I am 2 months out and have lost 51 lbs. I chose the sleeve because of what most people said in here, I did not want my intestines re-routed. However there are people in my local support group that have the Rue N Y and have done great. My advise, like many others, do what you want to do, not your doctor. If you want the sleeve, do it. My experience in the healthcare business, in regards to why they are pushing it, is maybe the payout is bigger. I hate to be that way but I have seen it. Good luck!!!!!!