 In LVAD Left-Ventricular Assist Device patients, evidence is lacking regarding the safety and efficacy of Laparoscopic Sleeve Gastrectomy LSG as a means to reach a Body Mass Index BMI within listing criteria for heart transplantation. To our knowledge, this is the first prospective study to evaluate laparoscopic sleeve gastrectomy in LVAD patients as bridge-to-candidacy for heart transplantation. 