I also took Wegovy for a while and am going the surgery route in part because my new insurance won't cover it. But also, the big difference with surgery is that it is a permanent, lifelong change. Not necessarily the lack of hunger, but the overall benefits of the tool remain with you lifelong, changes in your metabolism that are very enduring, whereas with meds, the effects start to reverse as soon as you stop taking it. You might check the Pound of Cure Youtube channel for recent videos on how surgery plus meds like Wegovy can work together down the road for those who need both.