Help! I can't decide which surgery to have!!

The sleeve is a great WLS and so is the RNY. I am sure you have talked with your surgeon regarding your specific health issues and they have given you input on the best option for you. Things like blood sugars, gird, and things that RNY is better option for. Weight loss with any surgery will take work along with the WLSits self. Malabsorption is a bigger concern with the DS and RNY.
You can always have a revision from the sleeve to RNY at a later time possibly.
Although time and cost for a second procedure may not be optimal. I did have the RNY and take vitamins a lot at night but calcium 3 times a day. My blood work has been great and nearly 3 years out.
You do have to be comfortable with decision and know wich ever you choose again focuss and work/effort for the long haul success. Especially over 50 BMI.
Skin issues will be there if they are going to be because of the extreme weight we carried at over 50 BMI.
Best of thoughts with your decision ahead of you!
Hugs

Both surgeries are effective - generally RNY patients lose a little faster at first, but when you've got a lot to lose, like all of us here, it seems to even out.

If you have diabetes or metabolic disorders you might be steered towards RNY - but ultimately the choice is yours.

I chose VSG for a lot of reasons - primarily the need to take NSAIDs to manage the arthritis I've had since my late teens. I also didn't want long term malabsorption of nutrients, rerouting of my intestines or the 30% chance if dumping syndrome. There is a higher risk of GERD, I think, with VSG, but I already have to be on PPIs because of the NSAIDs, I just switched to a stronger one.

I'm hoping that by the time I reach goal I'll be able to dispense with the vitamin supplements - no guarantee, but it IS possible. I hate supplements.

Hair loss is pretty much the same regardless of surgery, and is temporary.

I'm only 5 weeks out (just shy of it), and still no buyers remorse

You have to do what is best for you. If you take nsaids for pain and want to continue doing so, have the sleeve. 

I had RNY 5 years ago. I have lost and kept off 200 pounds. In my support groups, the sleeve people are all still overweight, but then again many of the RNYers are, too. No matter what you choose, it is just a tool. YOU have to decide to do the work.

I have had no issues and picked the right surgery for me.

RNY is a great surgery and sucessful but for a BMI of 50 you really should consider the Duodenal Switch as well. Know ALL your options. DS has a higher success with SMO patients losing more weight and keeping it off long term. There are only a few surgeons that do it. Head over to the Duodenal Switch forums for more information. 

The DS is for SMO patients with a BMI over 40 because it is the best surgery for someone that needs to lose that much weight. 

Research the Duodenal Switch.  I had the DS 10 months ago and have lost 205 lbs already.  If you can live with a high protein diet and taking vitamins everyday, the DS is an excellent option!

 

Best wishes!