I am almost in the same boat. Banded 2010. successful first 2 years. Lost 70 lbs. Lots of fills and unfills in the last 2 years. I had no medical support. Found a new Dr. who I just adore. His office is amazing. I was told my band must come out. I have been "empty" since before xmas and have gained 25 lbs. My band will come out 3/27. Approved by Cigna. I have to wait 3 months for sleeve. ANd, pray that they cover......the only comorbidity I have now is sleep apnea and Hi cholesterol. The wt. gain has brought up my BMI....I also pray that Cigna covers my sleeve........because no tool is very dangerous. My saving grace........my husband, who is a major contributer to my wt gain.........was sleeved yesterday. So, if I can't get it, at least there will not be as many temptations to deal with. Good luck with your next chapter.