So, I was totally set on getting the lapband, but I had several reservations about it. Then, I found this surgery and overall it seems a lot more appropriate for me. However, I have a few concerns about this as well. I've done tons of research on both and I'll be meeting with my surgeon soon, but I really want to have a pretty good idea of my own decision before meeting with him. So, here are my concerns... Any thoughts on them would be great.

1. My insurance covers either procedure as long as I'm approved for wls.

2. At only 27 I am concerned that lapband is not permanent enough since I would have to rely on a foreign body lasting inside me for hopefully 60+ years.

3. The sleeve is totally permanent (scary).

4. One of my biggest factors is that I plan on having more kids and I'm worried that the sleeve will not be compatible with pregnancy.

5. I am a huge puke-a-phobe (this is a concern with both surgeries).

6. I am totally ok with eating tiny portions, but the lapband seems way more restrictive on the kinds of food you can eat.

Hmmmm.... I think that covers most of my concerns. Any thoughts would be appreciated!

1. My insurance covers either procedure as long as I'm approved for wls.

2. At only 27 I am concerned that lapband is not permanent enough since I would have to rely on a foreign body lasting inside me for hopefully 60+ years. - Even the manufacturers and FDA knows that the band will not last a lifetime. It's only listed for 10 years, I'll try to find the specific links for you.

3. The sleeve is totally permanent (scary).

In my humble opinion, the band is not reversible. It can be removed, or unfilled, but once that thing is suture around your stomach, your anatomy is forever changed.

4. One of my biggest factors is that I plan on having more kids and I'm worried that the sleeve will not be compatible with pregnancy.

There are successful pregnancy patients on Obesityhelp that have had the VSG, and have delivered healthy babies. Once you hit goal, your surgeon will help you determine when you can TTC.

5. I am a huge puke-a-phobe (this is a concern with both surgeries).

Puking with the band is horrific and so uncomfortable. Puking with the sleeve isn't the same, it's like this creeper piece of food coming my esophagus, and I spit it out. That hasn't happened in months because I've learned how to eat with my sleeve. With the band, things get stuck and you never know when or what is going to cause you to puke. It's especially an unpleasant experience when eating in public and you have to rush to the bathroom because on that particular day, mashed potatoes didn't go down, and then you can't eat anything else because the stomach tissue swells.

6. I am totally ok with eating tiny portions, but the lapband seems way more restrictive on the kinds of food you can eat.

With the band, some days I could stuff, and the next Water wouldn't go down right. meat always had to be slathered in a condiment or gravy of some sorts because my band didn't like meat, and it didn't matter how it was cooked or prepared. I could not eat any bread products with the band that was total trainwreck with my band. With my sleeve, I can have about 1/2 of a fajita size tortilla with cheese on it, or the inside of a super light yeast roll. I'm not a sandwich person so I don't eat sandwich bread. I do enjoy pita bread, but it's about 1/4 of a pita pocket with cream cheese and deli meat sometimes.

Some other information about the band vs. sleeve. With my band once I lost restriction (the initial swelling with the band surgery), I never felt full, I was always hungry, but couldn't eat things some days so I ate slider foods which is completely counterproductive, but I had to eat. I had a flipped port, and could only get 2 fills post op, and then in February, my surgeon could not access my port. I was miserable, and in constant pain with band because the flipped port caused the tubing to actually tug on my stomach which in turn damaged my stomach. You won't get restriction with band until you get enough fills, and that could take months. Not to mention the unfills you may have to endure to find the "sweet spot". It's a lot of maintenance.

With the sleeve, it's instant restriction, plus with ghrelin hormone out of the equation, the ravenous hunger is gone. I'm 8 months out and still have zero hunger. I still have to remind myself to eat.

The risks with the sleeve are more common immediately following surgery such as leaks. But, with the band, the list of complications is long and can occur fairly early out, or a couple of years post-op flipped ports, esophageal dialation, stretched pouches, erosion, slippage, and those are the most common.

Some have asked me why did I have the band.

It was approved by my insurance, my mom has a band since Nov 2007 (and now she pukes 2-4 times weekly), I really thought I would be one of the lucky ones (so not the case), I needed surgical intervention, and I was so against RNY.

I knew all the complications, but honestly thought I could be successful. Luckily, when I decided to revise, I found out that a military base close to us did indeed perform the VSG. I left my civilian band surgeon and transferred all my stuff to a military surgeon.

My insurance (Tricare Prime) approved my revision immediately. I am not the type of person to really regret anything I've done in my life. I don't regret my decision to get the band. It taught me a lot about myself, and I did pick up some good habits with it. I do wish that I would not had of complications, and I wish I would of known that the VSG was approved at our neighboring base. But, I see a civilian PCM, so I get kicked to civilians for all of my referrals.

Just my ramble. I hope that helps.