You really won’t ever be able to take NSAIDs again even with a sleeve. Certainly not in full doses or regularly or prescription strength. They are far too harsh because they are more concentrated in your tiny tummy.
After about a year, my surgeon told me I could have an over the counter anti inflammatory on rare occasions but never for consecutive days. I’ve taken four capsules in 2 years. One after my gall surgery & another after thumb surgery. When my back went out I took one in the AM & one in the PM. That’s it. I also take a PPI every day which probably helps when I do take a NSAID.
I had reflux for years but managed it 99% of the time with dietary choices. Very rarely took medication. Likely why my surgeon still decided to give me a sleeve. I still have reflux now but it manifests differently & is only pretty mild. Yes, I take a PPI every day which keeps most of it under control. I sometimes get burning in my throat late at night but it’s not bad (it doesn’t keep me awake) & is usually because I ate protein too close to going to bed.
Personally, I’d ask my surgeon for some stats around long term success of gerd not reoccurring in sleeve patients after hernia repair/fundoplication, and stats of gerd developing in all post sleeve patients. Then make your final decision of which surgery yiu want to have.