Hi, I could only have the Plication because I have MS and Parkinson's. All WLS are tools in our quest to lose weight and get healthy. You can fail with any of the surgeries if you don't stick with the plan and tweak it once and awhile, SUPPORT goes a long way to. We still have lssues that we need to work on to help with our goals. Keep posting reading and supporting each other. Looking forward to my goals. Tx Michelle