Vertical sleeve failures
My reasons are not going to be necessarily helpful to anyone else, as hopefully everyone getting surgery digs in and really understands each effective surgery and makes their own call from there.. I have several- some personal health issues (gut probs run very very rampant in my fam, my dad has no large intestine left, though most of his small intestine is still intact, my sisters have both had issues, with one resection.. that was a biggie- I did not know what may be in my future with my deck of genetic cards.. so I wanted to leave that area alone as much as possible.)
The other major players were knowing myself- I am (was) a volume eater that needed to get away from carbs for general health anyway and I had no issue losing weight- I lost at the same rate post-VSG that I did on every other attempt (I've dieted and maintained a 150ish lb loss before for more than 5 years) but my biggest downfall has always been the lack of being able to feel satisfied, especially after a large loss- leading to steady incremental overeating, and eventual regain - I was also very good at ignoring my gains and letting it spiral.
IF I had a hard time losing, or could not maintain on a normal intake of food prior- the VSG would not have been a good call for me.. and I also would have given more thought had I been larger than I was too.. but it gave me exactly what I expected, a reset feeling of satiety and a smaller intake at a sitting. I do not work out like a fiend, I lift weights once a week and easily maintain on a goodly amount of food a day, focusing mostly on protein and fat for the majority of my cals still.. which to me is a nice way to eat :) I do not do low-fat anything, unless I like it better- which I generally don't!