Ok here is the deal, two years ago in October, I had the VGS with some success. My HW was 297, SW was 265. I dropped 92 pounds and was happy. However I got complacent and stop following my diet and all but eliminated my exercise plan. I started gaining wait back. 45# in one year, not good.

To say my symptoms returned, is an understatement. I met with my PCP and he suggested seeing my surgeon again to try to fix the problem vs. giving me more Rx to treat my symptoms.

I do have really bad reflux that I have been hospitalized for 2 times. It is getting worst. My doctor told me that statically the RNY would correct most of my issues and as a bonus, I would loose weight.

Here is my problem. Did I give the VGS a fair run? Did I do all I could have done? With the RNY, what if I become complacent again. There is no "next" surgery. The RNY is the final step.

I know I need this but I am freaking out and reaching for any excuse not to do this.

Suggestions to relax and stay focused on my goal and get through surgery on Monday.

I believe with acid reflux the best option is the RNY. I was told you would have issues with acid reflux with a VSG. It wouldn't ease your symptoms but may make it worse. I too was going to do the VSG but I wanted the chance of optimal weightloss so I decided on the RNY.

I had severe acid reflux before my RNY surgery, but none since. After the surgery, I completely lost my hunger. It was not hard to drop the weight when hunger is not constantly gnawing at your bones. So this weight loss process was very different than a diet. I am currently 21 months post op and my weight is fairly level. I am told that by the nutritionist, that the main reason why people after the operation gain weight is because they go back to grazing. So if you can limit your grazing or control what you graze on (limit carbs) you will probably do fine.

I was specifically told by my surgeon that the sleeve is not a good option for me because of my reflux. He always recommends RNY to patients with reflux/GERD.