BG Matt

I guess the issue is that the picture they took of my hernia yesterday indicated it was rather large. Doc is afraid that the repair may cause a very small opening to my stomach-- also he is concerned the sleeve will cause more pressure that could impact life after surgery....

I am one month away from my sleeve procedure-- finally have my head where it needs to be and then yesterday they discovered that I have a rather large hiatal hernia. My doc is now worried about the sleeve procedure and wants me to consider a bypass. I am reeling again, had everything set on sleeve. Has anyone else went ahead with the sleeve after a hiatal hernia diagnosis? I am concerned that is the sleeve is not an option I will opt out of bypass.

I am exactly one month away from my surgery date. I know having cold feet is normal, but I still have a number of nagging issues. First the basics, I'm 43 years old, 6' 1" and 288 pounds (37.5 BMI) and sleep apnea. Typical issues with weight loss. Here are the issues I'm wrestling with: 1) Image. I have always been a bigger person. Kind of become am image that defines. Here's the odd thing. For years I could barely look at myself in the mirror without thinking that I was way overweight and needed a major intervention. But since deciding on the surgery I cannot help looking in the mirror and thinking, "you're not that back!" 2) Vanity. Why do I think I am being vain to get the Sleeve with a BMI so high. I know that if my BMI was 40 I would not think that... and I am just a few points below that. 3) Complications. I am over the fears of mortality re the surgery-- no more than other surgeries I have had. But the rates of complications seem a bit high. I read many stories about smooth transitions after surgery, but the few that had complications such as leaking that led to another surgery concerns me. My issue has always been over eating and being a foodie. I think I am comfortable with knowing that I can still be a foodie but in a very different way, especially quantity. But, this issues I have described as playing mind games with me. Any thoughts would be appreciated.