i am considering having a gastric sleeve. I need to have knee replacement surgery but, must get my BMI down befor they will replace my knees. Here is my concern, I take 1000- 1400 mg a day of ibuprophen to manage the arthritis pain. I will not be able to take ibuprophen after surgery. The WLS team I have been working with tell me to discuss this with my general practice doc. I want to have some ideas of what others have experienced or used for arthritis pain. Is anyone using any kind of a pain patch? This is a major concern for me but, I realize that others must have had similar issues. I am considering the sleeve due to the arthritis pain and need for ibuprophen. Tylenol has never worked for me. I am not eating sugar to reduce inflammation but, still need ibuprophen to be able to go to work and move around to some degee. I need your input! Thanks!