Laparoscopic sleeve gastrectomy (LSG) is gaining popularity for the treatment of morbid obesity. It is a simple, low-cost procedure resulting in significant weight loss within a short period of time. LSG is a safe procedure with a low complication rate. The most significant complications are staple-line bleeding, stricture, and staple-line leak. Formation of liver and splenic abscesses is an extremely rare consequence of LSG. Liver abscess has been reported in one case report while splenic abscess has been reported in five case reports after LSG. This study is a case report and literature review. We report two cases of a pyogenic liver abscesses and two cases of splenic abscesses after LSG. As LSG becomes more popular, clinicians need to be aware of uncommon but potentially serious complications related to it.