You have indicated that you are:
- interested in surgical weight loss options
- interested in self pay options
- your BMI is 40+
You may a good candidate for a gastric sleeve, gastric bypass, or if your BMI is over 50 also the SIPS/SADI procedure.
Most surgeons would not recommend a Lap Band in a patient with a BMI above 40. Since it is not as powerful as the above procedures, it would likely not provide adequate weight loss.
Non-surgical procedures such as gastric balloon are generally not recommended for patients with a BMI over 40 either, but may be considered in some cases.