Surgery on Monday and questioning the surgery.

 In my opinion, if you are this close to surgery and second guessing yourself, you need to postpone. You are realizing that something isn't sitting well with your decision and you absolutely must be prepared to live with whatever you decide to do.

I had gastric bypass and have not had one single issue with malabsorption yet. My Vitamin D is low but it was that way before surgery and is better now than before. Yes, I needed iron infusions but only after I donated blood. I do dump but it is caused by me making bad food choices not by my surgery. I rarely vomit. When I do empty my pouch it is because of something I ate and how I did it, usually forgetting to chew well.

All of the surgeries have good and bad points. All of them can have complications, some serious, some not so much. You need to make the best decision you can for YOU. Don't let anyone else decide. If want to ask me any questions, feel free to send me a message.    

I also suggest postponing surgery. You need to choose the best tool for you. Keep in mind that there is no perfect wls. If there was there would not be a need for so many different ones. You can lose and keep it off with each one, you can also fail with each one. Choose the best for you.
Remember, too, that it is very normal to be second guessing and nervous before surgery. Evaluate how much of that is going on. I read posts of people all over the boards having this problem in the months before my surgery that I really expected to do it, too. Mine was not very severe, and I recognised it for what it was, so it did not become an issue.

The one thing I would highly recommend is that you work with a counselor familiar with eating disorders. If your particular issues are not resolved you have a high risk of failing at some point. If you can get these issues resolved you will be able to make good use of your tool. Remember also, obesity is a chronic disease. It will never be cured, just in remission. Unresolved eating issues can take the disease out of remission. I am not saying wait until you have had a lot of counseling before you have surgery. No, just get the ball rolling.

Good luck to you in whatever you decide. Sue

I was 40 when I had my surgery and also a lightweight at 234 pounds (up and down between 40 and 42 BMI the last few years). I have had NO complications at all and truthfully major complications are rare. If your just "nervous" about the surgery, that's pretty normal. Most of us are nervous going into the surgery. We second guess ourselves, we wonder what it'll be like afterwards, we worry about any complications (I had a 2 year old and a 3 year old when I went in for surgery. I didn't NEED complications LOL.).

HOWEVER, If you are truly questioning the surgery, then post-pone it.  Yes, the RNY is reversible, but not generally done unless you have a real medical problem afterwords. Remember that's pretty rare. If you take your vitamins and supplements you should be okay lab wise.

Best wishes what ever you decide!!

I questioned the surgery right up until the night before.  I thought to myself why am I doing this to myself.  But I am only three weeks post op and I had the RNY and I am sooo glad I did.  I am off my insulin pump, down from 13 meds to 5 and sooo very happy.  I am on pureed foods and they aren't so bad.  You will do fine, the pre op jitters are the worst, but really it is the easiest surgery I have gone through!!  Good luck and please go through with it.....you will be glad u did!!!

I am having a RNY on Monday also.  It is difficut to tell from a post just how concerned you are but of course it is very normal to have hesitations and worries.  I do too.  The difference between WLS and just about every other surgery is how many choices there are.  You don't get this many choices when you have a knee replacement or an appendectomy.  I know this may invite nay-sayers and criticism but I chose RNY because it had both the restrictive and absorption changes, it had been studied and perfected over time, and statiscally results in a high weight loss.  As for the notes about your surgeon, I choose to have positive presuppositions.  A surgeon doesn't care which surgery you choose.  They aren't choosing the "easiest" one for them.  If they are treating patients with the best care, they are going to recommend the best surgery for you.  For you, that may indeed be RNY.

Stacey, Your right, bottom line is Its your body, your the one who lives with your decisions, there can be arguments made for both surgeries. you've done the research trust your judgement, don't have a surgery that you don't want. the best any of us can do is make an informed decision....you'll be successful in what ever you decide,.... cold feet is still better than buyers remorse. you make the right choice for YOU!!

Connie

My surgeon also recommended the RNY and I was scared to death but it was for me the answer.
I am 2 years post op and have had zero complications. I eat a normal diet, really there is nothing I can't eat in moderation but I choose to eat healthy - I take the recommended vitamins and my bloodwork is fine!
You can have major complications with any surgery...I wish you all the best and will be thinking of you!!

You won't be the ONE to have complications from having your pyloric valve removed.  You'll be in a lot of company.  Major problems with the RnY are very common. 

Here's some informatin on why you need to preserve your pyloric valve at all cost:

www.lenoxhillhospital.org/press_releases.aspx

There are THREE options other than the band.  Did your surgeon discuss all three or only the two he can do?

Take this slow and easy.  You made one mistake with your surgery option (probably due to terrible advice from a surgeon).  This time you can take the time to really do your homework and have a complete understanding of ALL the risks and benefits of all THREE of your options.

Read all the surgery forums here on OH and read the revision forum too.  Ask people to link you to the research or surgeon opinions like this one: www.dssurgery.com/procedures/compare-surgical-procedures.php

There is wisdom on these forums.  Take the time to access it.

~Becky

Read the article linked in a post near this thread, titled something about 20-fold increase in insulin production after RNY. And then don't get the RNY.

Another issue that is showing up more and more as further data are gathered is that caloric malabsorption goes away with the RNY, but micronutrient malabsorption remains and tends to get worse over time.

Look at the VSG and DS for your revision options.

Just popping back in to say if you aren't sure, DON'T DO IT. You can always postpone it for a few months (or whatever) while you do more research. Anything that will change your life forever is worth the extra research time as it's something you will have to live with for the rest of your life.