I waited two full years before I decided to have the surgery. I told myself that if I couldn't take the weight off by myself in that time, I'd get sleeved. Well, it didn't happen. There were other determining factors, since I obviously dragged my feet. One, I saw a picture of myself with my aunt and cousin, and my friggin arm took up most of the picture. The other was that both my aunt and cousin had the sleeve done, and every time I see them they seem to get smaller and smaller. My aunt has been trying to talk me into getting the surgery for a while. She was a lightweight too at under 200lbs.