* The investigators aim to determine the clinical and metabolic outcomes of two available bariatric restrictive procedures: laparoscopic adjustable gastric banding (LAP-BAND) and laparoscopic sleeve gastrectomy for the treatment of morbid obesity (BMI \> 35 with comorbidities or BMI \> 40) in VETERANS. * The investigators hypothesize that the short and long term outcomes between laparoscopic adjustable gastric banding (LAP-BAND) and sleeve gastrectomy are similar in VETERANS.
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Inclusion Criteria: * Morbidly obese VETERANS ONLY (BMI\>35 with comorbidities or BMI \> 40) * Age \> 18 y/o Exclusion Criteria: * Pregnancy * Severe uncontrolled medical or psychiatric conditions * Previous bariatric surgery * Multiple previous abdominal surgeries