My hold up was my college (well post college) party lifestyle. I remember researching gastric bypass procedures and reading that alcohol was no longer going to be an option, or at the very least, a very limited option and this was not appealing to me. I know how this sounds... So ultimately, I think my major hold up was my immaturity. I am 32 now and feel like I have a much more mature handle on priorities. My health is now important to me.