How can you decide between gastric bypass or lapband surgery?

Bypass vs Band: Band is good for patients without heartburn (reflux), without Insulin dependent diabetes, and with BMI < 45. Only downside is a 25% failure rate (usually due to reflux). Bypass is ideal for heavier patients, or patients with significant reflux (heartburn), or diabetic patients. Both take about one hour, both about as safe as taking out an appendix. Choose a doc that does both procedures well.

What u live with: See what you can live with after surgery and the best tool for you.

Many factors: Primary factors include how much weight you need to lose and the presence or absence of diabetes and other comorbidities. Gastric bypass and sleeve gastrectomy tend to be better in patients with higher bmis and diabetes. In any event would consult with a bariatric surgeon in your area to help you decide.