I have had lap band (would never reccomend), and now have the sleeve. 5 years post op, wishing I had malabsorption. I have regained 25-30 pounds. Don't think you will never be hungry from the sleeve. I am always hungry! Even when I drop my carbs very low, I will lose about 4 pounds and then nothing for weeks. Very frustrating!! Looking into revision, yet again. I think the sleeve is 100 times better than the band, but it's not easy after the first year.