Lap-band!! I went to Italy and had mine put on in 2002 and I weighed 331 lbs. I lost over 100 lbs. and have had surgery to get rid of extra skin. If there are no medical reasons to not have it, go for it. It is totally reversible. It was don laprascopically and I was walking around the next day. I would not even consider any elective surgery than changes the system the way God created it. I will be happy to answer any questions you might have about my experience. Good luck.