Which Weight Loss Surgery to Choose?

If you want to prioritize food flexibility (enjoying ice cream or churros on occasion) and avoid strict lifelong supplement regimens, the gastric sleeve might be a better option. Yes, it may not produce as dramatic weight loss as the duodenal switch, but with good dietary habits and consistent follow-up, many people still achieve excellent results. If you’re open to being patient with your weight loss journey and okay with the possibility of needing a follow-up procedure, the sleeve could fit your lifestyle best.
However, if you’re committed to losing as much weight as possible and want to avoid the chance of needing a second surgery, the duodenal switch might be the better option. Just keep in mind that your diet will be stricter, and you'll need to follow a strict supplement regimen for life. Since you mentioned wanting to maintain a sense of "normal" in your diet, this might feel a little restrictive.
Therefore, both options have pros and cons, but it comes down to your priorities. If you value dietary freedom and a simpler procedure, the gastric sleeve may be a better match. But if your main goal is to lose as much weight as possible with less risk of regain, the duodenal switch offers a more powerful solution. It's also worth having a consultation with a bariatric surgeon, as they can assess your overall health, lifestyle, and goals to guide you in the right direction.