During laparoscopic Roux-en-Y gastric bypass, the surgeon separates a small stomach pouch from the upper stomach, significantly reducing the amount of food it can hold. The pouch is surgically attached to the middle section of small intestine, bypassing the rest of the stomach and the upper portion of the small intestine (duodenum), which limits calorie absorption. While a normal stomach holds about three pints, the new stomach pouch is initially only the size of an egg, growing to the size of a fist after 6-12 months.