If you are referring to insurance, I didn't have either surgery for weight loss so BMI was not even considered. I had some upper GI issues. I have lost weight, but really didn't need to. Had I not had this RNY, it would have been likely that in the future I may have gotten esophageal cancer because my acid was so out of control. Also I had an area on my esophagus that was so thin from acid damage, it would have probably ruptured in the near future, so he had to repair that when he got in there before he did the bypass. My pouch is smaller than normal because of the repair so the restiction is much greater than the sleeve restriction. But everything is going great. Never had any pain or any nausea, and I am on all food now and no issues. No regrets!