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The conditions most commonly improved by gastric sleeve surgery include: Type 2 diabetes High blood pressure (hypertension) Obstructive sleep apnoea High cholesterol and other lipid disorders Fatty liver disease (non-alcoholic fatty liver disease) Joint pain and limited mobility related to weight Polycystic ovary syndrome and obesity-related infertility Severe acid reflux is a more complex case — sometimes it improves, sometimes it worsens, and this affects the choice of operation Beyond specific diseases, surgery is also considered when severe obesity is significantly affecting quality of life, physical functioning, or mental health