Thanks for your replies. Obviously, I can't keep any weight off long term without surgery. I can lose about 5lbs a month on my own, but can't maintain. I am going to choose the wls option that is safest for me. But, given the option, I think we all would take the option that loses fastest. I do have Gerd, but in the past, it goes away when I lose weight. I want success no matter which surgery I get. And I want to gather as much info as possible to avoid surprises:)