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Information on the safety of outpatient sleeve gastrectomy is sparse. This study aimed to assess the safety of sleeve gastrectomy as a day case surgery. University health network, United States. Patients who underwent primary sleeve gastrectomy were identified in the 2015-2017 MBSAQIP database. Day case surgery procedure was defined as having a hospital length of stay of 0 days. Day case surgery patients were matched with inpatient controls using propensity score matching. The primary outcome was 30-day mortality. A total of 271,658 sleeve