If I was you I would have the surgery. How old are you? I am 46 yrs old. When I was in my late 20's I lost 102 pds all by myself. I had the opportunity to have VSG. BUT I DID NOT ! I kept it off for 5 years. Slowly I started gaining weight. As you get older your metabolism doesn't work as well. (At least mine didn't) If I would have did as my doctor suggested I would have a tool to help with my journey. Now I am paying out of pocket to do what I should have been done yrs ago. Sent from my SM-N960U using BariatricPal mobile app