The modern sleeve gastrectomy owes its success to the advancements in minimally invasive electrosurgical and stapling technologies. Electrosurgical tools enable surgeons to efficiently ligate vessels, achieve hemostasis, and dissect tissue planes with precision. Meanwhile, stapling devices ensure a secure tissue seal and division, both essential for creating a functional and durable gastric sleeve. While most surgeons are familiar with these instruments, their intricate design and operation require expertise, as improper use can lead to serious complications. This chapter explores the key questions and ongoing debates surrounding the safe and effective application of these tools in sleeve gastrectomy. It also updates the insights shared in the first edition of The Perfect Sleeve.