Background: One of the most common operation for weight loss is the laparoscopic sleeve gastrectomy which are an effective and relatively safe. Laparoscopic sleeve gastrectomy is superior in comparison to other restrictive procedures due to the decrease of large parts of ghrelin producing stomach mass. Aim of the Work: to outline recent modalities in management of early complications of sleeve gastrectomy. This study was performed at Benha university hospitals and Kasr El Aini University Hospitals on 30 early complicated cases post sleeve gastrectomy at the period from 1/1/2018 to 30/6/2018. Patients and Methods: This study was performed at Benha university hospitals at the period from 1/1/2018 to 30/6/2018 on 30 early complicated cases post sleeve gastrectomy. Consent of the patients was taken and data were collected included: age, sex, BMI, and comorbid conditions at the time of admission. Results:  According to the co morbidities, eight of the studied cases (26.7%) suffered from hypertension, and 22 others (73.3%) didn't suffer from hypertension, also half of the studied cases (50.0%) suffered from diabetes. As regard the complications that the patients suffered after the operation in our study, 7 patients (23.3%) suffered of Tachycardia, 5 patients (16.7%) suffered of Vomiting, 4 patients (13.3%) suffered of Hemorrhage, Leakage and Hematemsis, 3 patients (10.0%) suffered of Wound infection, 2 patients (6.7%) suffered of Gastric stenosis, Conversion to open and Melena. On the other side, none of the patients suffered from DVT, Gastric volvulus, pulmonary embolism and Mortality. Conclusion: LSG is one of the most effective surgical procedures in weight loss and is considered safe if its complications are diagnosed and managed early and we recommended to do this study on largenumber of patients to support our results and to know more about the sleeve gastrectomy complications to manage them as early as possible to get benefit from sleeve gastrectomy and to be used on a wide range.