In the obese patient the gastrosplenic ligament may be quite thickened and the identification of the vessels for ligation more difficult than elsewhere. However, fewer vessels require ligation if the omentum is removed, as in Plate 27, rather than repeatedly clamping and tying the blood vessels in the gastrocolic ligament near the greater curvature. The division of the usual attachments of the omentum to the lateral abdominal wall about the splenic flexure of the colon will further mobilize the greater curvature of the stomach. Undue traction on the stomach or omentum may result in troublesome bleeding from the spleen, especially if the small strands of tissue extending up to the anterior margin are torn along with some of the splenic capsule. Under such circumstances splenectomy may be safer than depending on a hemostatic sponge or splenorrhaphy to control the troublesome and persistent bleeding. However, every effort should be made to repair the torn capsule, either by the use of coagulant or by the use of sutures, which may include the omentum when tied, in order to conserve the spleen, especially in younger patients. The greater curvature can be further mobilized into the field of operation if the relatively avascular splenocolic ligament is divided (Figures 10 and 11). Indeed, the spleen may be quite extensively mobilized by dividing the splenorenal ligament laterally, permitting it, along with the fundus of the stomach, to be presented into the field of operation. This procedure ensures an easier exposure for the gastrojejunal anastomosis following a very high gastric resection. Any bleeding points in the splenic bed should be carefully ligated.