I am currently going through the process and I have my final at the end of March. I currently have chosen RNY but I am really going back and forth about the sleeve. I know a few people that have gotten the sleeve and have been very happy with the results. I weigh,250. Not a huge number, but a high enough number that I need to lose 120 pounds. I have a bad relationship with food, as I eat my feelings. My concern about getting the bypass rather then the sleeve is I have two young children. When I have a healthy relationship and I want to have a bite of cupcake at their birthday party is it worth experiencing dumping syndrome? I want to experience happiness and I'm so afraid that the surgery will let me experience the weight loss and get my confidence back but have other issues. Can you please give me your insight one you chose one surgery over the other? I am just trying to weigh my odds. Thanks!

We are similar. I just had my last weight loss appointment but I still have to do the other pre-op stuff (EKG, CXR, UGI). I am a little over 250lbs now. I was going back and forth between vsg and sleeve also. My biggest hesitation with rny was the malabsorption and dependence on vitamins. I just saw my surgeon and she did say that she thought I was a good candidate for vsg due to my current weight/age. My hesitancy with vsg was the lack of data 5 years out comparing the two surgeries but my surgeon told me there is a new article published that had good data 5 years out and the rny and vsg are pretty close. So anyway, I am back with the sleeve decision.

Don't you think it's odd that you make the choice. When I had my gallbladder out nobody asked me which way to perform the surgery. I just am not sure I should make the decision.

5 minutes ago, lisamn said:

We are similar. I just had my last weight loss appointment but I still have to do the other pre-op stuff (EKG, CXR, UGI). I am a little over 250lbs now. I was going back and forth between vsg and sleeve also. My biggest hesitation with rny was the malabsorption and dependence on Vitamins. I just saw my surgeon and she did say that she thought I was a good candidate for vsg due to my current weight/age. My hesitancy with vsg was the lack of data 5 years out comparing the two surgeries but my surgeon told me there is a new article published that had good data 5 years out and the rny and vsg are pretty close. So anyway, I am back with the sleeve decision.

Don't you think it's odd that you make the choice. When I had my gallbladder out nobody asked me which way to perform the surgery. I just am not sure I should make the decision.

In my case I was given a choice but I had a couple second opinions and every surgeon, even one who prefers a bypass, suggested sleeve. When they first said "your age", that was, to me, an utterly ridiculous assertion. However, having seen a number of complications for surgery in the area of the stomach or liver down the road with those who had a bypass, it was clear sleeve was the better option. Plus, if you have a good surgeon, they will give you the option of a bypass 1-3 years after sleeve if it's not working out for you the way you want it to.

In my case, while I have a number of serious issues, they were all stabilized well and the indications were that they could all be easily reversed. Every situation is different though.