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Making the surgery choice, which one?

Hello, I’ve been doing research for years now on the pros and cons that come with WLS as a whole and I finally decided to make an appointment and see what the doctor says. I thought of going with VSG, that’s what I found more research on from actual patients, surprisingly since RNY has been around much longer. I’m on the lower BMI side without too many medical issues so I didn’t think they’d agree at all. But the doctor gave me a surgery day and all the tests and pre-op things to do. She also told me the requirements are the same for both surgeries and somewhat hinted the weight loss would be larger with RNY and just went along with my choice of VSG, now I’m questioning if I didn’t do enough research and if I should pick RNY instead. How did you made a choice? How did you know it was the right one? These are pretty serious surgeries, I want to know I’m making the right choice long term. What advice would you give your pre-op self about what’s to come?
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  • Alot of folks already said more or less the same thing, but I'll throw in my 2 cents anyway: I chose sleeve because: I was afraid of dumping (but...I dump anyway) I wanted to conti

  • catwoman7
    catwoman7

    if you have GERD, consider RNY. VSG can (and it doesn't always, but there's about a 30% chance) make it worse. RNY often (not always - but usually) improves if not outright cures GERD. outside

  • I really wanted the bypass, but it turned out that it was medically contraindicated for me. I even got a second opinion and that doctor agreed that the bypass was not safe for me. So I had the VSG as

Featured Replies

3 hours ago, Pilot my best self said:

I have 150+ to lose, am pre-diabetic with hbp and periodic reflux.
I was thinking sleeve because the idea of malabsorption scares me and the need for supplements feels restrictive. And i am afraid that I will not enjoy dinners out and even have difficulty getting enough macros in with the small pouch.
but I have a lot to lose and felt “in for a penny, in for 150 lbs.” ?

I also like that it is reversible (technically) if I have serious problems.
I have been wavering since the beginning too, but am settled on the GB as the best option for successful long term outcome. my surgeon did not push one over the other, but clearly agreed that GB was a better option for me once I indicated I was leaning in that direction.

surgery is 3/26 and I just want to be 6 mo post op already!!

good luck. I think either choice will get us to a much healthier place.

Sounds like we had almost the same thought process. I’m going with bypass too (surgery tomorrow). I think we made the right choice!

17 minutes ago, HeatherE said:

Sounds like we had almost the same thought process. I’m going with bypass too (surgery tomorrow). I think we made the right choice!

Awesome!!! Congratulations and best wishes for quick recovery. 5 days to go for me. Just think, You’ll be 4 days post op and over the worst of it by the time I go for surgery!

3 hours ago, OAGBPal said:

My bypass is about twice as long as what you'll have with the RNY, and my bloodwork so far is awesome with Calcium + regular Multivitamins. I've gone from being deficient in Vit D and Iron to being normal after surgery.

Sounds like there’s so many benefits to the miniGB. I’ve been vitamin D deficient for most of my life. I don’t know much about miniGB. But sounds like it was really successful!

3 hours ago, Pilot my best self said:

Awesome!!! Congratulations and best wishes for quick recovery. 5 days to go for me. Just think, You’ll be 4 days post op and over the worst of it by the time I go for surgery!

Thank you! I’ll be the test run (haha). I’m sure everything will go fine for both of us. I thought I’d be freaking out and perhaps backing out, but I’m surprisingly calm. Ready for it to be over!

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