Dude, you always have a choice. Rejecting the only girl interested is also a choice. I would never recommend to anyone to just settle with what they can get. As I said in a previous topic, go work on your issues. If you don't, in ten years you will be in the exact same position as you are in now.
Weight doesn't really matter to me and ugly is a matter of taste. Personality and with that, attraction, is the most important thing. Attraction overrules uglyness. You start to believe someone is good looking.

Actually I have no choice. I have only one extremely ugly girl who wants me, and the poor girl looks so bad I can't imagine anyone being able to even kiss her without vomiting. I have no choice because I have no decent-looking (i.e. kissable) girls who want me. I'd love to 'work on my issues' but my only issue is that I can't get a decent-looking girl to want me, even though I don't think I look puke-worthy. Technically I've already lost my physical virginity to prostitutes, but they don't count and I will consider myself as having lost my virginity as soon as any decent-looking girl says she wants me and starts to kiss me. That's all I ask for and I can't even get that, while you have loads of hot guys to choose from and are being picky about their bloody personalities? FML!

Unfortunately attraction does not overrule ugliness at all, since looks are essential for attraction, and ugliness means no looks, therefore no attraction.

stop being such a little baby, you have more choices then the girls do, you are just too blind to see it, girls are limited by who approaches them, it is outside of their nature to approach, you however are a guy, and it is expected that you approach and initiate and move things forward, if you are not fucking talking to girls... no shit you won't find one, sitting there crying about no girls approaching you and jumping on your dick will do you about as much good as punching your own balls, and saying to yourself HURR DURR I KNOW 5-20 HOTTIES THAT DON'T WANT TO FUCK ME, THAT MEANS IM FOREVER ALONE!! is just you being silly as fuck, you could do 100 approaches in one day if you wanted and put in the effort, (trust me no matter how bad the personality and looks, if you did that for 2 weeks straight and just straight up got down to buisness you would be laid it often takes much much much much much muuuuuuuuuuch less), you are focusing so hard on the negatives, and not trying to strengthen the positives or achieve anything, go talk to 100 girls and try to get all their phone numbers and follow up with getting them to your house, once you have gone out and actually field tested your ability to do this and seen 100 straight rejections is the day that what you are saying holds any actual weight, because your own belief is false and limiting, it is way fucking easier then you are making it out to be, and this post is full of desperation and lack of action/motivation, if you are talking to girls ''all the time'' and not getting a single girl to come out with you, then you are just not going through those motions, it is as simple as move things forward towards sex, and get her alone, find a girl, do this, find another girl, do it again, over and over, some girls flake and drop off, some girls don't, if something goes wrong go talk to another girl and try again, girls want you to hook up with them, but that is the thing, they want you to do it, not them to do it

You may as well say a starving homeless tramp still has a choice because he could theoretically (try to) eat a cactus. It's not a real choice.
I don't know, I thought hard work might pay off eventually, but nope.
No, I just need a decent-looking girl to love me, and would willingly cut my arms and legs off with a chainsaw if that would get me it. Sounds like plenty of effort to me!
Girls may want decent-looking guys to hook up with them, but they certainly don't want me to!
I don't expect girls to approach me! I just need ONE decent-looking girl to check me out and give me eye contact, so I'll know she's interested and I can approach her! I've tried cold approaches and all that does is get me moaned at, laughed at and called a pest, for having the temerity to want to lose my virginity.

I've also gone speed-dating several times, talked confidently and pleasantly to the girls, ticked every single one, and guess what? Absolutely nothing, no matches at all, ever, none of the girls wanted me and hence I'm useless and worthless. How can you people tell me to have confidence & inner game and regard myself as 'high value' when I'm demonstrably worthless to girls?

reality is perception, re-read your post and think about how you view yourself, you sub-communicate this with your words and actions, no one can love you if you don't love yourself, and as previously stated, you are not putting in an effort, you can cold approach but you don't because of shitty ego protecting excuses, yes you are going to get rejected, it is a part of the game deal with it, you can either sit there sobbing to yourself looping in your head how worthless you are, or you can go out and find out how valuable you are after 1000 approaches, I absolutely guarantee you have not put in even 1% of the effort you could put into this, you just want something easy to happen and it is not happening and that is making you depressed, it is not easy, you have to put yourself on the line and make yourself vulnerable, you can't get girls if you don't actively meet new girls, if your ugly go to the gym, if you have no friends make some, if you have no money, get a job, if the city you are in has a low amount of options, move, if you find no girl wants anything to do with you when talking, re-consider what you are saying, no girl wants to sleep with you consider why, and fix it, START TAKING ACTION TO IMPROVE INSTEAD OF WALLOWING IN SELF PITTY, it will get you no where, it is your life and it is ticking away day by day, around 28,000 days to live, and every day you waste is another day you didn't get laid, did you make an effort today to get laid?, did you make an effort yesterday?, will you make an effort tomorrow? get off your ass and go make an effort, you have no one to blame but yourself, you're just trying to play it safe so you can say to yourself, YEAH NO ONE COULD POSSIBLY LIKE ME, I HAVE BEEN BARELY MAKING AN EFFORT BUT IM REALLY EASY AND DESPERATE, WHY WILL NO ONE GIVE ME A REALLY EASY LAY?, WHY DON'T THESE GIRLS JUST JUMP ON MY DICK WITH NO EFFORT?, put in some damn effort man, stir some fucking emotions in them, don't be average be the best you that you can be, not the depressed I hate myself you

get out there man

GOOD LUCK