Bariatric surgery is becoming a popular choice for the treatment of morbid obesity. Laproscopy-sleeve gastrectomy is one of the most effective methods for treating patients with morbid obesity. Anaesthesiologist has a very important role to play in the management of these patients. Though the surgery involves a younger age group, perioperative period is complicated by virtue of their size and/or weight and the presence of significant coexisting diseases leading to pharmacological alterations

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... anaesthetic agents. While managing 150 patients over a period of time, we have tried to form a specific protocol, using it successfully. All the anaesthetic implications are not discussed in the following article. A brief introduction of obesity and how we have tried to use a different approach successfully in managing these patients at KIMS institution is reported here.