For me the moment came with yet one more disabling physical thing. High blood pressure, diabetes, sleep apnea, hating to fly as the seats are tiny, attend a concert, movie, theater for same reason. Unable to tie my shoes, reaching to clean myself. Nope none of these were the moment. But after years of painful feet, stage 4 arthritis in my foot, walking becoming horribly painful and the Dr stating "surgery on that foot needed, but not unless you loose weight" I find doing the things I love outdoors to be nearly impossible. That's it for me. At 60 I don't have time to waste on yet another failed weight loss effort. I'm not a failure! I'm making a smart choice to do something life affirming for myself and really get healthy. I'm excited and a bit nervous. My insurance does not pay for bariatric surgery so it's off to an exotic holiday for me. Surgery and some recovery in Mexico or Costa Rico... Hmm what other fun place can I go?