Am I not fat enough?

I am 5'5 and 230 lbs. I think my BMI is around 38. I am considering starting the process of the surgery, but my BMI is not 40. I dont really have any serious co-morbities other than back pain. Is it reasonable to think that this surgery could be a possibility for me, or should I forget about it? I have a long history of failed diets, and believe this is my only hope. Any suggestions?

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