Sleeve Gastrectomy or Gastric Bypass Surgery?

We prefer the sleeve. It is easier on the patient and myself as the surgeon. We see great results and is much less invasive than the bypass. Even my heaviest patients, I recommend the sleeve and have had great results. You have much less potential for complications with the sleeve.

Choosing between sleeve gastrectomy and gastric bypass depends on your individual health needs, weight loss goals, and lifestyle. Both are effective weight loss surgeries, but they work in slightly different ways and have unique benefits.
Sleeve gastrectomy involves removing about 80% of the stomach, leaving a smaller, sleeve-shaped stomach. This limits how much food you can eat and reduces hunger by lowering levels of the hunger hormone ghrelin. It’s less invasive than gastric bypass and doesn’t alter the digestive process, which means fewer risks of nutritional deficiencies. The procedure is highly effective for weight loss, with most patients losing about 50–70% of their excess weight within the first 12 to 18 months. It’s also a great option for people with fewer obesity-related health issues or who want a simpler procedure with a shorter recovery time.
Gastric bypass, on the other hand, is more complex. It involves creating a small stomach pouch and rerouting part of the digestive system, which limits food intake and reduces calorie absorption. This procedure is often recommended for people with severe obesity or obesity-related health conditions such as type 2 diabetes, as it tends to result in faster and more dramatic weight loss—about 60–80% of excess weight. Gastric bypass may also have additional benefits for managing certain conditions like acid reflux, which can worsen with sleeve gastrectomy.
To decide, it’s essential to work with a bariatric surgeon. They’ll evaluate your health, medical history, and personal preferences to recommend the best option for you. Both procedures can deliver excellent results, so the choice ultimately comes down to your individual circumstances.