This chapter explores the transformative impact of magnetic retraction and magnetic-assisted robotic surgery on gastric sleeve procedures. It highlights how these cutting-edge technologies address challenges in minimally invasive surgery, such as tissue manipulation, visualization and reduction of surgical trauma. By minimizing the need for multiple ports and enhancing instrument precision, magnetic systems streamline operations, improve patient outcomes and accelerate recovery times. This chapter explores clinical evidence, demonstrating reduced operative time, blood loss, and postoperative pain, alongside higher patient satisfaction rates. Furthermore, the integration of magnetic-assisted robotics offers unprecedented precision and dexterity, marking a significant advancement in bariatric surgery. While these innovations bring numerous benefits, challenges such as the steep learning curve, high initial investment, and the necessity for rigorous safety protocols are discussed. The chapter also emphasizes the importance of continued research, development and surgeon training to optimize these technologies and expand their applications. In conclusion, magnetic retraction and robotic assistance represent a pivotal shift toward achieving safer and more effective gastric sleeve surgeries. They manifest the broader trend of integrating advanced technology into surgical practice, setting new standards of care and paving the way for future innovations in minimally invasive procedures.