Hello,
I have had that pouch my whole life before and after my band. I plan on one day getting surgery to flatten it! Even at my goal weight I still have it and it I am very self conscious about it. I have been in a committed relationship for 4 years and getting married in October and he doesn't mind it but I do and it's the last piece of my puzzle to feel absolutely amazing! I think it's a personal decision but there is surgery for it!