I had constant reflux and needed a pill every day for that. As a result of this acid reflux , I got a hiatal hernia. My doctor said I should have the sleeve because the bypass tends to create acid reflux forever. I had the sleeve, and I have not had reflux at all. I am so glad I got the sleeve. I do not have 100 pounds to lose either. I need to lose 80 pounds. The bypass surgery is for people who need to lose 100 pounds or more. Push for the sleeve, and if he resists you, go to a different doctor. This should be YOUR choice. He repaired my hernia too. Thank God!