First Timer/nervous

[beachlover1129 22]

I am 45 y/o mother of one 18 y/o boy and a "life partner/wife". I am just beginning this journey of sleeve surgery. I have talked to my surgeon and psychologist. waiting on initial approval by insurance. I am starting this journey at 325 and my goal is 170 or size 12. I am 5 3 w/HTN and hypothyrodism. My question is two parted 1. is this surgery really worth any side effects or the mental "problems" you encounter and 2. does anyone else have BC/BS ins that makes you use a 10 week program such as metabolic syndrome program or naturally slim before your surgery?