Mine was a gradual decision. A very good friend of mine told me that she was having the surgery, and I started looking into it. I made an appointment in May for the information session and to meet with the nutritionist and the surgeon. The surgeon thought that I would be a good candidate for the sleeve. My plan was to proceed with caution.
I started going to the support group meetings, and made the follow up appointments to see my PCP, psych, etc. I also started researching the procedures and what life is like after weight loss surgery. I have also been having an ongoing conversation with my friend about how things are going with her (she's 2 months post op and has lost 40lbs). After my second appointment with the surgeon's office I decided for sure to have the surgery.
I had never really considered weight loss surgery as a viable option before, but like you, and many others, I have tried over and over again on my own to lose this weight and have been unsuccessful. I know it won't be easy after WLS, but I will have a very effective internal watchdog governing my food intake, and I can't wait to get down to a healthier weight!