I'm having such a hard time choosing between the bypass and sleeve. I only have two nutritionist appointments left so it's coming quickly. I'm excited to see what my surgeon recommends but if he says either one, I'm still going to be torn. I have no comorbities besides high blood pressure every now and then, not on meds for it though. I'm 22, 5'9, 360 and still losing. I'd like my goal weight to be 165. Any recommendations? What was your starting and current weights? I'd love your stories, pictures, etc. Thanks so much!

I had the gastric sleeve done 2 1/2 years ago and I lost 70 pounds and have kept it off. I LOVE MY SLEEVE. But I have terrible GERD and Acid Reflux that has caused many problems. I am going through the process now of getting ready to have a revision to a bypass. I prefer the sleeve but the bypass will clear up the reflux issues I'm having now. All of the surgeries work but they are just tools and its up to you to pick your meals and stay on your diet. Good luck to all who have not had surgery yet, you are going to love it.

I'm so happy that I'm even getting surgery! I can't wait and I know I'll love it! Hoping bypass will help your gerd!!

One thing is certain, I don't think you'll regret your choice no matter which one you choose. When you're starting over 300 pounds, I feel like it's almost impossible to get to a normal weight without medical intervention. I can't think of anyone that I know personally that was ever that heavy and lost to a normal weight.

I had the gastric sleeve done 2 1/2 years ago and I lost 70 pounds and have kept it off. I LOVE MY SLEEVE. But I have terrible GERD and Acid Reflux that has caused many problems. I am going through the process now of getting ready to have a revision to a bypass. I prefer the sleeve but the bypass will clear up the reflux issues I'm having now. All of the surgeries work but they are just tools and its up to you to pick your meals and stay on your diet. Good luck to all who have not had surgery yet, you are going to love it.

That is precisely the position I'm in. I LOVE MY SLEEVE. It is perfect. It offers great restriction but allows me to eat anything. It's perfect except it's trying to kill me with the excess acid. I'm going through a mourning period right now and know that I'll be sad to see it go when I revise to bypass on 7/1. My sleeve gave me a life I could never imagine. I'm really tired of people bashing the sleeve as an inferior surgery and reassuring new patients that you can revise to the better surgery when your sleeve fails. For the most part, sleeves don't fail, people do. Do the hard work and your sleeve will reward you. Although I'm losing my sleeve and will technically be a "RNYer" I will always consider myself part of the VSG family.

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I planned to do RNY from the beginning. But at my last meeting with my surgeon, he asked why RNY vs. sleeve? I told him about not wanting reflux, losing faster, etc, etc. His recommendation was the sleeve because it is less invasive, there is a smaller chance of complications, and it means less time under anesthesia.

I decided he was the expert, as all I knew was from reading on the internet LOL. Had the sleeve in February and even though it has only been a few months, I am happy with trusting him with this big decision.

Good luck to you in this exciting time!

I just finished reading all the posts here and I have a few comments to add. First, those who preferred sleeve to bypass because they didn't want their small intestines cut in to, you had more than half your stomach removed from your body! I didn't feel okay with that. Second, it also can depend on the comorbidities that you have with what surgery you prefer. I am a Type 2 diabetic who had extreme insulin resistance and just continued to raise the amount of insulin I needed to even be somewhat better with blood sugars (it still didn't work). I've been on an insulin pump for 4 years and it just continued getting worse and worse. I have been eating a low carb diet for over 5 years and that wasn't even helping anymore. Because my diabetes was beginning to affect organs, this was my last effort to gain control. I wanted the RNY gastric bypass because it showed better results for diabetic patients. Although your intestines are being "rerouted" to the newly created "pouch", nothing is being removed from the body. I felt better about that too. I was warned, however, by the surgeons nurse that once they were in and they felt the bypass wasn't an option at that point, then they would do a sleeve. I had to agree to that, but everything went well and I had my bypass almost 8 weeks ago. I'm 35 pounds lighter (although I'm stuck in a stall right now), my blood sugar numbers are perfect (even though I still use my insulin pump, I only use for basal insulin and not bolus anymore). I have experienced dumping a few times; a couple times for overeating, and a couple times for eating too fast I think since I hadn't eaten enough food to be over what I should have eaten yet. Dumping is painful, it's horrible, and I try to avoid it at all costs. If I knew back when what I know now about WLS, I would have done this years ago. But, live and learn. As long as it continues to improve my health, I'm ready to live a longer, healthier, happier life!

Whatever decision you make for yourself right now, feel confident that it is the right one for you. Listen to your surgeon and other healthcare people, and listen to your heart. You will know what is right for you.

Ahhh everyone's opinions make me so confused. I thought I was set on bypass now people have me second guessing

You do what you feel is best for you....that's between you and your doctor! Everyone here has an opinion, but nobody here knows YOUR situation or what is best for YOU. You'll make the right decision based on your conversation with your doctor!