Well my surgery is on thursday the 27th and today I had a pre-op physical. This is the second time I met with a P.A. and she warned against me getting the sleeve, very firmly I might add. Both P.A.'s say that if the bmi is over 40, weightloss is so much less (pretty much will gain lost weight in most cases) and I should get the bypass . Pretty much I wont even get close to my goal if I dont have the bypass. Im super bummed to meet so much opposition. She told me the day of surgery to be prepared for the surgeon to strongly advise I get the bypass again... I get it. But I have seen people on this site who have the same stats as me, (5"5, 323lbs) and seem to have done very well with the sleeve. I feel very strongly about sticking with my decision despite their prejudices but am I just being stuborn to a fault? She told me she recently had a lady come in after not losing weight on the sleeve and having to get a second surgery, the duodonel switch, and she was so upset she hadnt listened to their advice. Does anyone regret NOT choosing the bypass? Do you have a BMI around 57 and were also encouraged to not get the sleeve?

I changed surgeons because he was pushy and insisted on the RNY Bypass. After much research and talk, I decided that I could not live with the side effects of the bypass. The dumping in particular. Research does not support their assertion about the weight loss.

I changed surgeons, continued down the VSG and here I am, 9 days post op and feeling great.

When I went to my pre-op orientation, I was the only person in the room that was not having the bypass. The other surgeon pushes that procedure. My surgeon spent almost an hour talking to me in the initial visit explaining the surgeries and answering my questions. If you haven't seen the surgeon yet, I would suggest moving on.

GET A SECOND OPINION, and find a surgeon you can trust!

No Regrets and good luck, BopPop

I would say get new doctors...or at least a second opinion

Thank you so much Now if I could just get through this stall....

You'll get through it! I have no idea if I'm stalling or not, I sure hope not, I need a scale.

I originally wanted to do the lap band. My surgeon,PA, psych, nut all were against it. They were pushing so hard with the bypass. I am determined(still) that I will not let them sway me. I understand everything they say...so I really did a lot of research and I am doing the sleeve. But my Dr. said he DID NOT want to do the band. I say do what ai tell ya!

Good luck to you

Thats frustrating SassySleever' date=' I wont even meet my surgeon until right before surgery. That doesnt seem normal? but I dont know. I do know they are busy because him and his partner have done over 6,000 weightloss surgery procedures combined. I guess thats why he has P.A.'s do everything![/quote']

But is it a Bariatric Center of Excellence? I flat refuse to see a PA since I went to my first appt with my pcp and the pa flat refused to consider surgery an option for me. She said my ins did not cover it and that was it. She was wrong. They did cover it at 100%. I scheduled another appt and insisted on seeing the MD. Then I researched the available surgeons in my area to find the Center of Excellence and contacted them directly to see if I had coverage. The PA won't be the one doing your surgery either so why should she feel compelled to advise you on what is best for you in that regard. My surgeon discussed BMI with me at the first appt and stated he had performed the sleeve on many patients with a 50+ BMI. Mine was 41 when I started. It is now at 33 two months out. He almost always recommends the sleeve over RNY because of the obvious benefits. Goood luck to you! Don't be afraid to find another surgeon. Remember, they work for YOU not the other way around.

This is a center of excellence! And only place I can go. I like the surgeon but they think I will have better results. The last appt I told him straight out " you can stop asking me as my answer will not change" . He hasn't asked again

Im not sure besides the fact they think its not effective on people with BMI's over 40. SO discouraging:( Thanks for the response!

I am shocked to hear of your experience. Sounds tough. Surgeons are so different. I am 5'5" recently made it under 300- currently 298. My surgeons office thinks sleeve is superior. The benefits are about the same as bypass. You know what's best for you!!! . Maybe another surgeon?

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Nope, its the only center my insurance will allow. It takes me a hour each way. I will see what happens when I go back in Dec. I think I have set things straight after my last appt

And congrats!!! I am looking forward to being under 300.

Nope' date=' its the only center my insurance will allow. It takes me a hour each way. I will see what happens when I go back in Dec. I think I have set things straight after my last appt <img src='http://www.bariatricpal.com/public/style_emoticons/<#EMO_DIR#>/smile.png' class='bbc_emoticon' alt='' />

And congrats!!! I am looking forward to being under 300.[/quote']

So sorry to hear your facing this bummer situation. No fun lady!!! The sleeve seems to be very successful. I am pulling for you!!!

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My mom & aunt both had the bypass and regret it everyday. They both look like the walking dead and have to take like 25 vitamins a day because they cannot get the nutrients from food because their stomachs are bypassed. I had the sleeve (my bmi was 44) and I recommend it to everyone. It was the best thing I've ever done. My surgeon doesn't like doing bypasses because how rough they are on the body.

I have a consult with a surgeon a few weeks back and I didn't like the fact he kept saying you can do whatever you wanted to do. Now do t get me wrong he was very informative and answered all my questions. Adding the fact that my first appointment was a waist of time and money $45 co-pay. He didn't really do anything other then tell me what I had to do and sent me in my marry way. My current surgeon first made me go to a information seminar which was free then I have a consult with him on Friday. During the seminar I asked if I could pick what I wanted and his answer was..... He has to speak to you one on one and find what best suites my needs. Knowing that he takes the time to make sure im making the right life altering choice make me feel so much better. It sucks that I wasted 2 months waiting for the other appointment and finding a new surgeon but at the end I the day my life is going to be in someone else's hands and being comfortable should be step one to this long process.