Hi All, it's been awhile since I posted and was just reading through the above posts. I would highly recommend the Sleeve revision from Lapband if you are able to do it. I lost 114 lbs with my Lapband before it slipped and I had to have it removed late in 2012. Before it was removed, I too had acid reflux and had to sleep on a wedge and also threw up on a daily basis. That is probably what caused my band to slip. Consequently, after having the band removed, I too, put back on 50 lbs of the weight I had lost. I had to wait 8 weeks before my doctor would do the Sleeve procedure, so had that done on February 4, 2013, since that time I have lost 68 lbs, making my total weight loss since having my Lapband in 2008 and the Sleeve done last February, 2013 a total of 127 lbs. I would like to lose another 15 or 20 lbs but I'm in no hurry. Losing weight with the Sleeve has been much easier than it was with the band, I get full much quicker and I'm very seldom hungry. You still have to watch what you eat if you are going to lose weight because just like the band the junk food still goes down easy and will put on the pounds but it definitely helps with portion control, which I need. I also no longer have acid reflux and haven't thrown up at all since having the Sleeve done. My insurance paid for the Lapband, but would not pay to have it removed and converted to the Sleeve, so I was self pay for the Sleeve and it's been worth every penny. Just wanted to relay my story since having the conversion to the Sleeve and hope everyone has a good New Year.