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Decision between sleeve and bypass??

Good day all. I have been following this website for sometime and appreciate all the great info and discussion. I am at the point in my journey where I have been discussing which surgery would be best for me. It is between the sleeve and gastric by-pass. I am sitting on the fence. Any pros and cons anyone can pass along would be greatly appreciated. This is a harder decision than I thought it would be.

Thanks in advance

Lesley Q.

  • Replies 12
  • Views 1.9k
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  • Thanks very much for your help. I have opted for the sleeve and have my surgery scheduled for Tuesday, July 25th. Wish me luck on this next leg of the journey!!

  • VSG_Man_Vs_Food
    VSG_Man_Vs_Food

    In my opinion, sleeve appears to be most common these days and has the lowest surgery risk. Bypass seems to be good if you suffer from reflux or want the dumping reaction in order to avoid sweets. D

  • hmills653
    hmills653

    I chose sleeve bc I was more nervous about the re-routing of my intestines being more invasive and dumping syndrome scares me. I'm three weeks tomorrow and happy with my choice. I've already lost 28#

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What does the surgeon recommend for you? I was fairly certain I wanted the sleeve and the surgeon said it was the right one for me... Sometimes it depends on the amount of weight you have to lose, perhaps not always

In my opinion, sleeve appears to be most common these days and has the lowest surgery risk. Bypass seems to be good if you suffer from reflux or want the dumping reaction in order to avoid sweets. DS seems to be recommended for higher BMIs and more extreme cases. I chose sleeve because I still want to be able to eat most foods normally once I hit goal, just in smaller quantities. If you haven't already, check out the obesity coverage website for lots of good info.


HW: 330 lb
SW: TBD 6/27/2017
CW: 302 lb
GW: 180 lb
VSG, Dr. Jawad, Orlando, FL

  • Author

Thanks all. My surgeon has given me the final choice that's why I thought I'd ask "the experts". I to like the idea of eating regular food albeit in smaller amounts. All opinions gratefully accepted.

In my opinion, sleeve appears to be most common these days and has the lowest surgery risk. Bypass seems to be good if you suffer from reflux or want the dumping reaction in order to avoid sweets. DS seems to be recommended for higher BMIs and more extreme cases. I chose sleeve because I still want to be able to eat most foods normally once I hit goal, just in smaller quantities. If you haven't already, check out the obesity coverage website for lots of good info.


HW: 330 lb
SW: TBD 6/27/2017
CW: 302 lb
GW: 180 lb
VSG, Dr. Jawad, Orlando, FL





Exactly what he said [emoji1312][emoji1312][emoji1312]
The doctor that did mine rarely does bypasses anymore . Unless foe special cases of reflux issues, he said he thought sleeves were more effective- less changing of your body .

I chose sleeve bc I was more nervous about the re-routing of my intestines being more invasive and dumping syndrome scares me. I'm three weeks tomorrow and happy with my choice. I've already lost 28# since the surgery.

Sent from my SM-N920T using BariatricPal App

  • 3 weeks later...
In my opinion, sleeve appears to be most common these days and has the lowest surgery risk. Bypass seems to be good if you suffer from reflux or want the dumping reaction in order to avoid sweets. DS seems to be recommended for higher BMIs and more extreme cases. I chose sleeve because I still want to be able to eat most foods normally once I hit goal, just in smaller quantities. If you haven't already, check out the obesity coverage website for lots of good info.


HW: 330 lb
SW: TBD 6/27/2017
CW: 302 lb
GW: 180 lb
VSG, Dr. Jawad, Orlando, FL

Dr Jawad did my surgery as well. He's amazing



My husband had RNY - gastric bypass 11 years ago. Issues there are problems absorbing vitamins and not being able to use Advil or nsaids. Also if you have any issues with liver/ bike ducts etc there's no access via egd. He had a lot of complications as well.
I had my vsg 6/22- so far so good.

Good luck with your decision. Trust your surgeon.


  • Author

Thanks very much for your help. I have opted for the sleeve and have my surgery scheduled for Tuesday, July 25th. Wish me luck on this next leg of the journey!!

I'll add to to my prayer list! It will go well. There at so much fewer complications with the sleeve.


It's getting close [emoji847]


Mich W
Hw 223, SW 217 CW 200 GW 135

Best of luck to you. I had the sleeve and have had no complications, I can eat everything I did pre-op except for eggs and recovery wasn't bad.

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