At 21 years old, weighing 230 pounds, and standing at 5'7", your BMI is around 36, which is considered in the overweight to obese range. Weight loss surgery, including a gastric sleeve, is typically considered for individuals with a BMI over 35, especially if you have health conditions related to obesity, like diabetes, high blood pressure, or joint pain. If you have not been able to lose weight through diet and exercise or if your weight is affecting your health and quality of life, surgery might be a good option to consider. Your age is on the younger side, but it's not uncommon for people in their 20s to qualify for bariatric surgery if they have struggled with long-term weight issues.