Open/Lap
I was almost 500 lbs at the time of my 1st consult...my surgeon told me he could attempt to do a lap surgery, but he wasn't sure he'd be able to do a full lap procedure because I carried a lot of weight in my stomach...and the tools have a certain angle that you have to work with......I ended up with an open surger...and the recovery was bit longer...but I had the full DS in 1 surgery..and I lost all of my excess weight in 18 months.
Good luck to you...
scott