I am 226 and 5'3" with BMI at just 40. My insurance will cover the surgery if your BMI is at least 40 or 35 and 2 co morbid conditions like high blood pressure and sleep apnea. I have only told close family and a few friends and they have all been pretty supportive but a couple have asked if I really need to go this route. I'm 56 years old and I've been on diets and lost and regained so many times. What do they say? Insanity is doing the same thing over and over and expecting different results? That's where I am now so I'm doing something different this time. I know I can lose weight, I just can't keep it off for long. This is a tool to help me do that. In a few months, they'll be saying how smart you were to do this!