I asked my surgeon about the difference between LAP-BAND® and sleeve and he said "none". I'd go with whatever your surgeon is most familiar with. I'm now at the beginning of "wait" mode to see if I get insurance approval. If I don't, I'll self-pay, but I'm pretty sure they'll cover it. I really feel for the peeps who have to jump through endless hoops -- a zillion tests, months of dieting, et. ect. before they can get approval. I'm so ready to do this. In my experience there is no such thing as a stable weight. You're either dieting and it's going down sooooo slowly, or you're not dieting which means you are either slowly or quickly putting on weight. Anyone else like that??