Surgeon told me no NSAIDS

Why do some say NSAIDS are okay and some don't? The ability to still have NSAIDS if I need them was one of my biggest driving forces behind choosing VSG. 

They are not good for anyone.....however....many people who have had VSG take them on a daily basis.  You really can't do that with RNY, but again, they can lead to trouble for anyone.

My Dr allows them once your healed,

That being said..I'm almost a year out and I haven't needed them at all

I have in the past had 3 herniated discs in my back and tendonitis of the elbow..

I had a flare up of the tendonitis right after surgery and thought OH. SHYT what am I gonna do, 

but it was gone in 3 days..Dr thinks the surgery triggered something in areas of weakness in my body..

haven't had a flare up since!!

There is a whole page in my bariatric info binder with a list of things we can't take.  Ibuprofin, Excederin, Aspirin are all on the no-no list. The doctor told me yesterday that if Aspirin is needed for a heart condition, it can be taken but otherwise, no. 

Every doctor is different.  I was told that it was okay after 3 months.  According to my surgeon's office, your chances of getting an ulcer after surgery are the same as they were before the surgery.  This is not true with the RNY or DS.

My understanding is that it has to do with concerns about ulcers and the importance of keeping your stomach lining intact while you heal.

Some doctors apparently think it's super important to guard the stomach lining, especially at first, and encourage patients to get by on Tylenol if they can. These also seem to be the same docs who prescribe PPIs early on (just my observation though).

I wouldn't be surprised if it comes down to an individual risk assessment. I got the go-ahead for NSAIDs immediately post-op since I'm apparently immune to asprin, tylenol, and anything narcotic, and I've been on a PPI (Dexilant) since the day I started anything non-liquid. But perhaps patients who don't have such a reliance on NSAIDs may be encouraged to avoid them as a "just in case" best-practice?

My doctor told me that the concern with NSAIDS is to do with stomach ulcers, which anyone can get them from the meds, not just us VSGers. I had to have my lower back rebuilt a few years back so I have screws, plates, pretty much the whole nine yards in there. So Ibuprofen is my miracle drug when the weather changes come. I have never had any issues with taking it. My doctor said since I have never had an issue then I'm fine to take it post op. Of course, I had to wait 3 months until he released me to take pills. But I've taken it several times since released and no issues yet. One thing I've always done (pre and post op) is make sure I have food in my stomach before taking the Ibuprofen. 

I think a lot of doctors don't bother to think these things through.  Since it's bad for RNY, clearly it's bad for all WLS.  But everything I've read says that if you don't have a problem with NSAIDs prior to surgery, you're probably not going to have a problem after - although it's wise to wait for your stomach to heal.  

I did have an ulcer pre-op that was probably a combination of stress and NSAIDs, so I'll be avoiding them as much as I can.  

NSAIDS can cause stomache ulcers in anyone, surgery or not. Not everyone will get an ulcer. Some are susceptible, some aren't. If you have an unaltered stomach, or a sleeve, it's easy to findthe ulcer with a scope and treat it. With RNY, you can't. Most people with RNY could take them and never have a problem. But if you are one of the few who are susceptible to ulcers, you could be screwed.

Once your sleeve is healed, NSAIDS should be ok. But with any medication that could cause harmful side effects, you'll have to weigh the risk vs the reward.