Gastrointestinal stromal tumors (GIST) comprise a rare group of neoplasms of 
unpredictable malignant. The stomach is the most common site of occurrence in 
the gastrointestinal tract. A combination of prognostic factors (patient age, 
histologic grade, mitotic rate, tumor size, and DNA analysis) have been utilized 
to predict their biologic behavior. Lymphatic spread of gastrointestinal stromal 
tumors is uncommon therefore a formal lymph node dissection is not standard 
surgical management. Consequently, complete surgical resection of the primary 
tumor is the most definitive treatment. Although numerous operative approaches 
have been utilized for gastric submucosal tumors, laparoscopic wedge resection 
has been regarded as the treatment of choice in recent years. As widespread use 
of diagnostic endoscopy has exposed a number of gastric submucosal tumors, the 
laparoscopic wedge resections are being performed with increased frequency. In 
this article, we describe a successfully performed laparoscopic sleeve 
gastrectomy for a bleeding GIST.