HighlightsA new management option for patients with submucosal gastric tumors.Combing two procedures in one surgery, maybe beneficial for some submucsal gastric tumors removals.The importance of through preoperative and intraoperative assessment for all bariatric procedures.Surgeon opinion along with patient preference are key factors in any elective operation.This is the second case report in the medical English literature to remove this rare gastric tumor during an elective bariatric surgery.