I too was in your situation around 6-7 years ago. I had none of the co-morbid illnesses that went along with being overweight so my insurance denied my surgery and I went back to my old ways of joining Weight Watchers losing 70 lbs, then turned around and gained 85 lbs back. This has been my pattern my whole adult life. I too was raised in a traditional Portuguese/Mexican household and was not overweight until after I became an adult and quit doing all of the activities that went along with being a teenager. I developed type II diabetes, high blood pressure, GERD and high cholesterol in the past couple of years. I turned 49 and decided I needed to try again so I went back to the doctor went through all of the tests and was finally approved by my insurance company (because I was finally sick enough) to have the gastric sleeve. I really wish I had been approved the first time because I would have never developed all of these diseases and would have saved the insurance company money as well as the wear and tear on my body. I am 4.5 months post surgery and have been doing wonderful. I left the hospital off of my diabetic meds, cut my cholesterol meds in half and if I am still doing as well I should be medicine free in a couple of months. Keep up the activity that is what is keeping the diseases at bay but the weight takes a toll on your body. Do what is best for you. Talk to a trusted doctor and make the decision as a team. good luck in whatever you decide!!