I have an overweight son in his 20's and i would rather not recommend it just yet. I don't know the stats on long term really -- I am 3 years out, and am a postcard for a complete failure. I am back to surgery weight. Also needing iron infusions as now aneamic, iron deficient, and i feel very malnourished despite my weight increase. I eat rubbish and I know it, its easier to get down. I struggled with my brain and haven't yet been able to change it. I know there is higher incidence of osteoporosis and depression and alcoholism after surgery, also reflux which i just saw another post about there being a huge increase in oesopheagal cancer from the reflux. You could probably lose all you need in the first 6 months - its after that, long term, that really needs to be considered. I don't like to sound negative as my surgerywent well and so far saved my life, so i basically had nothing left to lose. However, i am looking at all the usual diet things again, the same struggle as before, but with all the extra side effects. We are all different, if you can stay positive, not fall into the traps, and are able to change then the sleeve is a wonderful tool. I also have polycystic ovaries and hashimotos. If I was overeating on salmon salad everyday then i wouldn't gain weight. But if overating on salmon salad was my problem, then i wouldn't have needed the sleeve. All the best with your decision. Whatever you decide to do, do it well and forever.