Aim: Reduced Port laparoscopic Surgery (RPLS) involves fewer ports or narrower ports than standard laparoscopic surgery. It has the potential to cause reduced postoperative pain, reduce abdominal wall trauma and increase the aesthetic result without compromising the outcome. This review describes the feasibility, present situation and challenges faced as well as standardized procedures and the future prospects of reduced port laparoscopic gastrectomy for various bariatric procedure.   Materials and methods: From December 2015 to January 2017, 251 patients were enrolled in our trial all of which underwent the procedure using the three port technique. All patients had morbid obesity with history of failure of conservative treatment. The aim was to assess and evaluate postoperative pain and patients' satisfaction with the aesthetic results as well as to define the features of early post-operative complications of patients in comparison to the conventional five ports technique.   Results: 251 patients were enrolled in our trial. The analyzed population included 185 women and 66 men. Mean age and BMI were 41 ± 23 and 53 ±18, respectively. Mean operative time was 47 ± 20 min for sleeve gastrectomy, 65±13 min for mini-gastric bypass and 133±25 min for revisional surgeries. Mortality was nil. Overall morbidity rate was recorded. Median duration of hospital stay was 1.5 days (range, 1–2) for sleeve gastrectomy and gastric bypass and 2.5 days (2-4 days) for revisional surgeries.   Conclusion: Three ports technique for bariatric surgery is a safe and effective surgical option in patients with morbid obesity without additional early surgical complications or increase in operative time, and with a greater patient aesthetic satisfaction.