Obesity is highly prevalent in Egypt where the estimated prevalence of overweight and obesity (BMI ≥ 25 kg/m²) is 61-70% of the whole population aged 20 and above. This translates to 65% for males and 76%for females aged 15 and above. With high rate of using surgical intervention for obesity treatment either through sleeve surgery or liposuction, the study assessed cardiovascular changes that might follow obesity interventional procedures including 50 obese patients. The study was carried out in Cairo and South Sinai in Egypt between September 2019 and August 2020. The cardiovascular system changes measured after reduction of body fat mass included arterial blood pressure, pulse rate, and ECG changes (S-T segment represents conductivity and P wave represent arrhythmicity). All study parameters were assessed immediately before intervention then one, three and six months afterwards. A total of 50 patients were included in the study (50% gastric sleeve -50% liposuction). The mean age was 34.820 with female predominance (56.00%). The results showed that sleeve gastrectomy was significantly improving cardiovascular functions in obese effect effectpatients while liposuction has minimal or no