Ask if your local bariatric surgeon has an information seminar. Your surgeon may recommend a procedure.
Here is a link that may help in your research phase.
https://www.obesitycoverage.com/the-complete-patients-guide-to-bariatric-surgery/
Age 45 and 254 pounds, My wake-up call was being admitted to ICU. My internal organs shutting down from diabetic ketoacidosis. My heart stopped, and they brought me back. I wish it didn’t take that moment to understand my weight was slowly killing me.
I looked at how many times I’ve lost weight then had regain with extra. I needed a long-term solution to get my health back. I was sleeved in 2014. Five years out, no complications, no regret, and maintaining in the 130’s.