I am in the same boat, however, I have made the decision to start the journey. I will be banded in Utah if it is approved by my insurance. After joining this site and attending a seminar I am ready. It has to be your decision though. My husband is also heavy and will wait to see how I do on the band and then he may do it. I do not know about banding in Mexico. One thing to consider is at my seminar they said people contact their office who have went to Mexico and other countries for fills and they will not do it for liability reasons. This may be something to consider. Good luck on your journeys.