Hello, I am a newbie also. I have elected to get the VSG on October 25th. According to my doctor, the RNY is typically for individuals who are over 500 lbs. The VSG works very well for patients under 500 lbs. I have been told by someone who had the lap band procedure then wanted to get the VSG that their insurance would not pay for it because some insurances only pay for one proedure in a lifetime. Take your time with your decision and make sure it's best for you.