I had the roux-n-y gastric bypass. I wanted to do something almost permanent. I dont remember if they had the band or sleeve available when I had it done (2009). I am very fortunate that I kept all but 15lbs off. But it was not easy. I just got very rigorous and rigid with the eating plan and I always take my vitamins. BUT- I also am an alcoholic and the bad drinking phase didnt start until after my surgery. I am sober 6 years now. I dont care about the number on the scale anymore because I am more than a number.