Plumbum

I have been overweight most of my life with a few years here and there enjoyed normal after extensive weightloss efforts.  I have been morbidly obese for several years now.  I recently did the optifast diet for 2 month and lost 50 pound.  I gained them back in less than 6 months.  I have high BP, plantar facitis, ankle pain, knickle pain, my hands fall asllep when at night waking me up every few hours.  I have acne (which went away when I lost the weight), I can't seem to get pregnant, and I am overal miserable.  I am looking for a safe way that will help me get the weight off for life.  I just want to be healthy and enjoy life.  I want to be able to cross my legs like a normal person when I sit.  I have been researchng for a while but am still undecided if I will do it here in the US ( my insurance will not pay) or go to Mexico.  I want to make sure I will be ok being treated here if I have it done in Mexico.