Do you recommend roux-en-y gastric bypass surgery?

Gastric bypass. Yes. It may not be the best choice for everyone, the the bypass is the gold standard for weight loss operations. It's been around for over 50 yrs and is a proven operation. It is the best in terms of overall weight loss. It is also the best operation for patients with diabetes, heartburn/reflux, large hiatal hernias, or are very obese (bmi over 50). It should only be done by an experienced surgeon.