Having my surgery in a little more than 24 hours, and feeling confused and discouraged by something my surgeon said when I was there last. I am getting revision surgery from the sleeve to the bypass, my BMI is currently 33. Doc says he does the bypass more or less based on BMI, and because I am a "lightweight", he will only bypass a little bit(?) thus not causing much malabsorption. He worries that I will lose too much weight otherwise. I begged him to do it as if I was a 44 (where I started), otherwise, to me, I don't see a point of revising my sleeve into essentially just another sleeve if there is no malabsorption. I didn't think too much of this in the office but as I have had the whole weekend to think, it is really starting to worry and confuse me. Is this the RNY or a different type of bypass? I have never heard of varying degrees of malabsorption. Will I get to speak to my surgeon before the surgery? He seems to think I will lose the weight no problem. I trust him, I just don't trust myself. I love food and I really need this surgery to be powerful and kick my ass into gear. I already failed my sleeve. I would rather not have another revision down the road. Has anyone ever heard of this? Should I be worried? I don't know what else to say to him without offending his intelligence and coming across disrespectful.

I'm curious to know how much you weigh at 33 BMI?

~Leticia **HW: 259**PreOp: 216**SURG: 3/21/13 **Discharged @: 221** 4.5 mons post op. CW: 160.0 lbs. --- Only 10 lbs to my goal ---

I'm 5ft 3in, 185 lbs.

I would be concerned too. By the standard you have about 60 pds to go. Talk to your doctor again before the surgery. Good luck I know you will succeed in what ever you decide keep us updated. Your not alone in this.