CFGirl, I feel like you; I could've written your post (with some minor changes). I am 45 yrs old, 5'4", 192... which equals a 33 BMI, which is OBESE. I have a myriad of issues: hypothyroid, yoyo dieting, high cholesterol, back/knee/foot pain, pre-diabetic. I'm just so DONE with feeling horrible. I really enjoy exercise and in the past have run multiple half marathons. But now I wake with a headache every morning, zero energy, joints hurt, back hurts. And have been told NOT to run because of further joint damage. I miss running. And I don't want to wait any longer to just get MORE UNHEALTHY. I have been researching for some time and my husband is supportive. I have an appointment scheduled for a consult with a reputable surgeon. I am determined. I assume I will be a self-pay patient, unless during the pre-op findings we find that insurance may step up to the plate. Nonetheless, I am determined to get off this yoyo / rollercoaster and get on with healthy living. I just want to say "thank you" to those other low BMI people out there. I have been reading this board for about six months and sometimes I am fearful of posting bc I may not be received well since "I'm not fat enough" and shouldn't even be considering this option. Sad.