Hello! I wanted the sleeve initially, but at the time, insurance wouldn't pay for it and I didn't have 20k lying around. My surgeon felt that the rny was better for me than the sleeve because of my severe GERD. Two months after jumping through the hoops with all the pre-op requirements (pulmonary, cardiology, swallow/UGI, nutrition, psych), I found out by my surgeon, that my insurance would pay for the sleeve, but he still felt the rny was better "for me," so, I chose the rny. My GERD is much better, but not 100%. My other co-morbidities, high BP, high cholesterol, shortness of breath, swollen ankles probable sleep apnea and pre-diabetic are cured. All which could happen with any large weight loss. I do miss my NSAIDS, because my repaired knee from injury continues to swell and hurt with walking. I consider myself fortunate to be a dumper, because it keeps me from eating too many sweets. (only 30% of rny dump) I wouldn't have that with the sleeve.
With either surgery, you still have to work at it to lose and maintain, for success. The calorie malabsorption of rny is temporary (about 18 months) and you're left with restriction and malabsorption of nutrients that have to be supplemented for life.
One comment on the band, it has over a 60% failure rate. Look at the revision board and you'll be surprised to see how many revised to a sleeve, rny or DS.