Abstract

Background: Sleeve gastrectomy is a widely used intervention for obesity, a major global and national concern. However, public awareness and surveillance remain limited, especially in Saudi Arabia. Aim: To determine the knowledge and awareness of indications and complications of sleeve gastrectomy in Saudi adults. Methods: A descriptive cross-sectional study was conducted using a structured and self-administered online questionnaire which is based on prior literature between July and December 2024. The questionnaire had 26 questions and was in either Arabic or English and was based on sociodemographic information, awareness of obesity, body mass index and sleeve gastrectomy. Results: A total of 809 adults participated, with a mean age of 29.9 years; most were female (68.5%), Saudi nationals (93.1%), and had education beyond high school (78.7%). Notably, 83.7% knew someone who had undergone sleeve gastrectomy, mainly a family member (62.3%). Although 98.9% were aware of the procedure, only 63% recognized potential complications, including hemorrhage (44.7%) and iron deficiency (43.5%). Shockingly, 34.7% were unsure of complications, indicating education gaps. Knowledge levels correlated significantly with demographic factors (p < 0.05). Conclusion: Although there is high awareness of sleeve gastrectomy, there is limited knowledge about its dangers and signs. The dependency of social media reflects the necessity of the effective educational interventions to resolve misconceptions and enhance health literacy. To facilitate informed decision-making and to have a positive influence on the obesity management, it is possible to enhance education strategies.

Key words: Awareness, knowledge, weight loss, obesity, bariatric surgery.n.