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Although there are many advantages to restrictive forms of weight loss surgery such as the vertical sleeve gastrectomy restrictive surgery also tends to produce less weight loss than malabsorptive surgery and it is also generally more difficult to maintain long term weight loss. The majority of patients tend to loss about half of their excess weight in the year following surgery but will start to regain some of that weight once they pass the three year point. By the time you are ten years out from surgery there is only about a 1 in 5 chance that you will have maintained your weight loss.