My surgeon recommends RNY, due to my bmi over 50. However I carry a lot of abdomen weight and if I don't lose enough pre_op he advised if he feels while mid_surgery that's it's safer for sleeve, he will do that instead. And I have to sign off that I trust his judgement call in operating room. I'm scared I won't lose enough and this may be my outcome even tho I feel I'll be more successful with RNY vs. SLeeve. Anyone else have this or have encouragement that someone of bmi over 50 can still expect good weight loss from sleeve?

I am too soon to say how successful, but there are over people with high BMIs that have lost all their excess weight and 2 years out, the data is the same for the sleeve and the RNY.

My release form was laparoscopic Sleeve or at worst open sleeve surgery.

I haven't really heard of alternative procedures.