well, since I'm a respiratory therapist, I guess I'll chime in on this. First of all do you have obstructive sleep apnea or central sleep apnea? Being that you said you have had this condition "since you were a skinny teenager", leads me to believe that it would be central sleep apnea. If you do have the central, surgery cannot help this as it is a neurological problem that causes you to stop breathing in your sleep. On the other hand, obstructive sleep apnea is most commonly caused by obesity, and since you stated that you had it even while being skinny, I suppose there is an outside shot that you may have been born with an anatomical obstruction of your airway. In this case, surgery probably could help you. Have you ever had a sleep study done? This would tell you whether your sleep apnea is obstructive or central. Anyway your best bet is to consult your doc, preferably a pulmonologist