I had RNY done, but never considered the sleeve, because it wasn't covered by my insurance. My A1c was already creeping towards being diabetic and I also had GERD and sleep apnea. My BMI was 39 before surgery, and I was covered on the first go around. I didn't consider the band, since it offered no change in sugar tolerance. Also, my surgeon is 4 hours away, and I didn't want to be driving back and forth every time I needed a fill or unfill. Of course you have the ability to fail with any of the surgeries. I had my surgery last week, and I haven't had one moment of hunger yet, as opposed to before surgery, I was hungry all the time. My husband goes in on Monday for RNY, so I will have a partner in this. It is very strange going from being hungry to forcing yourself to eat. You will forever have to take your vitamins and supplements, so getting used to that is a little tough in the beginning. It's definitely a personal decision, and don't let anyone sway you from what YOU want. Listen to all the sides, sure, but in the end it is your body.