Jasinana

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At my Dr consult I was told it would probably be best to have the gastric sleeve because I have the early signs of ostio- artheritis,  bone spurs on my femur and an impingment on the patella. He's concerned about pain management if I have the bypass. I'm hoping that a significant weight loss will help.

At the beginning I wanted this but changed my mind because bypass seems to be most effective and long term successful, so it's hard to wrap my mind around having the sleeve done. The Dr made it seem like I would have a choice. 

Just wondering if anyone else has been in this position?  I know the surgeon has final say but is it  realistic to think my opinion will be considered?