Hmmm, I go to my first consultation this Thursday. I wonder if I'll be required to lose some weight. I'm at 41.5 BMI, but have diabetes, high cholesterol and have serious problems with arthritis to all the major joints, as well as fibromyalgia and spinal stenosis/degenerative disk disease.....so the extra weight doesn't help anything in that regard. How much weight did you have to lose before they would do the surgery? Was this Medicare/Medicaid''s requirement, or your physician? and....finally, how did you go about losing the weight they required of you? I really think if they even told me I had to lose 5 pounds I"d be hard pressed to be able to get it done. Sad, isn't it?