I am fully supportive of you! My BMi was also borderline since I am about 5''2' and was 171lbs pre-surgery. I am down to 153lbs after about 3 weeks post surgery and looking forward to be at 130lbs ideally. So what if it is cosmetic? After all, it will have a positive effect on our health in general. BEST of luck to us, whether it be for cosmetic of medical reasons! Puerto Vallarta Mexico rocks! Self-paid also and very happy