Melificent

Hi all I'm in the UK. I had a gastric band in 2009. I did lose weight but had constant vomiting, reflux, heartburn, etc. Only when it was too tight did I manage to get to nearly my goal weight. I have had it checked under x-ray to rule out complications. I have around 11 kilos to go. According to NHS guidelines I am overweight. However, my BMI is 26 and no-one in the UK will touch me. There are a few places outside the UK that offer the sleeve but I can see from this forum that people are starting to need revision from this. The bypass is the gold standard and this is what I would aim for. To undergo the cost, worry and hassle of a second bariatric surgery means I want to get it right this time and not be looking at a third surgery several years down the line. Hindsight is a wonderful thing and I wish I'd had the bypass in the first place. Anyway - I have found somewhere that will do the bypass but I am very concerned. No-one can seem to tell me what the real risks are of bypass with a BMI of 26. Guidelines seem to talk about cost effectiveness. So why is it you can't have a bypass at BMI of 34 and with one additional point, at 35 - hey presto it's ok. Can anyone advise please?