I had sleeve on 05/06/22 and constipation was my biggest issue post-op. I was on prescribed stool softener, took milk of magnesia, and still ended up needing to take a suppository to get my first bowel movement post-op. Since then, it's still been a bit of an issue but I added in Kirkland brand fiber just a few days ago to help overall. The suppository was an absolute lifesaver for me!