I can not tell you that things are going to be okay because I am going through the same thing. I have been a wreck trying to make up my mind about having this surgery- not to mention going to Mexico to do it. I finally committed to a surgery date last night by booking my flight tickets. But here is what I have decided. It is not about looking good, smaller clothes, etc. That will be nice, but I want to feel better. I don't want to lug around an extra 100+ pounds anymore. It is weighing me down mentally and physically. I could lose 30 or 40 pounds, just like I have every year of my life, then regain it all plus more. And then I would have wasted another year. We are not giving up food. Just our dependence and over-indulgence on it. And I need that. As I told my daughter- I can have a piece of fudge next Christmas- just not the entire pan! And that's a good thing!!!! I think all of your fears are normal. It is for sure a life change- but one I am looking forward to (today.... Tomorrow I will probably be panicking again).