Recovering from bariatric sleeve surgery when you have lupus, multiple sclerosis (MS), fibromyalgia, and high blood pressure can be more complicated, but it is still very possible with careful planning and coordination between your healthcare providers. Before proceeding, it's very important to make sure your lupus is well-controlled. Lupus can affect different organs, including your heart and kidneys, so your rheumatologist should be involved to ensure that your immune system is stable before surgery. If lupus is active, it might increase the risk of complications, so managing it well before the procedure is key. With MS, you’ll want to make sure that your condition is stable. MS can affect your ability to move and can cause fatigue, so this could impact your recovery. However, many people with MS do recover well after surgery, as long as their MS symptoms are not flaring up. It would be beneficial to work closely with your neurologist to ensure you’re in the best shape possible for the surgery. Fibromyalgia, which often causes chronic pain and fatigue, can affect how you feel during recovery. Bariatric surgery could help alleviate some of the joint pain and fatigue by promoting weight loss, but you may need additional support with pain management. Be prepared for a potentially longer recovery time and discuss any pain management strategies with your doctor beforehand. Managing your high blood pressure is crucial, as uncontrolled hypertension can increase the risks during surgery. Before your surgery, your doctor will want to make sure your blood pressure is well-controlled, typically through medication and lifestyle adjustments. After surgery, you may find that your blood pressure improves as a result of weight loss, but it’s important to continue monitoring it closely. The most important thing is to have a team approach to your care. Make sure your bariatric surgeon is in close contact with your rheumatologist, neurologist, and cardiologist to coordinate your care plan. You should also make sure all your conditions are as well-managed as possible before surgery to reduce risks. During your recovery, be prepared for some extra support with pain, energy levels, and mobility. And if you have any specific concerns, don’t hesitate to discuss them with your doctors—they’ll be able to provide you with a tailored plan to ensure a safe and successful recovery.