My surgeon recommended bypass over sleeve because of my love of carbohydrates. I am self-pay and the bypass is costing me $10,000 more than the sleeve. The surgeon said that the dumping syndrome is what trains the brain to not desire carbohydrates. I am not looking forward to dumping syndrome but I am looking forward to better health post bypass. My surgeon says that the recovery period and complication rates for the sleeve and the bypass are basically the same.