Objectives: To evaluate the impact of concomitant open sleeve gastrectomy (SG) and early abdominoplasty on weight, quality of life (QOL) and psychological status of obese patients assigned for bariatric surgery. Patients & Methods: The study included 50 patients with body mass index (BMI) >30 kg/m2. All patients underwent determination of body weight (BW), height and calculation of BMI and the presence and frequency of concomitant medical comorbidities. Operative procedure included initial abdominoplasty followed by open SG. Operative time, hospital stay, intraoperative and postoperative (PO) complications were registered. PO monitoring included evaluation of excess weight loss (EWL) determined at time of hospital discharge and at 3 and 6 months after surgery. All patients completed the impact of weight on QOL (IWQOL) questionnaire and Beck depression inventory (BDI) preoperatively and at 3- and 6-months PO. BDI was additionally repeated at time of discharge