I have literally 50 pounds to lose (BMI 31) and "only 50lbs" is not ONLY to people with that much to lose. Although I don't have the medical necessity, I have a lot in common with my fellow sleevers when it comes to my history with weight loss, etc. The decision was not taken lightly either. I'm scheduled on Nov 30th and even though I'm nervous, I've been living with a steady weight gain and failed experiences in the past, I want to live a more fulfilling life without some of the lifestyle limitations and medical issues that could potentially be down the road.