Which is best?

I've been trying to figure this out for quite some time now, and I have had ZERO luck.  I know there are pros and cons to each different type of surgery, but how to choose the surgery that is right for me....

 I am 24 (will be 25 this month) 5'10" and 340 lbs.  I don't consume a huge number of calories each day (roughly 1200 - 1500 per day... below what I should be consuming for this weight by about 1500 calories), and my BMI is around 47 or 48.  I have tried "diets", and of course none of them do any good.  I will lose a few lbs, but then shoot back up, even without digging into bad habits.  

I am a carb fiend.  LoL  I know that carbohydrates (especially breads) are the biggest problem I have when it comes to the types of food I put in my body, but I just can't bring myself to do something as extreme as Atkins...  I dunno, it just seems like if you cut out a fundamental part of the human diet, it can't be good for you in the long-run.

I exercise, though not as much as I would like.  At the present, I walk about 20-30 minutes per day, just around my neighborhood.  It's all flat, no real hills to speak of.  I would estimate it is probably between 1 mile and 1 1/2 miles, but that's estimating.

 I do have PCOS, as well as a curved spine (not related to the weight).  These things do tend to make exercise and weight-loss a little difficult, as I am sure many of you know. :)

 So which surgery would be right for me?  I am drawn to the DS surgery, just because I like what I've read about the lower complication ratios, and I like the results I've seen.  I am not partial to the standard RNY surgery, but that is mostly because of bad experiences in my family.   I'm not looking for a medical opinion, just the input of those who have already chosen, or who are going through this same struggle.

Thanks for reading, I know it was a little rambly. :D 

although nobody can make the decision but you..i am more partial to the ds or rny. i would love the ds but insurance is a b**** i am trying to find out if they will perfome this surgery for me. or else i will do the rny. i also have pcos, isnt it fun lol. but ultimetly the choice is yours i am just giving you my opinion.

Ok being a DSer. I'll tell you right now if your insurance approves the RNY you can fight for the DS. It IS NOT EXPERIEMNTAL and now is covered by Medicare also. If you want some real good help for fighting insurance head over to the DS board, we are all used to the insurance battle just about. We even had people win against CIGNA...who seems to be one of the biggest pains!

Ok I'll try to type this kinda quick. Being one of the verteran post-ops at over 2 years out and being a DSer. I'll give you my take. We aint so different Ill tell ya that. Im 5'10 myself except I weighed in at 402lbs at 21 years old. I also was a carb fiend (I still have my days now too, I wont lie). I too have PCOS.  Well things that stuck out to me. I like the long term results, I have a long life a head of me. I like that I have a STOMACH (not a man made pouch) just albeit alot smaller. The malabsorption which is what keeps thoes long term results. Also I had to figure my body's make up, im large heavy boned, have alot of muscle, lactose intolerance (protien shakes are a HUGE NO NO), can't have sugar alcohols or artificial sweenters (that kicked the RNY to the curb). I need a stomach to allow me to eat my required protien intake (which is ALOT) and I am a huge red meat eater. But I had my DS in Aug of 05 @ 22 years old. I have loved every minute of it. Gone from a size 30/32W to a 10 regular in pants and 30/32 top to Large top(thats my bone structure for you). I eat like a normal person and dont have to worry. I do make sure to get my protien first, for my bodys sake, but having some carbs aint gonna kill you. And quite honestly since surgery I want protiens more than carbs, I used to be a spagetti fiend...now I can look at it and go na.  Well I got to get ready for work....if you want send me a PM and we can talk. And also come on over to the DS board too, Great bunch of people.

Hey girl, It's hard to pick the right surgery for you.  Here's a great website that has all four WLS back to back with information on each of them.  You can see the list of pro's and con's to all of them.  This website helped me pick my choice.  http://www.lapband.obeseinfo.com/bariatric-surgery-chart.htm Good luck!!

Thanks for the input, you guys. :D  I know it needs to be my decision, but it always helps to have the opinions of those who have already been through this.  :) 

I'm still really drawn to the idea of the DS surgery, though it depends a lot on what insurance I end up with (job hunting at the moment), and what they'll pay for.  I've been researching the different insurance carriers, and looking at all the reviews on this site... I think my eyes are going on strike!  LoL  The job I'm hoping for is First National Health (I think that's what they're called... it's "First" something-or-other) and it looks like they're not too difficult to convince...  I live in South Dakota, so I'm crossing my fingers that the insurance I end up with doesn't pitch a fit when I ask for DS instead of RNY.

Hey, Sioux Falls!  I had Lap Band with Dr. Thaemert of the Surgical Institute in the McKennan building.  He alsy did a friend of mine's RNY.

I recommend him until I'm blue in the face!