Hi Stephanie and welcome!
I am still a newbie here but I like to check in and read what people are discussing. I am pre-op and have decided on the sleeve because after a lot of research I feel the sleeve will be the best surgery for me. I can't imagine how difficult your everyday life is, due to your pain. I am over twice your age and I am finally VERY ready for this surgery. I started on this journey about 3 times before but I obviously was not ready. Yesterday I completed my ***'s required 6 month program, so all the paperwork and other requirements are complete and recorded. I still have 3 lbs to lose to get my referral. It will be lost! My nutritionist is so great and she gave me some great suggestions to help me. During these past six months, I have done a lot of reading, interviewing others who have had the various surgeries and followed other support groups. I strongly believe the reason why I didn't last through my previous '6 month' programs is because my guardian angel was steering me away for my own good. I learned yesterday that my *** only started using the 'sleeve' during this past year. I would not have had the "sleeve" choice then.
I know the 'lap band' is not for me because there are so many problems with it and if you read through the forums, so many people who had it done are now coming back for another surgery (mostly sleeve) to correct whatever problems arose due to their lap band. I don't like the idea of getting my guts rerouted. Why mess too much with the original plumbing. The sleeve will take excess away rather than sending pipes in an alternate track. The sleeve surgery will keep the portion of the stomach intact which absorbs nutrients our bodies need. The other 2 surgeries will require those patients' need to take far more Vitamins and minerals than sleeve patients. Bottom line - that's why I want the sleeve. When I discussed all of this with my nutritionist, she said she couldn't influence my decision but, the sleeve surgery has been very successful in Europe and has had good results. She really likes it!
Here in the states the sleeve had been the part I of a two part surgery for extremely severe obese people. Doctors would perform the sleeve part first so the patient could lose enough weight to then return later for the second half of a weight loss surgery. The doctors then discovered that the first part was successful enough to not have to perform the other half!
What you said about exercise - I know right now doing some is helping me and then after surgery, it will be a necessary part of my new and healthier lifestyle. Do what you can. I have 100+ pounds to lose and during these hot summer months, walking has been out! I did find a wonderful substitute - Water aerobics. I can run, do jumping jacks under water and I get the same results as if I were doing this stuff on dry land. Look into it, it might be an option for you.
Good luck on your journey and I hope you will receive useful information to help with your decision.