Background: Laparoscopic Sleeve Gastrectomy (LSG) is one of the most commonly performed bariatric procedures for morbid obesity due to its efficacy in weight loss and metabolic improvement. However, complications such as gastric torsion, bleeding, and leaks remain a concern. Recent advancements have introduced techniques like omentopexy and gastropexy to enhance surgical outcomes and reduce complications. This review aims to evaluate the safety, efficacy, and clinical outcomes of LSG combined with omentopexy and gastropexy in morbidly obese patients. A comprehensive analysis of recent studies, clinical trials, and retrospective reviews was conducted to assess the role of omentopexy and gastropexy in reducing postoperative complications, enhancing gastric stability, and improving overall patient outcomes. Emerging evidence suggests that the addition of omentopexy and gastropexy during LSG may reduce the incidence of gastric torsion, staple line leaks, and postoperative bleeding. Furthermore, these adjunct techniques appear to contribute to faster recovery, better patient satisfaction, and improved long-term weight loss outcomes. Combining LSG with omentopexy and gastropexy holds promise in enhancing the safety profile and effectiveness of bariatric surgery for morbidly obese patients. Further large-scale, randomized controlled trials are required to standardize these techniques and confirm their long-term benefits.