I am not familiar with Dr. Higa, but Dr. Rabkin did my VSG, and his older brother, who brought him into the DS business, did my wife's DS those many years ago. Dr. Keshisian has adopted the SoCal support group that the Rabkins started when they were practicing down here, so I have been dealing with him in that capacity for a number of years. Both Rabkin and Keshishian have been doing DSs for at least 15-20 years and are amongst the few surgeons around who can do the complex RNY/DS revision, so both are very capable. Likewise, both attract patients from across the country, so have been doing telemedicine for years for initial consults and long term follow ups - most important with a DS and its' supplement and monitoring needs, and are likewise well set up for handling the needs of travelling patients.

When I had my VSG, I travelled up to SF to have Rabkin do it, as there wasn't anyone in So Cal at the time who had much experience doing them, as Dr K was still practicing up in the Central Valley then. At this time, I would have a hard time choosing between them, and it would mostly fall into geography and travel convenience.

Those last two are VERY well-known and respected DS surgeons. I see those names on this board all the time. I'm not familiar with Dr Higa, but someone else may chime in.

Hi All - needing to have a revision from Sleeve to DS and live in the West. Looking for best surgeon for me for this specific surgery with best outcomes. Deciding between Dr. Higa in Fresno, Dr. Keshishian in Pasadena or Dr. John Rabkin in San Francisco - anyone with feedback (both good and bad) would be so helpful. I will be traveling far for all of them so just was looking for some direct hands-on experience. Thank you!

i am a life member of weigh****chers i havent looked at their sight recently i could try that thankyou but i have found that any weightloss program is harder to loose weight after ds.

I am not DS, so maybe this is not appropriate to you. What I have found is that Weigh****chers lets me eat a variety of foods and still lose weight. There is no cutting out carbs or other food groups. I can eat any food I want and just track the points. Even though I do the program online, it keeps me accountable.