Your situation is very common with the population that I see regularly. I have a complete discussion with patients like your self regarding results and complications. Most of the decision will depend on how realistic is it that you will lose weight. If you have not tried very hard and think you can be successful then it is best to put it off until you have tried more. If you have worked and worked and now find your self at a dead end then you may choose to take the risk. After a thorough discussion, some patients decide that they are a good as it will get and want to proceed and some say they will try some more. I do not have a BMI cut off for those who I will do surgery and those I will not.
Higher BMI's do have a higher chance of wound healing problems as well as life threatening complications. Do all you can to get to a reasonable and healing living weight and then you will have the best long term out come and cosmetic results.
Best Wishes
Dr. Peterson
