Paula, I just read your profile. Best of luck with your weight loss, it isn't easy but every pound you lose is one less you will have to lose after surgery. I'll be hoping you can find a way to either get this surgery or else keep your weight off permanently. Remember to drink your 8 cups of water every day, it does help with the feeling of hunger & removal of toxins from the body. Small meals several times a day helped me lose some weight for my diabetes.