Is the gastric sleeve or balloon better for me?

Both the gastric sleeve and the gastric balloon are effective tools for weight loss, but they differ significantly in terms of invasiveness, weight loss potential, and long-term results. Given your weight loss goal of 160 pounds, the gastric sleeve may be a better option because it typically leads to greater and more sustained weight loss compared to the gastric balloon. On average, patients lose 60-70% of their excess weight with the sleeve, meaning you could potentially reach your target weight.
The gastric balloon is less invasive and involves placing a balloon in your stomach to limit food intake. However, the weight loss is usually more modest, with patients losing about 20-50 pounds during the 6 months the balloon is in place. It’s also a temporary solution and requires significant lifestyle changes to maintain the weight loss after removal.
If you’re concerned about the invasiveness of the sleeve, it’s worth noting that it’s performed laparoscopically, meaning small incisions and a quicker recovery. It’s permanent, so it requires a commitment to long-term dietary and lifestyle changes. If you’re unsure, you might consider starting with the balloon to see how you adapt to the changes, though it may not fully meet your weight loss goals.

These are very personal choices, but based on what you have laid out this is what I do in my practice :
Medications for 10-30 pound weight lossGastric Balloons for 30-50 pound weight lossEndoscopic Sleeve Gastroplasty (ESG) incision free procedure : 50-150 pounds pound weight lossLaparoscopic/Robotic Sleeve gastrectomy or Gastric Bypass for : 100 pounds or greater
There is a lot missing in this answer, but let us know if we can help by performing a more thorough evaluation of your health history, labwork, etc.