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Which WLS For You?

How do you decide which surgery to have?  More and more doctors are leaving it up to patients to decide.  When I had my bypass 7 years ago, I had two choices:  Band or Bypass.  Now the sleeve is also an option, and of course the duodenum switch if you meet certain criteria.  Here are a few pros and cons to the various surgeries using information from WebMD.

Lap Band


  • Less invasive than other WLS
  • Average loss of 47% excess body weight
  • Reduction in weight related health issues


  • Repeated trips back to surgeon’s office for fills
  • Possible infections at port site, and potential band slippage
  • Not always as quick weight loss as other options

Gastric Bypass


  • Average weight loss 60% of excess weight
  • Fear of dumping syndrome keeps patient more accountable for healthy eating
  • Permanent weight loss tool


  • Higher risk of complications such as malnutrition and digestive issues
  • Nutrition supplements needed for life

Gastric Sleeve


  • Average patient looses more than half their excess weight
  • Less expensive and risky than bypass or DS
  • Since small intestine is not bypassed, risk of vitamin deficiency can be less than that of bypass


  • Some sleeve patients do not dump, which can cause a temptation to eat foods that are not very nutritious
  • More invasive than the band

Duodenal Switch


  • Average weight loss is higher than any other WLS procedure, as high as 75% of excess weight
  • One of the best surgeries for improving weight related health problems


  • Vitamin and nutritional supplementation is extremely important with this surgery; even several missed days of vitamins can cause a major deficiency
  • It has been suggested (but not proven) that risk of death can be slightly higher for this procedure than it is for others

Remember, no surgery is without some risks.  Having weight loss surgery, and which kind you choose, is a very personal decision.  These are just some of the pros and cons to each.  Thoroughly research your choice of surgery, and discuss with your surgeon to make the right decision for you.  When it comes right down to it, ALL of these are just tools, and how we use it will help us be successful!

Roasted Rosemary Brussel Sprouts


1 lb petite brussel sprouts

3 tablespoons olive oil

2 sprigs fresh rosemary, chopped fine

2 cloves garlic, minced

salt and pepper

Line baking sheet with foil.  Add all ingredients to baking sheet, and mix gently to coat all sprouts.  Arrange in a single layer, then sprinkle with salt and pepper.  Bake on top rack of a preheated 400 degree oven for about 45 min until sprouts are very tender and browned.



Hello, I'm Kate, and I'm a 10 year gastric bypass post-op. I started this blog, as well as my nutritional website, to help other bariatric surgery post-op's on their journey as well as pre-op's with their decision if bariatric surgery is right for them or not.

2 thoughts on “Which WLS For You?

  1. Hi there, all is going sound here and ofcourse every one is sharing information,
    that’s actually fine, keep up writing.


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