I want to start out by saying that I am thrilled to have found this forum. I am in the process of preparing for surgery, I haven't met with the surgeon yet though. I have attended classes and meetings, originally I was certain that sleeve gastrectomy was the best option for me. But with more research, it seems that bpd ds is a better option. However, I am really struggling with the potential long term effects of the ds surgery. On a daily basis, horrendous gas and diarrhea will not be easy for me to work with. I am a public school teacher and cannot simply go whenever I need to. But even more importantly, the potential long term deficiencies are pretty frightening. This forum is easing my fears a bit, but I am definitely looking for advice on those two areas. I do not want any revision all surgeries, I am looking for a clean start. I'm not afraid of the necessary canges, but it is scary when people state that they almost died because of ds. Any suggestions or help is greatly appreciated. Thanks!