I had made the decision on my own to have the surgery because I was not losing the weight. I would lose then gain and lose and gain again. I had gone to one of the meetings at my bariatric doctors office and my eyes were opened to this new way to help me out. I had gone a few months later to my rheumatologist and told her I was going to do this and that I had spoke with my bariatrician and he said I may not be able to take one of my medications (Celebrex) is there something else that you can give me? She was angry. No! Take Tylenol or Aleve because there is nothing I can give you. I was bummed out because although I am over weight my RA takes presidence. So I had to make the decision to do what I feel I need to do because this is my body and although she is my rheumatologist I need to do what I think is right for me. So I haven't mentioned the surgery again. I just had my last appointment with her on July third and she told me I had to do something about my weight, eat less, exercise more. I felt like saying I am doing those things but I just let it roll off my back. When I go to my appointment in October I will have had the surgery and lost some weight so we will see what she says after the fact. I swear these doctors act like I sit at my table loaded with food and pig out all day. September 11th can't get here soon enough. Good luck on your surgery and let me know how you feel after.