Well hello Silentfades, you are not alone, many of us started at the same point of desperation that you say you are at now and many have turned their life around with the use of the band. It is not easy but once you have it adjusted and you learn how to eat (slowly and chewing) then you will not be abole to over eat, period. This is the key for me, I can no longer binge. If I do try to eat too much or eat to quickly then I PB or vomit. It is not the same as a normal vomit because it has not made it down to all of the acids at the bottom of the stomach. It is more like spitting up, it kind of just flows out. There is a whole section on PB's on the board somewhere, have a read.
I was self funded and had my surgery done in Toronto at The Lap Band Clinic (TLBC) for $16,000 Canadian. This also gives you unlimited follow up and fills (nice not to have to pay for each visit).
Be patient with the adjustments, some people never even need a fill, others like myself have had 5 fills and I am only now starting to lose weight as a result of the band. This could be a problem for you if you have it done in another city or country.
I considered it for almost two years before I was banded in April of this year. The cost is so high and I have would have to self fund. Then I read an article on it and the author said, "use some of the money you have put away for retirement, the chances are very good that as a morbidly obese person you will never get to use that money if you do not lose weight". This rang true for me, the decision was made.
I guess the best senerio for you would to be able to get the surgery done inexpensively elsewhere but get fills and other help locally. Ask you local clinic what it would cost for follow up fills etc. Just a thought.
Good luck Silentfades, it is you life to save, no one can do it for you.