I am having VSG surgery and then want to have my tubes tied.

For these types of cases, my OB/GYN colleague will join me during the operation to do a quick tubal ligation. Adds maybe five minutes to the operation and does not increase your risk of complications.

There are a couple of ways to get this done.   One thing to consider would be doing the tubal and the sleeve at the same time, which would save you a trip to the operating room for a second procedure.   I have done this for patients when needed.   Otherwise, I would probably wait at least 6 weeks, preferably 3 months if possible, to allow any postoperative risk from your first operation to return to normal.

It would be crazy to be forced to undergo two separate operations for these two procedures, when both could be done at the same time.  If your doctors won't do it, I would be happy to.