Regarding your title question, you already know you are the only one who can decide to undergo WLS.
Regarding questions 1-4, you had some fantastic answers regarding pain in your previous post last week, you should revisit those answers for consideration.
You also mentioned in another post that you experience bipolar depression and anxiety. There were some well thought out answers from veteran sleevers on that post as well. I learned a lot myself.
Regarding q5 and 7, I personally do not feel a void or as if something is amiss in my abdomen, all my incisions have disappeared or blended wel with my overly stretched marked mommy tummy. Having said that, the only difference I felt was when I ate or drank early post op from day 1 to maybe a seldom feeling now if I took a bite too much. The feeling of being overstuffed turkey when only taking a few bites of food is what I can related it to. But you can definitely avoid by following one simple rule well two... CHEW CHEW CHEW CHEW CHEW and do not drink or sip on water during your meals. The first one is for life! You want to absorb the most out your nutrients then you MUST ALWAYS chew and when you think you chewed enough keep chewing. Chewing creates saliva that have the enzymes to break down food before it hits your stomach. Also chewing your food well, will assist in helping your stomach send those full signals to your brain to let you know you are full. You have to get to know your internal body well and listen to those signals. My nutritionist taught me to just eat a few tablespoons at a time. Wait to see how I feel, and take another one or two bites (chewed well) and wait to feel. That my friend takes patience and discipline. I learned my lesson the first couple of times I didn't follow those rules because feeling like an over stuffed turkey is no fun and very uncomfortable for about 20-30min. If you are prone to panic attacks you should discuss an action plan with your Bariatric team and your psych team.
Re q6... that's a soapbox for me... I will let others answer that, also because I'm 10.5 months post op and just beginning my own journey, BUT I do offer that you connect with the active veterans here and talk to them about their long term maintenance/and PERSONAL and INDIVIDUAL successes. The other thing I will say invest in the full body composition (like the DeXA bone density, muscle and fat mass composition) and BMR exams (a ten minute breathing gadget to determine how much calories your individual body needs) to determine where your personal health, weight loss and well being goals could/should be and use those measures to execute an action plan, that includes a nutrient and protein dense diet, supplements such multivitamins and enzymes for life, drinking lots of fresh and pure water, commitment to developing stress management and selfcare skills through social or professional support for life long success.
And lastly I offer this picture of my only regret was not doing this surgery sooner!
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