Same here- i believe my original surgeon was just comfortable with the sleeve and bypass, and even then he just felt because of my age i should do the sleeve I knew i needed something else based on my research. I would have done one surgery and been done.
Im from VA but in WA. Had my sleeve in 2015, and insurance approved revision to DS. I didn't have to do the 6 months etc., because of reflux and other comorbidities. My dr suggested the DS because of the success rate as a revision. Plus I saw how the bypass did my mom, my surgery is scheduled 10/22