Hi Jess, first off congrats! I saw a gastroenterologist last week for my endoscopy. He said after the sleeve I will continue to have acid reflux, however as I lose weight, the symptoms should subside.. I know it's all very scary. I started in the journey 2 months ago and hope to have my surgery in the fall. But as I take each step I am beginning to realize this is what I need to do. I need to lose weight to live a long healthy life and I need this tool to do it.. No matter the after affects, it will all be better then being over weight and developing health related issues that could last my life time. I hope this helps. I wish you the best of luck