I was sleeved in March 2013 and am 4 pounds from my goal! I loved my sleeve but it will not stay open! Now it looks like I will have to have a bypass in a couple of weeks. I am very disappointed. I believe that long term, for absorption, no dumping syndrome, etc., the sleeve is the best choice. I just hate it that it seems mine did not work. I have lost nearly 100 pounds, but now I have trouble keeping any food down. My doctor has done lots of sleeves and says that I am his first patient with this stricture problem. I hope that whatever you decide works well for you.