RNY vs. Vsg

I had the VSG because I had a lot of family that had RNY and they gained most of their weight back plus I didn't want my intestines rerouted. I could lose weight but couldn't keep it off. I've been happy with my decision. 

My BMI was over 70 when I decided to have surgery.  My surgeon gave me the option of the RNY or VSG.  I chose the VSG because I was uncomfortable with rerouting my intestines with the RNY.

The RNY gives you about two years of malabsorption in addition to restriction.  The VSG is restriction only, but they also remove the portion of your stomach that generates ghrelin, the hormone which makes you feel hungry.   My surgeon does not perform the DS, and I don't think I would have opted for it if he had.  There are some bathroom issues that I don't think I would have enjoyed that accompany the DS.

Either surgery will work, as long as you stay on your plan and don't backslide into poor eating habits.  It's said here a million times a month, but it remains true - they operate on our guts, not our heads.  If you have emotional issues with food, starting dealing with them now.  They do not go away by having surgery.  You can eat around your surgery and either not lose weight or gain the weight that you lose.

Good luck on whichever path you choose.  It was truly the best thing I've done for myself 

I started with a BMI of 57. 

I had the RNY.  I am very happy with my surgery.  I think the DS, VSG and the RNY are all good surgeries.  Different surgeries are right for different people.  

Like Laura suggested, I would look at the DS with a BMI of 67.  It may be right for you.  

Good luck in whatever you decide.