I'm 5'4 260 pounds in have no obesity comorbidities like high blood pressure or diabetes yet thanks to my lord I want to get the vertical sleeve done i can't wrap my head around gastric bypass... but also gastric bypass is the gold standard. .. dont know I don't think I need something so drastic. ..

Sent from my SAMSUNG-SM-G925A using the BariatricPal App

They are both good, effective surgeries. Which one you choose is a personal decision to make in conjunction with your surgeon. S/he will go through the pros and cons of each surgery s/he performs and make a recommendation, which you are free to take or leave.

Well said. I personally when with the sleeve because I did not want the possible mal absorption issues. But the decision is best made with you and your surgeon

Definitely discuss with your surgeon. You can lose all of your excess weight with both. Your stats don't sound all that bad, so sleeve should easily be an option for you. Some surgeons push bypass for patients with very high BMIs, diabetes, or GERD. If you don't have those concerns, then sleeve will probably be what your surgeon recommends anyway.