I also have multiple abdominal surgeries and many adhesions. I told my surgeon I was leaning towards RnY, but he recommended the sleeve due to the adhesions (and also time-release meds I take). I had the same cpncern about possibly not being able to get the surgery due to scar tissue, but my surgeon said it is very a very rare situation (adhesions-wise) where they are unable to do the procedure at all. I hope that helps, and I am wishing you luck! ❤️