I had the gastric bypass and lost 150 pounds. I have the skin issue too but I can live with that.I was a diabetic had sleep apenia, and asmia as well shortly after the surgery I lost all the other things I had going on but like everyone has said please try to use other ways to lose the weight. I wanted the lap band but the doc wouldnt do that for me. At least that one can be undone. Mine is perminate.I throw up all the time and have a hard time eating anything. I see a doc for this problem and he streaches mt esophagas so you see it is not all what they want you to believe. Please try other ways first and use surgery as a last resort. Good luck