313 was my top weight, 307 on my first appt with the Surgeon in Dec 2019 and I was 293 on my surgery day Aug 24th, I'm only 5 ft 3 5" had a Bmi of like 53 and a waist of 59 inches, My waist now (20 weeks later is 41 inches). I chose the R&Y because I wanted the most restrictions and requirements possible, the extra accountability that comes with the stricter reginine of supplements for life, low fat and no sugar. Dumping syndrome is AWFUL!! its nausea, the cold sweats, upset stomach etc like a sudden flu that happens in minutes. It happens if u have too much sugar, Fat or just too much food in your stomach, especially with fluid and then it goes through faster than it should. The 30/30 rule is for real! I also felt in all my research and my surgeon agreed that my GERD (acid Reflux) and my EOE Eociniphilic Esophogitus (Spontaneous regurgitating) would both be better with the R&Y. Gerd can get worse with the sleeve. They were right and my Gerd is gone and I no longer need meds for it either. I'm down 68 lbs since surgery and I'm 100% confident I made the right choice for me. I also Didn't want to go through a revision of sleeve to Bypass if it didn't work well enough for me. I have lost and gained 100 lbs multiple times in my life and I never wanna go through it again. I need the stricter food guidelines for my progress, the accountability and responsibility keeps me on track. Not 1 item with real sugar in it since 2 weeks before surgery. Fruit is my only real sugar and I am careful to eat very small portions of low sugar fruits like berries and some green apple. I put pyure sugar sub on things that need it but thats rare as things do taste sweeter. You really have to make the decision that's best for your individual wants, needs and preferences. I had a lot of pain post op, I did have my Galbladder out too tho so I have 9 incision scars instead of the 5 most ppl have. It took a few hours for the nurses to get my pain under control and I had some pain for first few weeks at home. Then suddenly it was gone. I also rejected no less that 2 dissolving stitches from 5 of my incisions, this has happened to me before with other surgeries. I would do it all over again tho.