Laparoscopic sleeve gastrectomy (SG) has become the most commonly performed primary bariatric procedure worldwide [1, 2]. However, the staple-line leak (SGL) remains the most serious concern averaging 2% and ranging from less than 1% to nearly 5% [3]. Over the past 10 years, numerous studies [4–7] addressed risk factors linked to SGL, including bougie size, distance from the pylorus, surgeon’s experience, and reinforcement of the staple line. Next to the surgeon’s learn­ing curve [8], the later may be the most important risk factor of the occurrence of SGL. Recently, Gagner et al. [3] performed a systematic review of nearly 150 studies representing 40,653 patients, demonstrating an overall SGL rate of 1.5%. Reinforcement of the staple line with an absorbable polymer membrane had the lowest statistically significant SGL rate of 0.7%. This was lower than oversewing, other subtypes of reinforcement, or no reinforcement at all. A recent randomized study [9] comparing the use of owersewing with invagination to no reinforcement demonstrated a reduction in SGL rates for the suturing approach, although longer the operative time was. Previously, a metaanalysis of published studies did not show any significant benefit of oversewing, either on the rate of SGL itself or on the overall rate of complications after SG [10].