Death
Have you done any research into the Lap Band? Obviously you are getting close to surgery already, but I thought I would mention it. RNY has done great things for ALOT of people, but I think it's important to look at all of the available options.
Just thought I would throw it out there. I agree with what everyone else said about the co-morbidities that come with the extra weight, and needing it get it off, etc. Death is kind of a 'one way or another' situation, even though we'd all rather later than sooner.
Good luck to you
Sarah