I know exactly what I would have done.
I would have the lap band to deal with my weight in a relatively safe (and reversable if need be) way, laser hair removal on my face and chin to get rid of the horrid beard and moustache that are the bane of my existence, and lipo to get rid of my extra chins and thin out my cheeks. My abdomen needs some serious lifting, but that'll have to wait until I get rid of about 97 more pounds...Finally, I would love to have breast reduction surgery to get the girls into perky and smaller shape. *grin*
Meanwhile I'm at the gym three days a week and saving up for laser hair removal.