Can you take tramadol for pain within a 2 week window prior to having gastric sleeve?

the use of opioid derivatives such as tramadol is not recommended in any gastrointestinal procedure, due to their mechanism of action they are prone to cause a decrease in peristalsis movements, and even in some cases the total cessation of these, thus resulting in conditions that may put the patient at risk as an adynamic ilium and/or intestinal obstruction.

Yes, you can take tramadol before or after your surgery. It is NOT a NSAID-class medication such as ibuprofen or toradol, and does not have those side effects.