I am 29 years old. BMI 45, 5 foot 6, 265 pounds. Can I get a gastric sleeve surgery?

Hello,First of all congratulation on taking the decision to become healthy. The gastric sleeve would be an excellent option for you. Generally patients loose about 70% of the amount they weigh over their ideal body weight. To qualify for weight loss surgery, the American Society for Metabolic and Bariatric Surgery recommends you meet one of the following:1- BMI ≥ 40, or more than 100 pounds overweight.2- BMI ≥35 and at least one or more obesity-related co-morbidities such as type II diabetes (T2DM), hypertension, sleep apnea and other respiratory disorders, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders, or heart disease.3- Inability to achieve a healthy weight loss sustained for a period of time with prior weight loss efforts.But first you need to have a consultation with a bariatric surgeon this will allow you to discuss about the procedure in details. Many factor should be considered when deciding for a bariatric surgery, is needed to check your current health status with lab work and in a consultation you can accomplish this.
My Best Wishes,

You meet the standard criteria for weight loss surgery and should check with a local bariatric (weight loss ) surgeon.  To be eligible you do not need co-morbidities if your BMI is over 40