When I started looking into WLS, I was 75% sure I was just going to go with a lapband. Easily removable, I thought. No big malabsorptive issues. Just a bunch of restriction - a kind of hand-holding into making me eat the way I need to.
Then I began my real research, and saw the complication rates were higher, and the amount of appointments necessary were higher, and that overall weightloss was considerably lower. Many people complained of still feeling hungry - which makes sense, when you consider that the rest of your stomach is still there, still largely empty, and still playing on hormones like grhelin to mess with satiety.
So I began to slowly embrace the idea that "real" bariatric surgery was my answer. I've come a long ways since being stalwart in my belief that I didn't need WLS - even if it took me years to get there. For the last couple months, I've been pretty set on VSG.
Lately, fear is creeping in as I read the experiences and see the weightloss of those with VSG versus GB. Don't get me wrong, I see plenty of people who have done absolutely exceptional on VSG and I know it can work - I'm terrified I will make it not work. That I'll end up being one of those people who eats ice cream as a "pureed" food, manipulates what can go in, and will suffer with little weightloss because of it. That I'll need the further restriction and malabsorption offered by a GB in order to have real weight loss.
I've devoured every thread on "how did you choose?" here on TTF and I know that some of my questions will be answered when I finally have that sit down with a surgeon, but in the meantime, I keep adding to my list of "Am I going to be one of those people who goes through a major surgery just to sabotage it?"
I try to shake off the thoughts - I wouldn't be surprised if they're fairly normal. I'm doing well in my pre-op classes (small gain this week, but there was a considerable amount of partying for my parents anniversary this weekend). I understand all that the surgery brings, and I think seeing success after surgery will be a fabulous motivator towards continuing the plan.
All that certainly hasn't stopped the "what ifs" though! The mental part of weight loss is certainly exhausting.