Can you choose surgery type?

Is the decision to have distal or proximal made by the surgeon or patient? Does the surgeon make the choice based on patients BMI,etc? Or, does the patient make it based on their wishes? If I can make the choice myself, then I'm really confused because my BMI is 43 so I don't need to lose a ton (just 100lbs) but Distals seem to have better results but more bad stuff to deal with. I don't have a problem with distal from a nutritional standpoint, but all this diarhea/gas stuff!! Geez, I can't even go number 2 at the office now, cuz I get embarassed! I digress! My main question is if it's the patients choice or the surgeons. Thanks!!

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