Which type of wls is recommended most for BMI's over 60??

I have a cousin who is seriously considering wls. Her bmi is currently around 62, and quickly rising!! She is in pretty good health, but is a heavy smoker, and has had open heart surgery when she was a child (to patch a hole), but no major heart problems now, or maybe I should say, YET!! Anyway, which type of wls is recommended most often for people with high bmi's?? Thanks!!

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