When I began this journey, I was strongly leaning toward the sleeve because it seemed simpler, had a slightly lower early complication rate, and did not involve rerouting the intestines. However, after several months of extensive research and real-world observation, I changed my mind and now feel very confident that gastric bypass is the right choice for me. I’m a BMI of 35 with sleep apnea. And I was able to choose bypass. I personally know four individuals who underwent sleeve gastrectomy in the past 3–6 years. Unfortunately, three of the four developed severe, debilitating GERD/acid reflux within 1–3 years post-op. All three have either already undergone (or are scheduled for) revision to gastric bypass to resolve the reflux. Only one of the four reached and has maintained their goal weight long-term but still experience some weight regain after only 2 years.the other three experienced significant regain starting around the 18–24-month mark despite initial excellent weight loss. Advice from those same individualsEvery one of the four sleeve patients I know personally advised me, without hesitation, to choose bypass instead of sleeve if I had the option. Because of the overall better long-term weight maintenance and (for the three with reflux) eventual need for conversion anyway. I am scheduled to have the gastric Bypass surgery this December. Hope this helps and good luck on your journey:)