I opted to have a myomectomy, removal of fibroids but left the uterus even though I didn't plan to "use" my uterus again ( I was 42). It wasn't a bad recovery period, though probably not much easier than a hysterectomy. There is no long term downside to this surgery, once you heal there are no restrictions, extra meds, etc. I decided I didn't want to wait until they caused more problems and I'd have less choices.
Baby steps, losing the holiday excess first.
Maintaining 48 lb loss since 2008, working off regain to a sensible maintenance level. 60+ lbs and counting!