I understand where you are coming from. I had a BMI of 38 with co-morbidities (high BP, pre-diabetes and sleep apnea) when I was approved for surgery. I felt rather uncomfortable at first on this forum when I had "only" about 100 pounds to lose. I ended up losing 110 pounds and now have a BMI of 21. I feel wonderful, I'm off all my meds, and I don't regret my decision at all. As you will see on this forum, we all have similar stories and similar journeys, regardless of how much weight we need to lose.