I haven't particularly suffered with GERD since the op (about 18 months ago). Constipation was a bit of a problem, but that's easier to deal with. However, I do now have gallstones, which is a possible consequence of rapid weight loss. I wasn't made aware of this at the time of the op, but I think I would have gone ahead even if I'd known. I am now waiting to have my gallbladder removed, but I still absolutely recommend the VSG - the positives heavily outweigh the negatives.