Second Thoughts

I decided on RNY because I felt that it would help me more long term. I have been successful in weight loss MANY times over the last 15 years, but unable to keep it off and just kept yo-yo'ing. I wanted the risks of not following the restrictions so that it would kind of give me a reason NOT to go back to old habits (sweets/binge eating)...and because I know that there is more instance of re-gain with the sleeve, statistically speaking.
I also have a history of reflux and I knew that the Sleeve could make that worse but that was not my deciding factor.
It is definitely a personal decision and my surgeon and PCP were both kind of like "well half a dozen of one, 6 of the other" for me-- so they basically felt like I could have success with either surgery. Nobody knows you and your body and your habits better than yourself though, so try some introspection...maybe make yourself a list of pro's and cons for both options and then discuss them with your doctor.
good luck!

I can't tell you what is better for you, of course, but I wanted to chime in on two things:

1) Dumping - I see this as a blessing. I don't actually dump, but I do get Reactive Hypoglycemia (if you don't what this is, it's basically another very unpleasant reaction from eating sugar). It's only happened once a few times in the last 2 years - generally when I unknowingly ingest sugar. But those episodes REALLY SUCKED. So it keeps me honest - it kills any and all cravings I might have for sugar. I don't even think about sugar anyone (other than to watch servers like a hawk so they don't serve me any!). Since I shoulnd't be eating sugar, it makes it SUPER easy.

2) Knee Replacements - I also need two knee replacements (no cartilage remaining, disintegrated ACL, buckled PCL - the works). I was originally told this in my mid-30s and advised to wait until I was at least 50 to get them done. I'm 44 now (and 2 years post-op), and thinking I may never need the replacements. My knees are nowhere near "great", but the chronic daily pain I experienced for so many years is gone. Sure, if I stand up for hours, or walk for 10 miles in a day they get stiff, swollen and sore, but other than that they feel pretty good. I can run, I can ski, I can hike, I can do pretty much whatever I want.

Your mileage may vary on the knees as everyone is different, but I just wanted to let you know there maybe an upside you haven't even considered! I know the elimination of NSAIDs was a huge concern for me given my chronic pain, and something I struggled with pre-op. I generally took 800mg ibuprofen 2-4 times a day at least 5 days a week. Now I don't need it at all. I rarely even take a tylenol.

As a sidenote, I also needed one of my hips replaced. The weight loss had absolutely no impact on my hip, so I had it replaced one year post-op. Losing the weight made the risks so much lower, the recovery so much faster, and the joint should last a whole lot longer. That surgery was a piece of cake, I was back to 100% in no time, and I forget I ever even had it done!

Bottom Line: It's a win, win, win, win! Ha!

I also decided on RNY because I have diabetes and it's more likely to go into remission with RNY than with the sleeve. And I also have bad arthritis in my knees, worse on the right, and had been discussing a knee replacement with the orthopedist. Prior to surgery, I was getting steroid shots in my knee three or four times a year and still having pain. I'm nearly six months out, have lost over 80 lbs, and have almost no knee pain unless I really overdo it with stairs or hills, and even then it gets better with two Tylenol. I haven't had dumping, but the closest I've come to eating anything with sugar is a small serving of Halo Top ice cream.

It is a very personal decision. The risks are real but small, and you'l figure out what's right for you.

Hi, As a three time revision band to sleeve to RNY, I would do what others suggest. Pros and cons list.

I had really bad reflux with the sleeve. I also regained some of my weight with the sleeve because you sleeve/banana does expand in size over time and you will need more to be satisfied.