@Joy1961. I decided to have the sleeve after reviewing all of my options and doing a lot of research about the band, RNY and sleeve. Although the sleeve is new in the U.S., it is said that it may become the gold standard for weightless surgery in the future. I didn’t choose the band b/c I have seen people successfully lose that weight, however vomit after they eat quite often. It may be that they are eating too fast or not eating the right thing. Also, the band is a foreign object in your stomach which can cause erosion in the long term. RNY re-routes how the food is digested. Also, I know several people that have gained weight back after the RNY, because they did not change their eating habits after the honeymoon phase. I think the Sleeve is the best choice for me because I will be able to digest my food the same, just smaller amounts. I also think the sleeve will serve as a tool to help me change my eating habits. Good luck on your surgery and have a great recovery and weightless journey.