answer:Maybe three years ago, my brother-in-law had the “sleeve” procedure. PROs: —He lost the weight (I believe it was over 200 lbs.), and hasn’t gained it back. —After years of living with morbid obesity, he probably saved his own life. —After years of unsuccessfully trying to diet, the procedure was effective. CONs: —This is radical surgery. He suffered pain, and it took him a long time to get back to return to life as usual. —He had several complications (liver and gallbladder, I believe) and needed some follow-up surgeries. —The procedure is permanent. It can never be reversed. —He lost the weight so quickly, he was left with some bad skin tone. Pre-weight-loss, he’d had a very fat neck. Now, the skin on his neck hangs in long folds. He needs some cosmetic surgery to fix the problem.