Diana, that's not entirely true for everyone. Listening to "you people"...cost me all the time and monies for five visits to five different surgeons!, 3 of which tried to the ole "bait and switch on me". So, IF it wasn't for the info from that I have read on these site from you Vets, there's no doubt in my mind I'd be waking up with a VSG and not a DS...and, yes, I know, "the fat lady hasn't sung) yet, (pardon the pun), as I'm still a pre-op. But, I at least know about it and the consent form etc and so does my Dr. and my family. I have it in writing in an email also that confirmed he does not do that and would only do a "two stage DS" if agreed on before the surgery and only does that on patients with a BMI in the 80's or higher, but, yes, that has been and still is my greatest fear.