My BMI was 54 last week when I had surgery. I was leaning toward bypass because of my BMI and diabetes and sleep apnea, but my surgeon said he won't do a bypass unless he can't do the sleeve. I ha E GERD as well, and if there had been any anatomical concerns with my stomach that were contributing to the GERD that would have meant bypass. Overall, 5 days out and I feel great and have no regrets. Sent from my SM-N950U using BariatricPal mobile app