Question:
Riding the fence here. How do you decide which bariatric procedure is best 4 u?

I expect to have surgery (either lapband or gastric bypass) in Feb or March. There are pros and cons for both procedures. I'm 45 & need to lose about 120 lbs. Want to do what is best for me... just don't know which that is! Guess I don't want another failure (like all my previous dieting attempts). Thx!    — Redlocks (posted on December 7, 2007)


December 7, 2007
I was approved for both by my ins. I ended up choosing RNY b/c I didn't want to keep going back for fills and I have a sweet-tooth not good for lapband. Plus I figured some day there would be another surgery for the band since I'm sure it can't stay inside you for life? At least I don't think! People here are really loyal to their choices......you'll have to do the same!
   — Pam S.

December 7, 2007
I was the same way when I was thinking of getting mine done I was gonna go with the lapband b/c it was not as dangerous operation but my ins would not pay for the lap so I went with the bypass and so glad I did b/c finding out that with the laplots of food do not bother you like it does most ppl who have the bypass b/c now i I eat something with to much sugar or fat in it I dump on it so I know my limits but I also know some ppl with the bypass and sugar does not bother them b/c one man I know and wehad a icecream party thing at church ppl made home made and he ate 4 bowls full he is also dieabetic so I do know know how he did it but I find my self lucky that that to much of that stuff makes me dump it is a hard choice to make what operation to have best of luck to you Huggs Beth
   — Beth67Mathis

December 7, 2007
With that kind of weight loss that you want to achieve and professed "failiure" throughout the years, I doubt the lap would satisfy you. It is NOT permanent and requires maintenance, etc... I chose a gastric bypass procedure, the BPD/DS was my choice and luckily my insurance covered it. Some do not. Everyone needs to do their research about the vast differences of the procedures and the most common "side effects" (such as "dumping" with RNY, etc) and issues you will deal with as a post op and decide what they can and can't handle and what "weight loss tool" will fit their lifestyle best and afford them the quality of life and expected long term results they want as a post op. There are plenty of resources here to research and ask questions of your peers as to the WLs they chose and why and how successful they have been and satisfied with their choice. It IS your body and you are altering it forever. Just make sure you know how and why and can then work with what you will have. You need to be honest with yourself too about HOW you eat, WHY, etc... LOL!! WLS is a tool, first and foremost. Research and learn some more here and Good Luck on this Empowering Journey!
   — ChristiMNB

December 7, 2007
I think you need to really research. I first went to a wtl seminar at a hospital that only did RYN. They talked down the lap. Said it took maintance, etc. Then I discovered this site. say that there more wtl . centers close and so went to their seminar. Talked to a dr. where the did both. Oh my gosh, I am so glad I did. I was so ready to get it done, take away all my choices on sugars, etc. Loose fast. Just wanted it now now now. My Dr. said, when having less to loose, no real immediate health issues, the lap is a good choice. However it was totally up to me. I read and read. Each person will believe in what they did as the correct decision for them That is the way it should. I just know that my decision for lap band was right for me. Yes, i have a real desire for sweets, etc. The idea that the band will help me with smaller portions, but I still have choices. I know, I know ! I could eat and eat, possible but, boy was I so glad I didn't do the RYN. I felt scared with even what I had done but am now realizing that my life isn't full of all the issues RYN 's deal with. So I am glad that I don't have to do. It is strange how I felt different after surgery than before and the need to just get it off right now. Probably the wrong time to make decisions. REad read read on both lap and RYN forums. They are great. You will find what is best for you. It has to be to work. good luck in your decision.
   — mjt

December 7, 2007
Because the three main weight loss methods (RNY, Lap-band and the DS) all have different risks and benefits, you need to evaluate what your eating behaviors are and then see which method will best help you deal with those problem areas. The volume eater will do well with the band, but the grazer who has a real problem with sugar will probably due best with RNY. Of course, the DS offers the best long-term results for sustainable weight loss but does have maintenance issues (like all the methods) that can be a problem for some. So, the bottom line is to evaluate the path you took to your obesity issue, consider your ability to stick with the maintenance components of your surgical method and think about what hinderances are provided to keep you from cheating.
   — SteveColarossi

December 7, 2007
RNY would be better. Lapbands have a higher degree of failure, and many of those patients end up getting the RNY as a final route to permanent weight loss. I've lost about 140 pounds in 1 1/2 years and that's in the same "ball park" amount that you're looking for. I a guy who is 6' 3" tall, and used to weigh 340-345. I'm now down to 205.
   — Dave Chambers

December 7, 2007
i just had to go through all this as well;.i was all prepared and had researched the lap-band. after meeting with my doc, he suggested the r.n.y(gastric bypass) because of my diabetes and other health issues. My surgeon told me that the band is ideal for someone who is female,only around 100# to loose, and truly commited to working hard at the weight loss. everyone is usually happy with their choice. just do the research and go to suooort groups for both and then make your decision. good luck!!!
   — JACKIESMOM

December 7, 2007
Lap band can be very good, it is for me. I don't regret my decision at all. It is permanent! There should be follow up with all WLS. You have to check out all the boards, ask questions, read a lot of profiles. Figure out just what you can live with and without. All WLS take commitment and great life changes on your part. Good luck with whichever surgery you choose.
   — Bee

December 8, 2007
Since you are asking for my personal opinion.....I chose RNY because it seemed to me that you get it done, its done, no fills no learning how to empty it and eat all you want......all the things lapbanders do to get around it. If i could do that i might, dunno. I'm glad I had RNY.....its not easy, its a challenge to progress, but it is a helpful tool to get my health and my life back. Good luck in your decision! Happy Holidays. KR
   — Kathy-R

December 8, 2007
If your type 2 diabetic or at risk for diabetes the intestinal bypass part of the RNY tends to fix that. its being looked at for non MOs as a treatment for type 2 diabetes. I picked RNY because I LOVED sweet stuff like milkshakes I would of been a band failure..... best wishes on whatever you decide
   — bob-haller

December 8, 2007
Great job on doing the research of what will work best for you! My husband had the Lap Band put in 11 days ago and he has lost 20 lbs so far. He chose the Lap-Band because it is adjustable. In the future, if he hits a plato or starts gaining weight, they can always adjust it. I also am having the same surgery this Saturday. My Mom-In-Law had the RNY in April and is eating regular meals now and also enjoys carbonated drinks, (she has about another 100lbs to lose), we don't want that, we like the restriction of that band. Another friend of my named Linda had the RNY around the same time and she already hit her goal, she looks amazing. She is also very strict on her diet. If you want, there is always a way to ruin either of these surgeries, you just have to commit yourself to a life long change with tons of benefits :o) Good Luck!
   — MySonsMama

December 8, 2007
I'm sad to see that no one mentioned the VSG, Vertical Sleeve Gastrectomy. I had it 6 weeks ago. I did alot of research. I had to pay for it myself. My insurance would only cover the RNY and the lap band. I came out of retirement for a year to earn the money to cover my surgery. There are sooo many reasons why I think it is the best way to go, but I don't know of any insurance that it covering it at this time. If you want more info just contact me. Good luck, Pat
   — pjennjr

December 8, 2007
Hello Ann, Wasn't a hard choice for me. It all boils down to is what is acceptable for you. You are ready to make a change and now it's time to make a choice. I'm like others I didn't want to do the lapband because you always had to go for fills. So I did the bypass -- I've lost almost 100 pounds. The bypass works for me and I'm loving it.
   — the7thdean

December 8, 2007
I chose lapband first because it is so much less invasive and the fatality rate was around 1 in 200,000 instead of 1 in 200 as the RNY was. However, after doing more research I realized that it wouldn't work as well for me because #1, I need to lose about 200-220 pounds and with the lapband stats, I would probably end up only losing half of that and have to do the rest on my own. #2 is because I had to be honest with myself and when I found out that it would be a lot easier with the lapband to cheat and drink sodas and things like that, I knew I couldn't do it - I do not have the willpower for that. So I finally decided after much deliberation that if I'm going to put my body through a major surgery, it better be for GOOD and it better be the one that will work for me the best. Which was the RNY. So that is what I had on 11/26 and so far, everything is going great. You just have to decide if you will be able to have the discipline and willpower that it requires. With 120 pounds to lose, it would probably work great for you but it would come back to the will-power issues since there is so much more allowances for cheating. Good luck!!!
   — itzmetami

December 9, 2007
Be sure you do your own independent research and do not rely on one site only for your information, because if that site is Obesityhelp Q&A, it will surely be misinformation. :) 1. The average patient cannot unfill the Lapband to eat more. 2. No WLS patient can drink milkshakes regularly and expect to reach their goal. My purpose here is not to start a flame war; it is to hopefully start to put some of these myths to rest. To get people thinking before they parrot old legends and outdated information, when newbies are here seeking the latest information to make the most informed choices. Loyalty to your surgery is all well and good, but PLEASE, people. I am BEGGING here. PLEASE, only speak on the surgery you had. Cheer as hard as you can for the RNY if you love it, and leave the Band information to Band patients. I promise to do the same for you.
   — Jeanie

December 9, 2007
Jeanie I will respectfully point out I was getting the band till a new bander out one week talked to me on the phone and said a life changing thing.... sure I would of rather had a whopper today me and my mom go to burger king every sunday after church but being only a week out I had a milkshake.
   — bob-haller

December 10, 2007
Bob, also with respect (and you know I do respect you) .. as an attorney would say, coming from that Band patient, that's testimony. Coming from you, it's hearsay. ;)
   — Jeanie

December 10, 2007
I would also consider the duodenal switch weight loss surgery procedure. Please check it out and decide which one is best for you. Go to the DS forum here on OH or check out duodenal switch.com. You owe it to yourself to check out all 3 before you make final decision. My best to you.
   — KRWaters




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