im nervous, as most people are, I am worried that I am making the wrong choice rny over sleeve. I am almost 32 5'5 and right now weigh 263. I have no health issues aside from being over weight and tomorrow I start my 2 week liquid diet. I am afraid that having rny I am setting my self up for long term health problems but is the sleeve much different? reason I chose rny is because its the gold standard, its been around a lot longer and my sugeon is skilled at preforming the surgery. I have a family and a career and I feel selfish that this sugery may potentially make my health worse than if I just lived a life of obesity.

Well, I weigh about the same as you do and what a surgeon explained to me was that they are seeing significant weight loss with the sleeve alone without having to do the bypass. He said bypass is mainly for people that have larger amounts to lose. If we can get there with the sleeve then why get the bypass? See what I mean. He told me the sleeve was number one choice for me, but if I had diabetes then bypass would be for me. If you don't have any other health issues, I would go with the sleeve!

There are a lot of "it depends" on which to choose. I was debating between the 2 but my surgeon highly recommended the RNY for me. I was about your height/weight but had sleep apnea, pre-diabetic, my blood pressure was starting to go up, basically enough comorbidities that warranted the RNY over the sleeve. But that was me.

No matter which you choose, it will be the right decision for you. Discuss your concerns with your surgeon and have a final discussion. Best of luck. (by the way, I did have the RNY and have not had any problems and don't regret it for a second! But that's me.)

It really is a hard decision. My insurance only does the RNY so I didn't have to make that one. I just needed to choose to have the surgery.

Well, I weigh about the same as you do and what a surgeon explained to me was that they are seeing significant weight loss with the sleeve alone without having to do the bypass. He said bypass is mainly for people that have larger amounts to lose. If we can get there with the sleeve then why get the bypass?

While I think the sleeve vs bypass choice is very personal and each should do what they feel is best for them (with their doctor's input), to characterize the bypass as more involved than the sleeve is misrepresentation I think. In the bypass, yes, your intestine is re-routed, which some feel to be very drastic. however, all of your stomach remains in place, and in case of difficulties it can be entirely reversed (not saying there wouldn't be complications with that, just that it's possible).

With the sleeve 80% of your stomach is gone. If you do have problems, you can't just put it back. I'm sure there are procedures available to help with complications but I'm just pointing out that in its own way, the sleeve is just as "drastic" as the bypass.

I think the name "sleeve" makes it sound like it's a very simple process, or similar to banding, when it's not.