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Lap Band Vs Gastric Bypass



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How did you decide which way to go? What was your deciding factor?

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What it really came down to for me was not having my whole insides rearranged. I have friends and family who have had both procedures(and been very successful with both) but.... for me the Lap Band is so much less invasive, less healing time and fully reversible. Also I found it be a more slow/gradual process of losing the weight (which in my mind is healthier...lol) But really all in all I was just very uncomfortable with the idea of stapling and rerouting my stomach and intestines...it kinda freaked me out..lol!! Hope this helps :D and I'm sure no matter what you decide it will be the best for you!!

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For me, it was the severity of the procedures. I was hesitant enough about WLS, but removing part of my organs was just too much for me.

Also, since I'm self-pay, I was FREAKED out complications because my insurance would not cover any complications. Lapband was far less risky, IMHO, and therefore, less of a risk financially.

I've been infertile for four years and would like to get pregnant one day, and the fact that you can remove all the liquid from the band and have a normal size stomach again appealed to me in terms of nutritionally providing for a child if I was pregnant.

It's different strokes for different folks. I think Gastric Bypass is a fine procedure and is a better fit for some people. I think Lapband was the right fit for me.

The best advice I can give is research, research, research! Good luck!

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I wanted to go the route of least invasive and least down time. I also thought that if there's a problem 5, 10, or 15 years down the line, they may have come out with another equally less invasive procedure to perform. I would really like to keep all of my anatomy.

I also am young and plan on having a family someday, so it's important that I could still lose weight now, but have the possibility when pregnant to remove part of the saline to allow for adequate nutrition.

I also considered the actual weight loss aspect. Although gastric usually loses more weight at a faster pace initially, there is a chance of regaining after 18 mths-2 years (when the body learns how to reabsorb) if you did not learn to eat properly. The band causes you to change your eating from the start and also requires less nutritional supplements.

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I wanted something reversable. I also like me. I know that losing weight is a process, and I couldn't imagine how I would deal with suddenly dropping a ton of weight, so I wanted something that I would have to work with, so that in the even there are problems, I learn the skills to lose and maintain the weight on my own (albeit, not as easily). I also have dumping if I eat too much sugar as it is, and I see so many GB people who "cheat" on a regular basis because they can... and then they dump... and that does not sound like fun.. plus it doesn't alter behavior enough further down the line when the body adapts. Everyone I know personally who has had GB surgery gained most of the weight back because those first few years they lost regardless of what they were doing and never learned how to be a healthier version of themselves. The last thing for me was, the primary reason I was heavy and keeping on weight is because of my appetite/portion sizes. I am generally a healthy eater because my body would gets mad at me when I'm not and I have a few food allergies to common food fillers (meaning I eat whole foods for the most part instead of processed). I just wanted something that would help with my appetite and portion size. So far so good with the lapband. Plus, no risk of more dumping. If I want a cookie, my doctor says to have the cookie (I don't really like Cookies though, so it would proabably be cake). The thing is though, with my appetite how it is, I really don't want calorie dense things.

I am not as tight as some people around here, and I think I will stay this way because I lose better when I eat simple and complex carbs. I was at a plateau until I added white rice to my diet every other day. But I don't have to be scared to add these things because I won't overeat them, and since the band is adjustable, I can keep it at a level where I can. If I need to change though, I can always get it tighter... I like that about it too. There is also more aftercare. Since i check in with my doctor's office every month, I know that for the first year, I have a whole team helping me stay on track. I think GB patients only need to go 2x-3x post surgery for the first year.

Oye... sorry for the long response... but these are the reasons I went with LB over GB. Oh, and quick recovery. I was back to work in less than a week with only a little bit of pain.

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Thanks for all of your responses! My decision was based on all of the same reasons you mentioned (well, minus wanting to have kids...been there 4 times and done! :P ) I am nervous enough about having the surgery. Even though I had two knee surgeries, I made them only give me a spinal because I didn't want to be put under anesthesia. I like the fact that the lap band is less invasive and can be removed if there were major problems. I am just ready to get this whole thing started so I can see the pounds start dropping! :)

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    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 1 reply
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

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    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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