Hi, @Ct06033! I think this is a good question to consider. Like others have said, the new medicine hasn't been tested for long term effects. What IS known about it is that as soon as you stop, you gain the weight back. So you're going to need injections for the rest of your life. That is a big nope for me. I'd rather have surgery and not depend on a medicine. Especially because I hear there have been shortages, which could happen again in our pandemic-prone world. Also, the medicine will be WAY more expensive. Out of pocket, it costs like $1000 a month. In just a year you'll be paying more than twice as much for the medicine as the surgery, and you'll have to keep paying, versus the one and done surgery payment. Those are my thoughts.