Surgeon Input on Sleeve Size?

I'm having VSG (switched from Plication) on 11/7.  I'm told that part of the pre-op is the surgeon will discuss with me the sleeve size that will remain.  I've seen posts and information that they take anywhere from 60-85% out.  Have other people had input on the sleeve size, and what were your decisions?  I'm 5'11", 285# and very physically active with tennis, yoga and pilates.  My concerns with going smaller are that if I need a revision or get a tear, there's less to work with, and during a tournament when I'm playing 5 matches in 12 hours, I could struggle intaking enough protein to keep me coherent on court. 

I have not been asked for input, nor have I given any thus far (my final pre-op appt with the surgeon is Monday, I will note if it is discussed at that time). 

I am curious to hear if others have given input, or been asked for input on their sleeve size. 

I havent read anything in the last couple years where sleeve size was an option by the patient...usually from what ive seen, surgeons usually go with a "one size fit all" sleeve size that they are comfortable performing.

Just my opinion - but if you are at the point where you have exhausted all other weight loss options and you are turning to WLS, your best option is for a smaller sleeve...


As far as getting adequate nutrition, trust me, after about 9-12 months, you'll be able to get what you need. If you check out the Exercise and Fitness forum, there are several Ironman finishers post WLS.

Most doctors have a bougee (?) size that they prefer. From what was explained to me is that it is similar to a pipe that they use as a size guide.

 My surgeon asked for a "40 or 42 bougee"  While I was waiting for anaesthetic.  I think they do what they like.

 I found this on here. It might be helpful.  http://www.obesityhelp.com/member/carmelita/blog/2011/03/31/ -2/

 Oh my gosh I love it! You  put so much into that I  think they should  post it somewhere a little more obvious. It  was really  helpful to me :)

 That was a tremendous link, thanks.  I think I'm going to request 40.