Hello and welcome!
For years, I talked myself out of WLS. I have ALWAYS been obese, I literally do not remember a time in my life when I wasn't fat. I was convinced I could do this without surgery, and I did many times. Last time I lost 170 lbs (8 yrs ago) and skin removal/tummy tuck and within 2 years gained it ALL back plus 40 lbs!! Then about a year ago my doctor (who has been for almost 20 years and seen me go up and down so many times) actually asked me if I had ever thought about WLS. I explained to him of course I have, and then explained my personal pros and cons. Ever since that day I thought about it constantly. Then I told my wife that I was seriously considering it now because I was so desperate. I know how to eat healthy, I understand nutrition and macros and portion sizes. I just couldn't get full, my stomach literally always growls. To loose that weight I ate 1200 cals a day max and I was ALWAYS hungry. It was a constant battle to force myself not to eat. Not head hunger, real hunger the difference is very clear for me. I had a conversation with her about everything, and her only response was "I have seen you struggle for 15 years, I can totally support you wanting to doing this now".
I still wasn't convinced yet, but I made an apt with the surgeon and talked it out. I really wanted the sleeve as it is less of an invasive change to your digestive system but he was highly against it because of my severe GERD. He explained why and the likeliness that I would still have it and maybe worse. (I was already on 2 medications for it and still ate tums daily). At this point, I went home and read everything you could imagine and researched like it was my job. It took me about 4 months before I decided that I really had to do this. My only comorbidity is high blood pressure but literally EVERYTHING runs in my family. They are all obese and all unhealthy and I knew that my time was coming and one day I was gonna wake up and everything was going to go to hell and fast. So that is the day I called the center back and scheduled my classes and started making all of my appointments.
I am not 6 weeks post bypass and I have ZERO regrets. I had 1 frustrating day (food related, if you search in here you will find me bitching about it) and otherwise I have had an ideal recovery. I know I am not very far out and things may change but I doubt it. As I mentioned, I know how to eat healthy and what I needed from the surgery is to physically be able to eat less and that is exactly what it did. As a bonus, I am also just never hungry or never have the urge to eat. I am sure the urge and hunger will return at some point, but as long as the restriction is there I will be just fine. I have very high hopes and a very positive outlook on what's to come and finally keeping this weight off.
In addition to my EXTREMELY LONG POST, I am off all of my GERD medications and have had zero acid problems since the day of surgery. And, I was on 2 blood pressure medications that was barely controlling it as I was still on the "low end of the high range", 130s/90s) and now I am only on 1 medication and have perfect blood pressure.
Sorry it is so long but I hopes it gives you some insight on at least my personal experience and helps you make your decision.