I went into my nutritionist office through my dr, and she doesn't recommend the sleeve for me. How did you choose? I have an appointment with the bariatric team, and see what they say. She said for long term gastric is the way to go.

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Some doctors prefer the bypass if your starting weight is higher, because you are going to lose a little bit more.

I chose the sleeve because I wasn't interested in rerouting my pipes. To me it seems less invasive, has less risk of things like food intolerances (good or bad depending on your view!), and the idea of malnutrition to that extent freaks me out.

Keep in mind I am only 10 months out. Purely anecdotally, I have found it interesting that the people I know with the most regain had the bypass.

Regardless, don't let them pressure you into something you don't want. If you want the sleeve, do that! It's also possible to go from sleeve to bypass down the road if needed.

Bypass and sleeve are both good choices. But they are also just tools. If you don't change your lifestyle you will gain the weight back no matter which surgery you choose. The weight doesn't just come back by itself. My surgeon recommended the sleeve for me, less complications and bypass is bad if you want kids in the future.

I am almost 5 years out. Thought my maintenance set point waa 160# and that is where I stayed for about 2 years. Then in January of this year I started dropping weight to my current 140#. Have not changed my eating habits so guess my body decides on a lower set point.

I had the sleeve as I did not want to deal with the low absorption, all the vitamins, and having my plumbing rerouted. I have lost a total of 150#.

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Some doctors prefer the bypass if your starting weight is higher, because you are going to lose a little bit more.

I chose the sleeve because I wasn't interested in rerouting my pipes. To me it seems less invasive, has less risk of things like food intolerances (good or bad depending on your view!), and the idea of malnutrition to that extent freaks me out.

Keep in mind I am only 10 months out. Purely anecdotally, I have found it interesting that the people I know with the most regain had the bypass.

Regardless, don't let them pressure you into something you don't want. If you want the sleeve, do that! It's also possible to go from sleeve to bypass down the road if needed.

Me too and I have decided that the reason I know more bypass regains is because it was the more common surgery for weight loss compared to the sleeve. I'm pretty sure that long term results are similar for these surgeries. Both are good but I chose the sleeve.