Hi Paul, I understand where you are coming from. Food is my drug of choice! Your perspective sounds so similar to mine.
My BMI is 34.7, and my surgery is scheduled for August 22nd.
I too am very nervous. People think that I shouldn't need the surgery as I'm not morbidly obese - but I'm now 35yrs old and have been on this yo-yo for so long that I've had enough. If I don't do it now, I know I'll end up morbidly obese and have a whole lot of other health issues to deal with.
I had my pre op appointment today and my surgeon was very supportive and put the risks into perspective. They are very low. You just have to be committed and have continued follow up. (They offer a 12 month initial support program).
I'm going ahead although apprehensive - I think this is normal as it's a big decision.
I don't know much about the medication side of things so hopefully someone on the forum can offer some assistance.
Ultimately I want to do it for the long term health benefits, but I'd be lying if I said it wasn't for cosmetic reasons also. I mean, everyone wants too look nice, be appreciated and feel confident. I know I don't want to be miserable any longer!!
Good luck with your decision!