Hi Sara. My surgeon told us upfront that the biggest risk is the unknown in each surgical procedure. The fact that they know your past history allows them to be prepared for various potential complications specific to your case. I would try to weigh the cons versus the pros in making your decision and see which list is ultimately the best for you in the long run. I don't personally have a heart problem yet, but I do have a strong family history of losing my father to a series of heart attacks in his 40s, his mother and father both having heart attacks, his brother having had bypass surgery, and losing my brother to a massive heart attack 4 years ago at the age of 56. My doc told me my family history alone put me at high risk, but the extra weight, sleep apnea, and high blood pressure compounded the risk and I was just a ticking time bomb unless I lost the weight. Also add in the factor of my sedentary lifestyle due to inactivity from my severely arthritic knees that need to be replaced, and it only gets grimmer. I tried on my own to lose the weight for over 10 years after my knees got so bad and the weight came on, but I constantly yoyo'd which also is not good on your heart. I finally decided I had to get the sleeve and get headed in the right direction, as my quality of life was pretty nonexistent and was only going to get worse. I too was hesitant but I was fortunate to have my family behind me, even though I know they were scared for me to have the surgery as well. It was the best decision I ever made for myself and I would do it again. If you keep positive thoughts and keep your mind open, I know God will give you the sign you are waiting for. Whichever way you decide, think about the burden that will be taken away from your heart which will allow you to live a longer life to enjoy your children and grandchildren when that day comes. Okay, I think I've said enuf for now. I wish you the best of what life has to offer you going forward and may God bless you with the right decision for you. Be sure to keep us posted.