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Advantage of the Roux-en-Y Gastric Bypass is a higher success rate and greater weight loss. One of the reasons is that it restricts the intake of sweets, which in our experience has been a major reason that lot of people regain weight over time. Another big advantage for the Roux-en-Y Gastric Bypass is for patients who have diabetes or high cholesterol, 95% of our patients will leave the hospital in 48 hours off of medication for diabetes. So it really works miraculously for that. Long term about 80% of patients will come off of cholesterol lowering drugs after a gastric bypass. The drawback of the Roux-en-Y Gastric Bypass is that it is a bigger operation. It does involve dividing the stomach and stapling the bowel and rerouting the bowel and a lot of people are uncomfortable there. As a result of that there is a higher risk of infection or complications. The pay-off though is greater weight loss and a higher success rate long term.