Trying to decide between Sleeve, Gastric Bypass, and SADI-S – would love to hear all experiences
Hello, I have just started the bariatric surgery process. I had my initial consultation this week and I’m feeling really optimistic, but I’m also completely overwhelmed trying to decide which surgery is right for me.
A bit about me:
29F
5’10”
BMI just over 40
Insulin resistant / prediabetic
I’ve struggled with my weight for years despite trying multiple diets.
I’ve been on GLP-1 medications (Wegovy and later Zepbound/tirzepatide). They helped somewhat but not enough, and I’ve plateaued.
I don’t really suffer from any co-morbidities (no acid reflux, sleep apnea, etc)
I am currently going through the insurance requirements and have my first nutritionist appointment next week.
The surgery options I am considering are:
Sleeve
Gastric bypass (RNY)
SADI-S
The more I research, the more confused I get.
The sleeve seems like the “easier” surgery, but I worry about long-term regain and needing a revision later.
The bypass seems like a really good middle ground, but I’m nervous about dumping syndrome and lifelong changes.
Then there’s the SADI-S, which sounds amazing for weight loss and improving insulin resistance, but I know it’s a newer procedure with greater malabsorption and more vitamin/protein requirements.
Some of my biggest questions are:
If you could go back, would you choose the same surgery again?
If you had the sleeve, do you regret not getting bypass or SADI-S?
If you had bypass or SADI-S, how difficult is the lifelong maintenance really?
How “normal” is life now? Can you still go out to restaurants, travel, enjoy holidays, etc.?
Are there foods you genuinely miss or can you pretty much eat everything in moderation now?
How bad was the recovery?
Has anyone here had surgery after GLP-1 medications stopped working? Did surgery succeed where medication didn’t?
For people several years out, how has your weight held up?
If you have insulin resistance or PCOS, which surgery did you choose and why?
I know everyone is different, and I’m not looking for medical advice over my surgeon’s recommendations. I’m just hoping to hear honest experiences. Anything you wish someone had told you before surgery.
Thank you so much for the input!