The lap band's long term performance is terrible - the sleeve and Roux-en-Y perform well long term with most patients keeping the weight off even 10 years later

The lap band's long term performance is terrible - the sleeve and Roux-en-Y perform well long term with most patients keeping the weight off even 10 years later. Weight loss isn't the fundamental issue at play - it's permanent weight loss. Most individuals in their life are able to clean up their diets enough to lose weight, but maintaining that weight loss indefinitely for a lifetime, an overwhelming majority fail at it.