Ok so the psychologist said I'm a good candidate for wls but not the sleeve, which is what I've had my mind set to. He said because I have issues craving sugar the sleeve is unlikely to result in much permanent weight loss for me and that I should get the bypass instead so I'm forced to give up sugar.

Now I feel defeated and scared. I don't want to go through all this for nothing,

Eerrrr....wait to see what your surgeon says. That's a strange recommendation....the eval says you're a good candidate. The type of surgery is up to you and your surgeon. Don't stress.

In general, it is the surgeon who would make that determination not the shrink. The cynical part of me thinks they want to push folks into bypass perhaps because there are better margins for their medical practice. They can demand more from your insurance company. I'd hope that is not the case but it does seem strange that the psychologist, not the nutritionist or the surgeon is making that determination. I'd ask for a second opinion.

I agree with the other postings. Talk to your surgeon. Best of luck!

Not everyone with the bypass dumps and not everyone who dumps does it forever. It also seems like the psychologist is overstepping their bounds. I would mention this to the surgeon if the surgeon referred you.

How on earth does your "psych" know which surgery is best?

I am diabetic and had the sleeve, believe me I craved sweets. My tastes have completely changed since surgery...Im feeling better and healthier each day...

Best of all, I'm off my diabetes meds!

Talk to your surgeon, and ignore the psych...I understand their concerns, but you need to make this decision with your surgeon.

I would definitely talk to your surgeon. The psychologist is not your doctor. The decision about which procedure you should get is up to you and your surgeon. Besides, if the psychologist said you were a good candidate then that is all that matters. Don't get discouraged. It will all work out! Stay positive and stay focused!