I chose the band over gastric, and boy was I happy. I figured you can always go from band to gastric but not the other way, lol. I must say I LOVE MY BAND, and I have lost 90lbs under 10 months, and only 1 fill. I have another 21 pounds to go and I know I can do it by the end of the year, 14 months in total. I am loosing quickly, but slow enough that my skin is bouncing back too. No sagging! I take a exercise class once a week and walk. My only regret is, I didn't do it sooner!