"Dr. Patching is a straight forward doctor that really wants you to loss the weight problem for life. He will tell you that you must lose weight before surgery and kick those old habbits before you go through a major surgery like bariatrics. One it helps your body get ready for the surgery and it also helps you after. Again he is a great Dr. but make sure you are serious to make a life change first. He is getting a 10 from me :)"