Hi, you are a great candidate for a Bariatric procedure, and there are a lot of them, like Gastric Bypass, Gastric Plication, or VSG (Vertical Sleeve Gastrectomy). I suggest you have a consult with a certified Bariatric Surgeon, so we can recommend the surgery that best suits your needs, taking into consideration your age, your underlying medical conditions, and your goals. In your case, I would recommend considering a VSG (Vertical Sleeve Gastrectomy) this surgery will help you to have better-eating habits, improving your arthritis and a healthier lifestyle. At 227 Lbs. and 5'6 the BMI is 36.6 Kg/m2, this establishes a diagnosis of obesity class II, and the sleeve gastrectomy has shown to be a very effective metabolic procedure in obesity remission helping you to achieve a healthier lifestyle. I hope you can find the results you are looking for! You'll do great!- A.L