Is laproscopic surgery possible at 500 pounds??
 Jeff,
My surgeon was Dr. Van Wagner.  I chose him because he was willing to do my surgery the lap method, when others were not willing.
I have had no complications and my surgery was 4/11 and I am down 43 pounds.  It was 8 1/2 inches last week.
He may put you on a liquid protein diet before surgery to lose some but if you have never had surgery before, then you have no scar tissue, which could cause a problem.  However, the heavier you are the harder it is for him to navigate his instruments.
Week before surgery I was 404.  After one week of liquid diet, not protein, I lost 20 pounds, so at surgery I was 384 and my surgery was lap method.
Dr. Van Wagner is a very caring person.  He is at St. Alexius hospital in south St. Louis, near the brewery.
Email me if you would like more info.