If I had it to do over again..... NO, I would not do the surgery over. I am glad for the weightloss, but it was truely a horrible experience. I think my chemo, bi-lateral mastectomy, and reconstruction was less painful. I know everyone is different, but I wouldn't do it again. Yes the effectiveness of the surgery is wonderful and I love my sleeve. If I hadn't had 2 different insurance companies that payed most of my bills, I would have been out about 60K too. I can say.....my journey to thin was very interesting to say the least.