Definitely do your own research & determine what is best for you. You should also take a hard look at your dieting past. Were you able to lose by just restricting only, or was every pound a struggle no matter what you did. Each surgery has its own pros & cons. The sleeve is a restrictive only procedure, while the rny & ds are restrictive & malabsorption procedures.

Try going to a seminar where you can learn all of them & maybe meet wl patients. I'm guessing at your appointment you will talk about your medical history, current medical condition. Dieting history, insurance, what you expect from the procedure and what he expects for you as a result of the procedure. Usually I'd guess you'll get & do a lot of paperwork.  

I'm having some bounce back action going on, but I know it's water weight. I had to wait a bit to make sure. I've upped my bike riding a lot for the last week & my body went into oh **** I have to hold onto every molecule of water mode. So it shot right up to 200lbs at 1 point where I went into freak out mode,   my tom didn't help things any, but I took a breath & stayed the course, where it went down to 199, then 197. So its finally starting to calm down some. That 192 was starting to feel like a teaser, but I'm guessing when my body stops freaking out & gets used to my new normal, I'll be back on point again. So my stats so far:

High weight 366

Last week 192

This week 197

Next goal 180's (surgeons goal)

Welcome! I went to Mexico so my experience is totally different than you will have so I'm not sure what to tell you for the appointment.

For the type of surgery, I recommend reading everything you can here. You will see the good, bad, and ugly. It helped me tremendously. This is a great place to learn and ask questions. Good luck!

I had the duodenal switch (aka DS) and know it was the smartest thing I've ever done for myself. I had reservations about taking daily vitamins, which would be required also if you have RNY (gastric bypass) but there may be more or different ones. 

According to studies the DS is hands down the most effective surgery for losing the weight, and keeping it off. It's also the most effective at resolving co-morbidities, especially type 2 diabetes, cholesterol and metabolic issues. It's the most successful no matter what your BMI is, but there is data showing it's especially good for folks over 50bmi. 

You are young, and thinking about whether you will be OK taking supplements for the rest of your life with the DS is important (although don't let anyone tell you that that would not also be the case with RNY). I now take fewer pills in vitamins per day than I used to take to treat my mounting co-morbidities, as those are all long gone. You may not have many yet as you are younger, but they will come, and they trash your body when they do. 

Don't get this surgery if aren't sure you can be responsible with the supplementation. If you can, it's life changing. I eat more normally now than I did before my DS. I used to have such disordered eating from fretting about getting a speck of fat in my food, and made my metabolism even more efficient than my fat genetics already had. I was not going to lose, and maintain that loss, on my own. I tried for years thinking I could do it. I had good will power, and decent diet habits, but eventually realized I needed surgical intervention. 

My only regret, in total honesty, is not doing it sooner. 

As far as traveling, I self paid for my DS outside the US (rather than get RNY paid for right by home by my insurance) and was on planes for 30 hours post op - that's THIRTY HOURS!! That sucked, but it's doable. 

The liquid diet is also the pits, but one thing that helped me, was knowing that it was not only temporary, but after I was healed I could eat better and more satisfying foods than I had in decades. Instead of those disgusting rice cakes and similar diet crap, I'd be able to eat higher protein, and higher fat, which makes most food more satisfying. I had bacon wrapped prawns and avacado salad for dinner tonight, which is typical. Not a lot, because even at 8 years post op I can eat a smallish sized meal, but I eat YUMMY food that I actually love, and am actually satisfied after. No longer feeling like I need "just one more bite" because it's so good. 

You should ask the surgeons office what they allow on their liquid diet, as I was allowed all the variations of soup, and some surgeons have no liquid diet requirements at all. Just remember as you are chugging down another cup of broth, that it's only for now, and after a few months, you can have prime rib, lobster dipped in butter, etc. 

ose 

Awesome. Stay focused!!