nurse
Natalie BeanClinical Nutrition Specialist
Sharmaine LopezPatient Care Coordinator
360 CommunityA walk on the first Sunday of every month, live Q&A with the nurses and people who get it. Model shown Questions about the sleeve
Short answers to what people ask most. Your surgeon goes through all of it with you, for your own situation.
Still wondering? , or ask the assistant in the corner.
-
01Is a gastric sleeve reversible?
No. The part of the stomach that is removed cannot be put back. That is why your surgeon goes through the decision with you carefully, and why you never decide on the day of your consultation.
-
02Will I have acid reflux after a sleeve?
Some people develop reflux after a sleeve, or find that existing reflux gets worse. Your surgeon asks about reflux and may suggest tests before recommending a procedure. For some people, another procedure is the better choice.
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03How long will I stay at the clinic?
Most patients go home the same day, after a few hours with a recovery nurse. Someone should drive you home and stay with you for the first night.
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04When can I go back to work?
Most people take 1 to 3 weeks off, depending on how physical their job is. Your team tells you what applies to you.
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05Will I need vitamins for life?
Yes. After a sleeve you take bariatric vitamins every day, and you have bloodwork at 6 months and then every year as part of 360 Complete Care.
-
06Can I become pregnant after a sleeve?
Many guidelines suggest waiting 12 to 18 months after surgery before a pregnancy. Talk to your care team before you plan one, so your nutrition can be checked.
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07What is the difference between a sleeve and ESG?
A sleeve removes about 80% of the stomach through small incisions. ESG makes the stomach smaller from the inside with stitches: nothing is removed and there are no incisions. Your surgeon explains which suits you.
Your first step is a conversation
A free consultation, in person in North York or online. Meet the team, ask anything and leave with a clear plan and price.
(416) 360-7360 sleeve@clinic360.com 1131A Leslie St #300, Toronto, ON M3C 3L8