I agree with Jeanne on this subject.  The more you know about yourself and have your records together it is better for  you.    The most important thing is to make monthly weigh in's with your PCP even if you are doing weekly weigh in's at Solutions.   Your PCP needs to make sure that when you weigh in they document they talked to you about your weight, what you are doing to change it and what items you have taken to make the changes.    Solutions is a good program and yes they are the only program in this area so you are in a round about way stuck with whay they want and do unless you want to travel.  The physicians here are very good as well and highly trained but not everyone wants to deal with Solutions program.    I am having surgery June 18 and I thought at first that the program was a pain but after attending all the items I had to attend, I would do it over again.   I learned so much that I don't know how you could not do the program and then have surgery.   The information and materials that you are supplied with are worth it.     Any questions, please PM me.  KD