I am so excited for you to start your journey! I do take PPI and it controls any problem. I never had any acid issues before my surgery. My doctor is now telling me that there is a procedure now that will take away the need for people to take any PPIs at all. My acid problems actually seems to be going away. I am under goal! I LOVE LOVE LOVE my sleeve. I had it a year ago. I cant get over waking up in the morning and feeling thin. And then I look in the mirror and geez. I think wow! Pivot, turn..yep it is me. Especially like how my back norrows to my waist! You have a lot to look forward to! There is nothing I cant eat with the sleeve. It is crazy easy. And no dumping, sluggishness, malabsorption issues. I used to love chips and candy. Not anymore! One candy and I think...well, thats kinda good but to sweet. I have 2 huge bags of chips and a huge bag of cheezies in my pantry. I have to toss them. They have gone stale. Just no desire for them. Good luck! I am already happy for you. I bet you choose the sleeve. But the decision should be yours.