this decision is yours alone for me it is being able to play with my not yet born grandson. living a longer life to be with him and my family. for me my whole family is behind me because they know how i hate being fat and unable to move around like i would like to. the pain in my feet is a deal breaker too. i hope that you really think things through and by all means this is not like breast enlargement. i have my sx on the 25th and yes i am scared but excited at the same time. good luck