Auto immune diseases can generate more risk depending of the stage of the disease, activity, complications, medical control, and drugs used to control it. Having said this if the patient does not have an advanced or complicated stage of the autoimmune disease, no recent flare-up's and not depending on high doses of immunosuppressive drugs for control, yes you can have a normal recovery. Preparation is key to have a normal and uneventful recovery after sleeve gastrectomy surgery , expert centers will always make sure that all illnesses are under good medical control and no flare-up's are present close to the surgery date. If necessary delay the procedure and refer the patient to the treating physician until conditions are optimal for the surgery, this would apply for all autoimmune diseases such as Lupus and for high blood pressure.AMG