This is a variation of the incisional gastropexy, except the stomach is incorporated in the mid abdominal incision as it is closed (Fig 4). This is a fast and simple procedure, but there are several possible complications. Due to the resultant position of the stomach and the adhesions, if a future abdominal surgery is necessary, the gastropexy will make it more difficult to enter the abdomen, and the pexy will have to be broken down. Also in a very deep-bodied breed, it is more difficult to correctly position the stomach