Sleeve for sure! Trust me you will more than likely be miserable! Yes there are success stories about lap band but more disasters than success! I had my band placed in July 2011 and I am going to start my process tomorrow with my doctor for the sleeve! For 3 years the most I've lost was 60 pounds and that was only because I got stuck on everything I ate and would throw it back up and everything I ate that day after I threw up once would get stuck because your stomach would swell making your band tighter! I at one time considered myself as balemic because I would eat then throw up! I have been miserable with my band and no not everyone is and some people I have noticed are very defensive on this site when someone "bashes" the band but it is what it is we are here to share our experiences and if the bad out weigh the good then that's what it is! You can't get upset with someone that Is telling their story! Anyways if I could go back then I would have never got the band I would get the sleeve! I can't even Sit down at dinner or lunch with my family without my food getting stuck and having to run to the bathroom or the sounds my throat makes when something won't go down! My 3 year old would ask me mommy you have to throw up now I'm just tired of the everyday struggle! Good luck in the decision that you make!