My niece had the lap band. As soon as she could she went into an exercise program and looks AWESOME! She has a fold at her stomach.....but in her (and my) opinion, it's better than the big folds she had before.
My friend had gastric bypass, he lost 200# and does have extra folds....but he feels better, too. In fact, he went from 6 insulin shots a day, 3 pills for diabetes, 2 pills for arthritis, BP meds, to NONE!!!! He doesn't take anything except the thyroid pill because his thyroid was removed years ago.
Both of them had to have something done....their health was in such bad shape that it was that or die.
Yes, both went thru what I consider hell because of having to change eating habits....but both, after a year, are the happiest I've ever seen.
The choice is up to you.....if you feel it's time, and your doctor think it's time....then go for it and best of luck!!!!