I picked the sleeve because every single person I know who has had the band has had some type of problem, be it slippage, erosion, etc. Two of them had to have the whole thing removed and then heal and then have yet another surgery to do the sleeve. By then they had gained back a lot of weight and had to start over. The thought of going through this more than once freaks me out. Also, their experience taught me that most severely overweight people need a lifelong tool so I need it to be permanent! Everyone has to make their own choice as to what works best for them and I wish you the best of luck, whatever you choose.