Thanks, my doctor told me I qualified for the sleeve and explained that I would lose more over a longer period of time with it, but my insurance doesn't cover either procedure. He didn't pressure me with either but he kind of pushed the sleeve a bit, I'm sure he makes more $ off that one! He also said I could get a repeat insertion once the initial 2 come out in December or do the sleeve, although by then I dont think it would be worth the sleeve if I can lose 40 pound or so with the balloons the first time around. But this does come with a year of counseling and nutritionist as well, and support groups.