Thank you both very much. I appreciate the idea about the medical power of attorney. I actually do have one, My husband of 31 years is my POA and I also have a Durable power of attorney that state my wishes regarding blood and blood transfusions. Through research I have found it is not a very bloody procedure. I strongly believe in the power of prayer and welcome any and all. It is a terrifying decision to reach having had things go so awry with the bypass but at this time I feel like it is the best solution especially if my surgeon feels it will pout me back on the right track. I am pleased that the surgery was a useful tool to get the weight off even though it did not come off in the normal way. I am hopeful that I will not gain it all back and feel strongly that I will gain some back but having exceeded my goal by almost 30 pounds it will not bother me to gain a little back.