Hi Jed! I was 365 at my highest (which is pretty high for a woman) and I also had the sleeve. A couple of my friends thought I should do the bypass because I had/have so much to lose but my surgeon left it up to me so I chose the sleeve because of the slightly lower complication rate. Surgery was 1 month ago and I’ve lost 61 lbs (38 before surgery and 23 since). The good news about being REALLY overweight is you tend to lose faster than people with less to lose. Good luck to you!!