Hi my name is Michele I live in PA I have three daughters and a wonderful husband Jeff. I have not seen my surgeon as of today, hoping for a Surgery date in February 2015. I have severe acid reflux and severe neck and back issues, trying to avoid future surgeries. My weight has an impact on my breathing and knees as well. I am unsure of sleeve or by-pass I am leaning towards by-pass I need to loose over a 100lbs. Love reading the comments here. I will update you when I get a date for surgery.