I had both surgeries on Sept. 8th 2014 at the same time. My doctor initially said he would not take out the gall bladder as he was doing a lap band to sleeve conversion and would already be busy in there.He said when they do the Gastric Bypass they automatically take out the gall bladder. Since I wanted the sleeve I thought it was a no go even though the pre-op tests showed I already had gallstones going on. Once he got in there though, I guess my gall bladder looked rough so he did the whole she bang, all at once. After reading these posts...I am soooo thankful he did!