Obesity runs in my family. It's not an excuse, but it is certainly the truth. I believe that I was pre-destined for obesity, partly due to genetics, and partly due to overindulgence. My mother, sister and I are all obese. Several of my aunts, uncles and cousins are also overweight. So, I am not alone in my plight. I have tried every diet you can name in the 53 years I have lived on this Earth, and not one of them has helped me to keep off any weight that I have lost.I have finally decided to get serious about my weight problem. By getting serious, I am talking about weight loss surgery. I have not decided what type of surgery I want as of yet, but I am leaning toward the Lap Band, due to its less invasive nature, and easy reversal. I am wary of having my stomach stapled, or having most of it removed. I like that the lap band can be adjusted as needed, and requires minimal hospital stay.The reasons I have for choosing weight loss surgery are many.The most persuasive to me have been the following:Health IssuesI have several health issues that make weight loss surgery a wise choice for me. My BMI, or body mass index, is 58. This puts me well above the required BMI of 40 in order to qualify for the lap band. I have mild hypertension, sleep apnea, severe osteoarthritis in my hips, knees and hands. Most importantly, I feel that without this surgery, I will die at an early age due to complications from obesity.AppearanceI do not care much what others think of me. I still have rather high self-esteem. However, I do wish to improve my appearance mostly for myself, but for my husband and children as well. At 430 pounds, I am not as attractive as I once was. I believe that all people should take pride in how they look, and just do the best they can. For me, that means getting fit, and losing weight.ActivityI used to be an active woman. As a young adult, I was an avid ice skater. I loved hiking, fishing, camping and yard work. All of my most-loved activities are now impossible. I walk with a cane due to my arthritis, which will most likely improve once I lose weight. Also, I would like to be able to join my family in their activities, instead of opting out with a headache, or other non-existent ailment.