I also went back and forth but what made me choose the lap band was it was slower weight loss which is more natural, ur able to tone as you loose, and also the malabsorption. With malabsorption your body is not able to use all minerals and vitamins the same anymore. So you will have to take Iron, multivitamin, b-12 injections, calcium, and vit D for the rest of your life. With lap band only a multivitamin and you are good to go. But you also need to factor in how much you need to loose. Just do your research write down questions you have and be prepared to drill your surgeon when you meet this him. They like you to ask alot of questions anyways it lets them know that ur are very intrested in the best thing for your health. GOOD LUCK ON YOUR JOURNEY...