The ONLY thing I would worry about when receiving a recommendation like this from a WLS surgeon would be whether the surgeon recommended bypass over sleeve because she/he had more experience doing bypass surgeries (and felt more confident about his abilities with that surgery) than doing sleeve surgeries.
Have you asked your surgeon(s) how many of each of the surgeries she/he has done? And the usual follow-up questions -- like how many complications with each (and what kind) they've seen with their patients?
If you haven't had those conversations yet I urge you to have them.
Very best to both of you!
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