I've never understood the logic in it. They want these surgeries because they "can't loose the weight no matter what", but find out they need to lose at least some of the weight prior to having the surgery. It's never a small amount, either, it's always something like 80+ pounds. They do it and then happily go into surgery. I just don't get it. You have literally done the one thing you apparently could not do. You lost some fucking weight! If you've done it once, you can do it again. WTF do you need the surgery for at that point?! Lazy fucking fucks.