The gastric balloon was my first option because I wanted to try and achieve my weight loss goals with the least invasive procedure other than simple diet/exercise modification - because we wouldn't be here if it were that simple, right?
It's interesting that it is now approved by the FDA. Over here in Europe they've been offering this procedure for quite a while, and it was my first choice of procedures, but after contacting several surgeons in Belgium about the procedure they all responded that they (the surgeons I contacted) have stopped doing the gastric balloon because of the long term effectiveness.. well, lack thereof. I ended up selecting RNY - which wasn't even on my radar when I was first researching weight reduction procedures - because of its long term effectiveness.
I'm sure the gastric balloon will work for a lot of you, as long as you can keep the changed mindset on food after the device is removed. It seems like it can be a great tool for those who cannot afford the surgical approaches or are uninsured, those who have to lose weight before another procedure can be done, or those with insufficient BMI to qualify for weight reduction surgeries.
Like Thomas Jefferson said, "Nothing can stop the man with the right mental attitude from achieving his goal; nothing on earth can help the man with the wrong mental attitude."
Just my two cents.