Gastric bypass or VSG??? I had my first visit with my bariatric doctor and he advised me that I should do bypass. I'm confused and I don't know what I should do? Please help? Btw I'm 25 year old Male weighing in 298 lbs height 5'7.5" tall.

Did he say why he prefers the bypass versus VSG?

the RNY has restriction and malabsorption where as the sleeve is just restriction. Were you diagnosed with GERD? If so, VSG isn’t the go to surgery for those with GERD as it may exacerbate the issue.

Some doctors also feel that if a patient has 100+ lbs. to lose then rny is preferred

Bypass due to acid reflux....it’s be ok tho.

Unless you have bad GERD/acid reflux or are a poorly controlled diabetic. I'm not sure why he would be encouraging you to have a bypass over a sleeve.

There are quite a few reasons to chose the bypass over the sleeve. Besides any reflux issues. Your co-morbidities will play a factor as well. I've seen a few folks (and a friend of mine) that went VSG only to revise to the bypass. I myself originally went with the band back in 2011... and revised to bypass Mar 21st.

I honestly wish I went with the bypass from the get go. Both the Band and the Sleeve only provide restriction and both can be "eaten around" with ease. You typically don't get any negative feedback from eating badly with the Band of Sleeve.

Did you ask your surgeon why he felt the bypass was better in your situation than the sleeve? They could have a very good, medically driven reason.

Personally, having done just restriction and transitioning over to the bypass.... I'd lean towards the Bypass.