This came in up during a group meeting with our surgeon. We all told him what we were getting again. He described both procedures again. This was about 2 weeks before surgery and we had all been on a 6 month wait so we had discussed this in private with him several times. However, some of the people who were getting bypass starting wanting sleeves. Someone asked how do we know which one is best for us. He explained that its a personal choice but that sometimes if people have a lot more to lose, they chose bypass, or significant diabetes, they choose bypass. Even though I don't have it, but both my parents and grandparents have it, I opted for the sleeve. I'm only 6 days out, but I am 8lbs lighter and happy!