I don't have issues with GERD. My surgeon is pretty respected and has been doing this for a while. Patients travel from out of state to see him. Even patients who are too large to walk and need medical transport see him. I'm interested in the differences of living with say a bypass vs sleeve? Maybe that's best to look over the bypass forum. If I need to have the hernia surgically repaired, I think I would want to have a revision done as well and hopefully do it in one surgery. I think I got the hernia because I gained so much weight.