to do or not to do Bypass surgery ?

Remember that the surgery is not a fix all. Make sure you know the after math of these surgeries. Smaller portions is a must or you may become physically ill. I knew one gal that after the surgery any breads, pasta, or cakes would make her puke.
Unless your weight is so bad your told without extreme weight loss now, your going to die soon, I'd work on life changes without the surgery.
Like changes are a must or this weight will return.

Why are you asking now ?

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Ann Surg. 2010 Aug;252(2):319-24. doi: 10.1097/SLA.0b013e3181e90b31.
Long-term results of laparoscopic sleeve gastrectomy for obesity.
Himpens J1, Dobbeleir J, Peeters G.
Author information
Abstract
OBJECTIVE:
To determine the mid- and long-term efficacy and possible side effects of laparoscopic sleeve gastrectomy as treatment for morbid obesity.
SUMMARY BACKGROUND DATA:
Laparoscopic sleeve gastrectomy is still controversial as single and final treatment for morbid obesity. Some favorable short-term results have been published, however long-term results are still lacking.
METHODS:
In the period between November 2001 and October 2002, 53 consecutive morbidly obese patients who, according to our personal algorithm, were qualified for restrictive surgery were selected for laparoscopic sleeve gastrectomy. Of the 53 patients, 11 received an additional malabsorptive procedure at a later stage because of weight regain. The percentage of excess weight loss (EWL) was assessed at 3 and 6 years postoperatively. A retrospective review of a prospectively collected database was performed for evaluation after 3 years. Recently, after the sixth postoperative year, patients were again contacted and invited to fill out a questionnaire.
RESULTS:
Full cooperation was obtained in 41 patients, a response rate of 78%. Although after 3 years a mean EWL of 72.8% was documented, after 6 years EWL had dropped to 57.3%, which according to the Reinhold criteria is still satisfactory. These results included 11 patients who had benefited from an additional malabsorptive procedure (duodenal switch) and 2 patients who underwent a "resleeve" between the third and sixth postoperative year. Analyzing the results of the subgroup of 30 patients receiving only sleeve gastrectomy, we found a 3-year %EWL of 77.5% and 6+ year %EWL of 53.3%. The differences between the third and sixth postoperative year were statistically significant in both groups. Concerning long-term quality of life patient acceptance stayed good after 6 + years despite the fact that late, new gastro-esophageal reflux complaints appeared in 21% of patients.
CONCLUSIONS:
In this long-term report of laparoscopic sleeve gastrectomy, it appears that after 6+ years the mean excess weight loss exceeds 50%. However, weight regain and de novo gastroesophageal reflux symptoms appear between the third and the sixth postoperative year. This unfavorable evolution might have been prevented in some patients by continued follow-up office visits beyond the third year. Patient acceptance remains good after 6+ years.

64crayons wrote: »

Here's my thinking on the subject. First, you have to lose some weight before you can have the surgery. If you can lose that weight on your own, you can lose more weight on your own. Also, you have to make major changes to your eating after the surgery. If you can make those changes, you can make those major changes without the surgery.

Why not give yourself a year of doing it without the surgery, but living "as if" you'd had the surgery? Ask your doctor to help you follow the post-op plan, without having to actually be post-op. If you stick with it, great! You don't need surgery. If you can't stick with it, it means you probably wouldn't have been successful with the surgery either.

This is exactly what I did. For two weeks I ate as if I was post-op. And it was tough. I decided that if I wanted to eat that Big Mac or that piece of chocolate cake that I wanted that option. All I had left to do was schedule my surgery date and it was a done deal. I was paying out of pocket for the surgery and decided that if I could lose the weight on my own that I would use that money for plastic surgery and that's what I have done. Was it easy losing the weight? At first, no. After I learned the concept of CICO and moderation that's when it became easier. I still have about 10 pounds that I want to lose and those are being stubborn but I have the rest of my life to do it. I will be glad to chat with you or be friends if you like. I'm not very vocal on the boards but would love more friends. Take care and good luck.

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OP did you read the link I posted? I think anyone considering weight loss surgery should read this first.

summerkissed wrote: »

Christine_72 wrote: »

http://www.salon.com/2015/11/02/weight_loss_surgery_was_easy_it_was_becoming_thin_that_drove_me_to_the_brink/

Wow what an honest, heart felt article! The lady I know that had it done (gastric band) struggled so so much, we kept commenting on how awesome she looked but she just changed emotionally so much, we were worried, she was melting chocolate in the microwave so she could eat more her eating habits were actually getting worse, in the end we all lost contact with her she changed her phone number and moved house I ran into her at the supermarket about 5 years later and she was back to her former size. She said hello but not much more than that, I gave her my phone number and said we must catch up, she said yes but I never heard from her

Far out Her and so many other people go through the trauma of surgery and everything that comes along with it, only to regain all the weight back.

Here is a positive scholarly article.

http://jama.jamanetwork.com/article.aspx?articleid=199587

"Effective weight loss was achieved in morbidly obese patients after undergoing bariatric surgery. A substantial majority of patients with diabetes, hyperlipidemia, hypertension, and obstructive sleep apnea experienced complete resolution or improvement."