The Roux-en-Y bypass is more common and considered less complicated than the biliopancreatic diversion bypass, since Roux-en-Y does not remove portions of the stomach. The traditional Roux-en-Y-gastric bypass is performed through open surgery with one long incision. The Roux-en-Y gastric bypass can also be performed laparoscopically. The laparoscopic Roux-en-Y-gastric bypass uses multiple smaller incisions (instead of one long incision) ��� a laparoscopic tool is inserted, which offers a visual guide to the inside of the abdomen during the procedure.